Paramedicine Summary Of Care CDA
0.0.1-current - ci-build

Paramedicine Summary Of Care CDA, published by IHE Patient Care Coordination Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/PCC.PCSc/ and changes regularly. See the Directory of published versions

## Logical Model: IHE_Problem_Reaction_Entry - Detailed Descriptions

Draft as of 2025-11-04

Definitions for the IHE.Problem.Reaction.Entry logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. Observation
Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. Base definition for all types defined in FHIR type system.
Short | Base for all types and resources
Control | 10..1*
Is Modifier | false
Logical Container | ClinicalDocument (CDA Class)
Validation | Instance of this type are validated by templateId
XML Format | In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants | should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`) should-author: SHOULD contain author (`author.exists()`)
2. Observation.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
4. Observation.realmCode
Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
6. Observation.typeId
Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
8. Observation.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
10. Observation.typeId.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
12. Observation.typeId.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
14. Observation.typeId.root
Definition | Identifies the type as an HL7 Registered model
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Fixed Value | `2.16.840.1.113883.1.3`
16. Observation.typeId.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 1..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
18. Observation.templateId
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 3..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Must Support | true
Slicing | This element introduces a set of slices on `Observation.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root value @ extension
20. Observation.templateId:problem-obs
Slice Name | problem-obs
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
22. Observation.templateId:problem-obs.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
24. Observation.templateId:problem-obs.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
26. Observation.templateId:problem-obs.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
28. Observation.templateId:problem-obs.root
Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Pattern Value | `2.16.840.1.113883.10.20.1.28`
30. Observation.templateId:problem-obs.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
32. Observation.templateId:problem-entry
Slice Name | problem-entry
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
34. Observation.templateId:problem-entry.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
36. Observation.templateId:problem-entry.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
38. Observation.templateId:problem-entry.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
40. Observation.templateId:problem-entry.root
Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Pattern Value | `1.3.6.1.4.1.19376.1.5.3.1.4.5`
42. Observation.templateId:problem-entry.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
44. Observation.templateId:allergy-int-reaction
Slice Name | allergy-int-reaction
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Must Support | true
46. Observation.templateId:allergy-int-reaction.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
48. Observation.templateId:allergy-int-reaction.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
50. Observation.templateId:allergy-int-reaction.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
52. Observation.templateId:allergy-int-reaction.root
Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Pattern Value | `2.16.840.1.113883.10.20.1.54`
54. Observation.templateId:allergy-int-reaction.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
56. Observation.classCode
Control | 1..1
Binding | The codes SHALL be taken from CDAActClassObservation (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
58. Observation.moodCode
Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042).
Control | 1..1
Binding | The codes SHALL be taken from XActMoodDocumentObservation (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `EVN`
60. Observation.negationInd
Short | 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.
Comments | MAY contain zero or one [0..1] @negationInd (CONF:1198-10139).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
XML Format | In the XML format, this property is represented as an attribute.
62. Observation.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | SHALL contain at least one [1..*] id (CONF:1198-9043). Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
Control | 10..*1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II id
Is Modifier | false
Must Support | true
64. Observation.sdtcCategory
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`category`.
66. Observation.code
Definition | Describes what was observed. Sometimes this is called the observation "name".
Short | Type of observation (code / type)
Comments | The <code> describes the process of establishing a problem. The code element should be used, as the process of determining the value is important to clinicians (e.g., a diagnosis is a more advanced statement than a symptom). When a physical exam observation is being recorded the code used should be “Finding.” When a review of systems observation is being recorded the code used should be “Symptom.” The recommended vocabulary for describing problems is shown in the table below. Subclasses of this content module may specify other vocabularies. When the list below is used, the codeSystem is '2.16.840.1.113883.6.96' and codeSystemName is SNOMED CT. All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.
Control | 1..1 This element is affected by the following invariants: obs-7
Binding | For example codes, see ObservationType http://hl7.org/fhir/ValueSet/observation-codes|5.0.0 (example to `http://terminology.hl7.org/ValueSet/v3-ObservationType` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD CodeableConcept
Is Modifier | false
Must Support | true
XML Format | The type of this property is determined using the `xsi:type`attribute.
Requirements | Knowing what kind of observation is being made is essential to understanding the observation.
Alternate Names | Name
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Observation.derivationExpr
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ST
70. Observation.text
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | SHOULD reference the portion of section narrative text corresponding to this entryText summary of the resource, for human interpretation
Comments | The <text> element is required and points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described. Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control | 10..1 This element is affected by the following invariants: dom-6
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED Narrative
Is Modifier | false
Must Support | true
XML Format | The type of this property is determined using the `xsi:type`attribute.
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Observation.text.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
74. Observation.text.compression
Definition | Indicates whether the raw byte data is compressed, and what compression algorithm was used.
Control | 0..1
Binding | The codes SHALL be taken from CDACompressionAlgorithm (required to `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Compression
76. Observation.text.integrityCheck
Definition | The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.
Control | 0..1
Type | base64Binary(bin: Binary Data)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Integrity Check
78. Observation.text.integrityCheckAlgorithm
Definition | Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.
Control | 0..1
Binding | The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Integrity Check Algorithm
80. Observation.text.language
Definition | For character based information the language property specifies the human language of the text.
Control | 0..1
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Language
82. Observation.text.mediaType
Definition | Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control | 0..1
Binding | For example codes, see MediaType (example to `http://terminology.hl7.org/ValueSet/v3-MediaType` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Media Type
84. Observation.text.representation
Control | 0..1
Binding | The codes SHALL be taken from CDABinaryDataEncoding (required to `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
86. Observation.text.xmlText
Definition | Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)
Short | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments | This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as unadorned text.
88. Observation.text.reference
Definition | A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
Label | Reference
Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
90. Observation.text.thumbnail
Definition | An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Thumbnail
92. Observation.statusCode
Comments | SHALL contain exactly one [1..1] statusCode (CONF:1198-9049).
Control | 1..1
Binding | The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
94. Observation.statusCode.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
96. Observation.statusCode.code
Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments | A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'.
Control | 1..1
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code
Fixed Value | `completed`
98. Observation.statusCode.codeSystem
Definition | Specifies the code system that defines the code.
Control | 0..0
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System
100. Observation.statusCode.codeSystemName
Definition | The common name of the coding system.
Control | 0..0
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System Name
102. Observation.statusCode.codeSystemVersion
Definition | If applicable, a version descriptor defined specifically for the given code system.
Control | 0..0
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System Version
104. Observation.statusCode.displayName
Definition | A name or title for the code, under which the sending system shows the code value to its users.
Control | 0..0
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Display Name
106. Observation.statusCode.sdtcValueSet
Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control | 0..1
Type | string(oid: ISO Object Identifier)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
108. Observation.statusCode.sdtcValueSetVersion
Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
110. Observation.statusCode.originalText
Definition | The text or phrase used as the basis for the coding.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Original Text
112. Observation.statusCode.qualifier
Definition | Specifies additional codes that increase the specificity of the the primary code.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR
Label | Qualifier
114. Observation.statusCode.translation
Definition | A set of other concept descriptors that translate this concept descriptor into other code systems.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | The type of this property is determined using the `xsi:type`attribute.
Label | Translation
116. Observation.effectiveTime
Short | 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.
Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050).
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Must Support | true
118. Observation.effectiveTime.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
120. Observation.effectiveTime.value
Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Control | 0..1
Type | dateTime(ts: Point in Time)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Date Format | YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML Format | In the XML format, this property is represented as an attribute.
122. Observation.effectiveTime.operator
Definition | A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.
Control | 0..1
Binding | The codes SHALL be taken from CDASetOperator (required to `http://hl7.org/cda/stds/core/ValueSet/CDASetOperator` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Default Value | `I`
124. Observation.effectiveTime.low
Definition | This is the low limit of the interval.
Short | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.
Comments | This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603).
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Must Support | true
Label | Low Boundary
126. Observation.effectiveTime.center
Definition | The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TS
Label | Central Value
128. Observation.effectiveTime.width
Definition | The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/PQ
Label | Width
130. Observation.effectiveTime.high
Definition | This is the high limit of the interval.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Must Support | true
Label | High Boundary
132. Observation.priorityCode
Control | 0..1
Binding | For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
134. Observation.repeatNumber
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
136. Observation.languageCode
Control | 0..1
Binding | The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
138. Observation.value
Comments | The <value> is the condition that was found. This element is required. While the value may be a coded or an un-coded string, the type is always a coded value (xsi:type='CD'). If coded, the code and codeSystem attributes shall be present. The codeSystem should reference a controlled vocabulary describing problems, complaints, symptoms, findings, diagnoses, or functional limitations, e.g., ICD-9, SNOMED-CT or MEDCIN, or others.
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
Must Support | true
XML Format | The type of this property is determined using the `xsi:type`attribute.
140. Observation.value.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
142. Observation.value.code
Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Short | 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).
Comments | This value MAY contain zero or one [0..1] @code (CONF:1198-31871).
Control | 0..1
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code
144. Observation.value.codeSystem
Definition | Specifies the code system that defines the code.
Control | 0..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System
146. Observation.value.codeSystemName
Definition | The common name of the coding system.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System Name
148. Observation.value.codeSystemVersion
Definition | If applicable, a version descriptor defined specifically for the given code system.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System Version
150. Observation.value.displayName
Definition | A name or title for the code, under which the sending system shows the code value to its users.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Display Name
152. Observation.value.sdtcValueSet
Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control | 0..1
Type | string(oid: ISO Object Identifier)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
154. Observation.value.sdtcValueSetVersion
Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
156. Observation.value.originalText
Definition | The text or phrase used as the basis for the coding.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Original Text
158. Observation.value.qualifier
Definition | Specifies additional codes that increase the specificity of the the primary code.
Short | 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.
Comments | This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870).
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR
Label | Qualifier
160. Observation.value.translation
Definition | A set of other concept descriptors that translate this concept descriptor into other code systems.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | The type of this property is determined using the `xsi:type`attribute.
Label | Translation
162. Observation.interpretationCode
Control | 0..*
Binding | The codes SHALL be taken from CDAObservationInterpretation (required to `http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
164. Observation.methodCode
Control | 0..*
Binding | For example codes, see ObservationMethod (example to `http://terminology.hl7.org/ValueSet/v3-ObservationMethod` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
166. Observation.targetSiteCode
Definition | Drawn from concept domain ActSite
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
168. Observation.subject
Definition | The patient, or group of patients, location, device, organization, procedure or practitioner this observation is about and into whose or what record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.
Short | Who and/or what the observation is about
Comments | One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. The subject of an Observation may in some cases be a procedure. This supports the regulatory inspection use case where observations are captured during inspections of a procedure that is being performed (independent of any particular patient or whether patient related at all).
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject Reference(Patient, Group, Device, Location, Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct)
Is Modifier | false
Requirements | Observations have no value if you don't know who or what they're about.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
170. Observation.specimen
Definition | The specimen that was used when this observation was made.
Short | Specimen used for this observation
Comments | Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).
Control | 0..*1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen Reference(Specimen, Group)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) obs-9: If Observation.specimen is a reference to Group, the group can only have specimens ((reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen))
172. Observation.performer
Definition | Who was responsible for asserting the observed value as "true".
Short | Who is responsible for the observation
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2 Reference(Practitioner, PractitionerRole, Organization, CareTeam, Patient, RelatedPerson)
Is Modifier | false
Requirements | May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
174. Observation.author
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Author
176. Observation.informant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant
178. Observation.participant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2
180. Observation.entryRelationship
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Must Support | true
Slicing | This element introduces a set of slices on `Observation.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ observation profile @ act
182. Observation.entryRelationship:severity-entry
Slice Name | severity-entry
Comments | MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Must Support | true
184. Observation.entryRelationship:severity-entry.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
186. Observation.entryRelationship:severity-entry.realmCode
Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
188. Observation.entryRelationship:severity-entry.typeId
Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
190. Observation.entryRelationship:severity-entry.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
192. Observation.entryRelationship:severity-entry.typeId.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
194. Observation.entryRelationship:severity-entry.typeId.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
196. Observation.entryRelationship:severity-entry.typeId.root
Definition | Identifies the type as an HL7 Registered model
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Fixed Value | `2.16.840.1.113883.1.3`
198. Observation.entryRelationship:severity-entry.typeId.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 1..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
200. Observation.entryRelationship:severity-entry.templateId
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
202. Observation.entryRelationship:severity-entry.typeCode
Control | 1..1
Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `SUBJ`
204. Observation.entryRelationship:severity-entry.inversionInd
Definition | The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Comments | SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-9069).
Control | 1..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `true`
206. Observation.entryRelationship:severity-entry.contextConductionInd
Definition | The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Default Value | `true`
208. Observation.entryRelationship:severity-entry.negationInd
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
210. Observation.entryRelationship:severity-entry.sequenceNumber
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/INT
212. Observation.entryRelationship:severity-entry.seperatableInd
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/BL
214. Observation.entryRelationship:severity-entry.act
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Act
216. Observation.entryRelationship:severity-entry.encounter
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter
218. Observation.entryRelationship:severity-entry.observation
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Severity Entry)
220. Observation.entryRelationship:severity-entry.observationMedia
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
222. Observation.entryRelationship:severity-entry.organizer
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer
224. Observation.entryRelationship:severity-entry.procedure
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure
226. Observation.entryRelationship:severity-entry.regionOfInterest
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
228. Observation.entryRelationship:severity-entry.substanceAdministration
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
230. Observation.entryRelationship:severity-entry.supply
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply
232. Observation.entryRelationship:problem-status
Slice Name | problem-status
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Must Support | true
234. Observation.entryRelationship:problem-status.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
236. Observation.entryRelationship:problem-status.realmCode
Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
238. Observation.entryRelationship:problem-status.typeId
Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
240. Observation.entryRelationship:problem-status.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
242. Observation.entryRelationship:problem-status.typeId.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
244. Observation.entryRelationship:problem-status.typeId.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
246. Observation.entryRelationship:problem-status.typeId.root
Definition | Identifies the type as an HL7 Registered model
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Fixed Value | `2.16.840.1.113883.1.3`
248. Observation.entryRelationship:problem-status.typeId.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 1..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
250. Observation.entryRelationship:problem-status.templateId
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
252. Observation.entryRelationship:problem-status.typeCode
Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531).
Control | 1..1
Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `REFR`
254. Observation.entryRelationship:problem-status.inversionInd
Definition | The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `false`
256. Observation.entryRelationship:problem-status.contextConductionInd
Definition | The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Default Value | `true`
258. Observation.entryRelationship:problem-status.negationInd
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
260. Observation.entryRelationship:problem-status.sequenceNumber
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/INT
262. Observation.entryRelationship:problem-status.seperatableInd
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/BL
264. Observation.entryRelationship:problem-status.act
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Act
266. Observation.entryRelationship:problem-status.encounter
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter
268. Observation.entryRelationship:problem-status.observation
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Status Observation)
270. Observation.entryRelationship:problem-status.observationMedia
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
272. Observation.entryRelationship:problem-status.organizer
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer
274. Observation.entryRelationship:problem-status.procedure
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure
276. Observation.entryRelationship:problem-status.regionOfInterest
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
278. Observation.entryRelationship:problem-status.substanceAdministration
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
280. Observation.entryRelationship:problem-status.supply
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply
282. Observation.entryRelationship:health-status
Slice Name | health-status
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Must Support | true
284. Observation.entryRelationship:health-status.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
286. Observation.entryRelationship:health-status.realmCode
Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
288. Observation.entryRelationship:health-status.typeId
Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
290. Observation.entryRelationship:health-status.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
292. Observation.entryRelationship:health-status.typeId.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
294. Observation.entryRelationship:health-status.typeId.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
296. Observation.entryRelationship:health-status.typeId.root
Definition | Identifies the type as an HL7 Registered model
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Fixed Value | `2.16.840.1.113883.1.3`
298. Observation.entryRelationship:health-status.typeId.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 1..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
300. Observation.entryRelationship:health-status.templateId
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
302. Observation.entryRelationship:health-status.typeCode
Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532).
Control | 1..1
Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `REFR`
304. Observation.entryRelationship:health-status.inversionInd
Definition | The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `false`
306. Observation.entryRelationship:health-status.contextConductionInd
Definition | The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Default Value | `true`
308. Observation.entryRelationship:health-status.negationInd
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
310. Observation.entryRelationship:health-status.sequenceNumber
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/INT
312. Observation.entryRelationship:health-status.seperatableInd
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/BL
314. Observation.entryRelationship:health-status.act
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Act
316. Observation.entryRelationship:health-status.encounter
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter
318. Observation.entryRelationship:health-status.observation
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Health Status)
Must Support | true
320. Observation.entryRelationship:health-status.observationMedia
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
322. Observation.entryRelationship:health-status.organizer
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer
324. Observation.entryRelationship:health-status.procedure
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure
326. Observation.entryRelationship:health-status.regionOfInterest
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
328. Observation.entryRelationship:health-status.substanceAdministration
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
330. Observation.entryRelationship:health-status.supply
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply
332. Observation.reference
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference
334. Observation.precondition
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition
336. Observation.sdtcPrecondition2
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format | In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
338. Observation.referenceRange
Definition | Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified. Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two `referenceRange` elements would be used.
Short | Provides guide for interpretation
Comments | Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot BackboneElement
Is Modifier | false
Requirements | Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) obs-3: Must have at least a low or a high or text (low.exists() or high.exists() or text.exists())
340. Observation.referenceRange.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
342. Observation.referenceRange.realmCode
Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
344. Observation.referenceRange.typeId
Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
346. Observation.referenceRange.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
348. Observation.referenceRange.typeId.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
350. Observation.referenceRange.typeId.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
352. Observation.referenceRange.typeId.root
Definition | Identifies the type as an HL7 Registered model
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Fixed Value | `2.16.840.1.113883.1.3`
354. Observation.referenceRange.typeId.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 1..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
356. Observation.referenceRange.templateId
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
358. Observation.referenceRange.typeCode
Control | 0..1
Binding | The codes SHALL be taken from CDAActRelationshipType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `REFV`
360. Observation.referenceRange.observationRange
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
362. Observation.sdtcInFulfillmentOf1
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format | In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.

Guidance on how to interpret the contents of this table can be foundhere

0. Observation
Logical Container | ClinicalDocument (CDA Class)
Validation | Instance of this type are validated by templateId
XML Format | In the XML format, this property has the namespace `urn:hl7-org:v3`.
2. Observation.templateId
Control | 3..?
4. Observation.templateId:allergy-int-reaction
Slice Name | allergy-int-reaction
Control | 1..1
6. Observation.templateId:allergy-int-reaction.root
Control | 1..?
Pattern Value | `2.16.840.1.113883.10.20.1.54`

Guidance on how to interpret the contents of this table can be foundhere

0. Observation
Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
Short | Base for all types and resources
Control | 1..1
Is Modifier | false
Logical Container | ClinicalDocument (CDA Class)
Validation | Instance of this type are validated by templateId
XML Format | In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants | should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`) should-author: SHOULD contain author (`author.exists()`)
2. Observation.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
4. Observation.realmCode
Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
6. Observation.typeId
Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
8. Observation.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
10. Observation.typeId.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
12. Observation.typeId.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
14. Observation.typeId.root
Definition | Identifies the type as an HL7 Registered model
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Fixed Value | `2.16.840.1.113883.1.3`
16. Observation.typeId.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 1..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
18. Observation.templateId
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 3..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Must Support | true
Slicing | This element introduces a set of slices on `Observation.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root value @ extension
20. Observation.templateId:problem-obs
Slice Name | problem-obs
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
22. Observation.templateId:problem-obs.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
24. Observation.templateId:problem-obs.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
26. Observation.templateId:problem-obs.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
28. Observation.templateId:problem-obs.root
Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Pattern Value | `2.16.840.1.113883.10.20.1.28`
30. Observation.templateId:problem-obs.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
32. Observation.templateId:problem-entry
Slice Name | problem-entry
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
34. Observation.templateId:problem-entry.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
36. Observation.templateId:problem-entry.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
38. Observation.templateId:problem-entry.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
40. Observation.templateId:problem-entry.root
Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Pattern Value | `1.3.6.1.4.1.19376.1.5.3.1.4.5`
42. Observation.templateId:problem-entry.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
44. Observation.templateId:allergy-int-reaction
Slice Name | allergy-int-reaction
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Must Support | true
46. Observation.templateId:allergy-int-reaction.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
48. Observation.templateId:allergy-int-reaction.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
50. Observation.templateId:allergy-int-reaction.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
52. Observation.templateId:allergy-int-reaction.root
Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Pattern Value | `2.16.840.1.113883.10.20.1.54`
54. Observation.templateId:allergy-int-reaction.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
56. Observation.classCode
Control | 1..1
Binding | The codes SHALL be taken from CDAActClassObservation (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
58. Observation.moodCode
Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042).
Control | 1..1
Binding | The codes SHALL be taken from XActMoodDocumentObservation (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `EVN`
60. Observation.negationInd
Short | 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.
Comments | MAY contain zero or one [0..1] @negationInd (CONF:1198-10139).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
XML Format | In the XML format, this property is represented as an attribute.
62. Observation.id
Comments | SHALL contain at least one [1..*] id (CONF:1198-9043).
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Must Support | true
64. Observation.sdtcCategory
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`category`.
66. Observation.code
Comments | The <code> describes the process of establishing a problem. The code element should be used, as the process of determining the value is important to clinicians (e.g., a diagnosis is a more advanced statement than a symptom). When a physical exam observation is being recorded the code used should be “Finding.” When a review of systems observation is being recorded the code used should be “Symptom.” The recommended vocabulary for describing problems is shown in the table below. Subclasses of this content module may specify other vocabularies. When the list below is used, the codeSystem is '2.16.840.1.113883.6.96' and codeSystemName is SNOMED CT.
Control | 1..1
Binding | For example codes, see ObservationType (example to `http://terminology.hl7.org/ValueSet/v3-ObservationType` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
Must Support | true
XML Format | The type of this property is determined using the `xsi:type`attribute.
68. Observation.derivationExpr
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ST
70. Observation.text
Short | SHOULD reference the portion of section narrative text corresponding to this entry
Comments | The <text> element is required and points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Must Support | true
XML Format | The type of this property is determined using the `xsi:type`attribute.
72. Observation.text.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
74. Observation.text.compression
Definition | Indicates whether the raw byte data is compressed, and what compression algorithm was used.
Control | 0..1
Binding | The codes SHALL be taken from CDACompressionAlgorithm (required to `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Compression
76. Observation.text.integrityCheck
Definition | The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.
Control | 0..1
Type | base64Binary(bin: Binary Data)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Integrity Check
78. Observation.text.integrityCheckAlgorithm
Definition | Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.
Control | 0..1
Binding | The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Integrity Check Algorithm
80. Observation.text.language
Definition | For character based information the language property specifies the human language of the text.
Control | 0..1
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Language
82. Observation.text.mediaType
Definition | Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control | 0..1
Binding | For example codes, see MediaType (example to `http://terminology.hl7.org/ValueSet/v3-MediaType` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Media Type
84. Observation.text.representation
Control | 0..1
Binding | The codes SHALL be taken from CDABinaryDataEncoding (required to `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
86. Observation.text.xmlText
Definition | Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)
Short | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments | This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as unadorned text.
88. Observation.text.reference
Definition | A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
Label | Reference
Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
90. Observation.text.thumbnail
Definition | An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Thumbnail
92. Observation.statusCode
Comments | SHALL contain exactly one [1..1] statusCode (CONF:1198-9049).
Control | 1..1
Binding | The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
94. Observation.statusCode.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
96. Observation.statusCode.code
Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments | A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'.
Control | 1..1
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code
Fixed Value | `completed`
98. Observation.statusCode.codeSystem
Definition | Specifies the code system that defines the code.
Control | 0..0
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System
100. Observation.statusCode.codeSystemName
Definition | The common name of the coding system.
Control | 0..0
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System Name
102. Observation.statusCode.codeSystemVersion
Definition | If applicable, a version descriptor defined specifically for the given code system.
Control | 0..0
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System Version
104. Observation.statusCode.displayName
Definition | A name or title for the code, under which the sending system shows the code value to its users.
Control | 0..0
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Display Name
106. Observation.statusCode.sdtcValueSet
Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control | 0..1
Type | string(oid: ISO Object Identifier)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
108. Observation.statusCode.sdtcValueSetVersion
Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
110. Observation.statusCode.originalText
Definition | The text or phrase used as the basis for the coding.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Original Text
112. Observation.statusCode.qualifier
Definition | Specifies additional codes that increase the specificity of the the primary code.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR
Label | Qualifier
114. Observation.statusCode.translation
Definition | A set of other concept descriptors that translate this concept descriptor into other code systems.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | The type of this property is determined using the `xsi:type`attribute.
Label | Translation
116. Observation.effectiveTime
Short | 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.
Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050).
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Must Support | true
118. Observation.effectiveTime.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
120. Observation.effectiveTime.value
Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Control | 0..1
Type | dateTime(ts: Point in Time)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Date Format | YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML Format | In the XML format, this property is represented as an attribute.
122. Observation.effectiveTime.operator
Definition | A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.
Control | 0..1
Binding | The codes SHALL be taken from CDASetOperator (required to `http://hl7.org/cda/stds/core/ValueSet/CDASetOperator` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Default Value | `I`
124. Observation.effectiveTime.low
Definition | This is the low limit of the interval.
Short | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.
Comments | This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603).
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Must Support | true
Label | Low Boundary
126. Observation.effectiveTime.center
Definition | The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TS
Label | Central Value
128. Observation.effectiveTime.width
Definition | The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/PQ
Label | Width
130. Observation.effectiveTime.high
Definition | This is the high limit of the interval.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Must Support | true
Label | High Boundary
132. Observation.priorityCode
Control | 0..1
Binding | For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
134. Observation.repeatNumber
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
136. Observation.languageCode
Control | 0..1
Binding | The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
138. Observation.value
Comments | The <value> is the condition that was found. This element is required. While the value may be a coded or an un-coded string, the type is always a coded value (xsi:type='CD'). If coded, the code and codeSystem attributes shall be present. The codeSystem should reference a controlled vocabulary describing problems, complaints, symptoms, findings, diagnoses, or functional limitations, e.g., ICD-9, SNOMED-CT or MEDCIN, or others.
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
Must Support | true
XML Format | The type of this property is determined using the `xsi:type`attribute.
140. Observation.value.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
142. Observation.value.code
Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Short | 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).
Comments | This value MAY contain zero or one [0..1] @code (CONF:1198-31871).
Control | 0..1
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code
144. Observation.value.codeSystem
Definition | Specifies the code system that defines the code.
Control | 0..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System
146. Observation.value.codeSystemName
Definition | The common name of the coding system.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System Name
148. Observation.value.codeSystemVersion
Definition | If applicable, a version descriptor defined specifically for the given code system.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Code System Version
150. Observation.value.displayName
Definition | A name or title for the code, under which the sending system shows the code value to its users.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Display Name
152. Observation.value.sdtcValueSet
Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control | 0..1
Type | string(oid: ISO Object Identifier)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
154. Observation.value.sdtcValueSetVersion
Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
156. Observation.value.originalText
Definition | The text or phrase used as the basis for the coding.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Original Text
158. Observation.value.qualifier
Definition | Specifies additional codes that increase the specificity of the the primary code.
Short | 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.
Comments | This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870).
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR
Label | Qualifier
160. Observation.value.translation
Definition | A set of other concept descriptors that translate this concept descriptor into other code systems.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | The type of this property is determined using the `xsi:type`attribute.
Label | Translation
162. Observation.interpretationCode
Control | 0..*
Binding | The codes SHALL be taken from CDAObservationInterpretation (required to `http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
164. Observation.methodCode
Control | 0..*
Binding | For example codes, see ObservationMethod (example to `http://terminology.hl7.org/ValueSet/v3-ObservationMethod` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
166. Observation.targetSiteCode
Definition | Drawn from concept domain ActSite
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
168. Observation.subject
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject
170. Observation.specimen
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen
172. Observation.performer
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2
174. Observation.author
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Author
176. Observation.informant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant
178. Observation.participant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2
180. Observation.entryRelationship
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Must Support | true
Slicing | This element introduces a set of slices on `Observation.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ observation profile @ act
182. Observation.entryRelationship:severity-entry
Slice Name | severity-entry
Comments | MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Must Support | true
184. Observation.entryRelationship:severity-entry.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
186. Observation.entryRelationship:severity-entry.realmCode
Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
188. Observation.entryRelationship:severity-entry.typeId
Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
190. Observation.entryRelationship:severity-entry.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
192. Observation.entryRelationship:severity-entry.typeId.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
194. Observation.entryRelationship:severity-entry.typeId.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
196. Observation.entryRelationship:severity-entry.typeId.root
Definition | Identifies the type as an HL7 Registered model
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Fixed Value | `2.16.840.1.113883.1.3`
198. Observation.entryRelationship:severity-entry.typeId.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 1..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
200. Observation.entryRelationship:severity-entry.templateId
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
202. Observation.entryRelationship:severity-entry.typeCode
Control | 1..1
Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `SUBJ`
204. Observation.entryRelationship:severity-entry.inversionInd
Definition | The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Comments | SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-9069).
Control | 1..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `true`
206. Observation.entryRelationship:severity-entry.contextConductionInd
Definition | The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Default Value | `true`
208. Observation.entryRelationship:severity-entry.negationInd
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
210. Observation.entryRelationship:severity-entry.sequenceNumber
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/INT
212. Observation.entryRelationship:severity-entry.seperatableInd
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/BL
214. Observation.entryRelationship:severity-entry.act
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Act
216. Observation.entryRelationship:severity-entry.encounter
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter
218. Observation.entryRelationship:severity-entry.observation
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Severity Entry)
220. Observation.entryRelationship:severity-entry.observationMedia
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
222. Observation.entryRelationship:severity-entry.organizer
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer
224. Observation.entryRelationship:severity-entry.procedure
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure
226. Observation.entryRelationship:severity-entry.regionOfInterest
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
228. Observation.entryRelationship:severity-entry.substanceAdministration
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
230. Observation.entryRelationship:severity-entry.supply
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply
232. Observation.entryRelationship:problem-status
Slice Name | problem-status
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Must Support | true
234. Observation.entryRelationship:problem-status.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
236. Observation.entryRelationship:problem-status.realmCode
Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
238. Observation.entryRelationship:problem-status.typeId
Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
240. Observation.entryRelationship:problem-status.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
242. Observation.entryRelationship:problem-status.typeId.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
244. Observation.entryRelationship:problem-status.typeId.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
246. Observation.entryRelationship:problem-status.typeId.root
Definition | Identifies the type as an HL7 Registered model
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Fixed Value | `2.16.840.1.113883.1.3`
248. Observation.entryRelationship:problem-status.typeId.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 1..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
250. Observation.entryRelationship:problem-status.templateId
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
252. Observation.entryRelationship:problem-status.typeCode
Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531).
Control | 1..1
Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `REFR`
254. Observation.entryRelationship:problem-status.inversionInd
Definition | The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `false`
256. Observation.entryRelationship:problem-status.contextConductionInd
Definition | The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Default Value | `true`
258. Observation.entryRelationship:problem-status.negationInd
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
260. Observation.entryRelationship:problem-status.sequenceNumber
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/INT
262. Observation.entryRelationship:problem-status.seperatableInd
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/BL
264. Observation.entryRelationship:problem-status.act
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Act
266. Observation.entryRelationship:problem-status.encounter
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter
268. Observation.entryRelationship:problem-status.observation
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Status Observation)
270. Observation.entryRelationship:problem-status.observationMedia
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
272. Observation.entryRelationship:problem-status.organizer
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer
274. Observation.entryRelationship:problem-status.procedure
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure
276. Observation.entryRelationship:problem-status.regionOfInterest
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
278. Observation.entryRelationship:problem-status.substanceAdministration
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
280. Observation.entryRelationship:problem-status.supply
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply
282. Observation.entryRelationship:health-status
Slice Name | health-status
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Must Support | true
284. Observation.entryRelationship:health-status.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
286. Observation.entryRelationship:health-status.realmCode
Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
288. Observation.entryRelationship:health-status.typeId
Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
290. Observation.entryRelationship:health-status.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
292. Observation.entryRelationship:health-status.typeId.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
294. Observation.entryRelationship:health-status.typeId.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
296. Observation.entryRelationship:health-status.typeId.root
Definition | Identifies the type as an HL7 Registered model
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Fixed Value | `2.16.840.1.113883.1.3`
298. Observation.entryRelationship:health-status.typeId.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 1..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
300. Observation.entryRelationship:health-status.templateId
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
302. Observation.entryRelationship:health-status.typeCode
Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532).
Control | 1..1
Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `REFR`
304. Observation.entryRelationship:health-status.inversionInd
Definition | The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `false`
306. Observation.entryRelationship:health-status.contextConductionInd
Definition | The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Default Value | `true`
308. Observation.entryRelationship:health-status.negationInd
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
310. Observation.entryRelationship:health-status.sequenceNumber
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/INT
312. Observation.entryRelationship:health-status.seperatableInd
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/BL
314. Observation.entryRelationship:health-status.act
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Act
316. Observation.entryRelationship:health-status.encounter
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter
318. Observation.entryRelationship:health-status.observation
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Health Status)
Must Support | true
320. Observation.entryRelationship:health-status.observationMedia
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
322. Observation.entryRelationship:health-status.organizer
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer
324. Observation.entryRelationship:health-status.procedure
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure
326. Observation.entryRelationship:health-status.regionOfInterest
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
328. Observation.entryRelationship:health-status.substanceAdministration
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
330. Observation.entryRelationship:health-status.supply
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply
332. Observation.reference
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference
334. Observation.precondition
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition
336. Observation.sdtcPrecondition2
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format | In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
338. Observation.referenceRange
Definition | Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
340. Observation.referenceRange.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
342. Observation.referenceRange.realmCode
Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
344. Observation.referenceRange.typeId
Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
346. Observation.referenceRange.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control | 0..1
Binding | The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Exceptional Value Detail
348. Observation.referenceRange.typeId.assigningAuthorityName
Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control | 0..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Assigning Authority Name
350. Observation.referenceRange.typeId.displayable
Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control | 0..1
Type | boolean(bl: Boolean)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Displayable
352. Observation.referenceRange.typeId.root
Definition | Identifies the type as an HL7 Registered model
Control | 1..1
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Root
Fixed Value | `2.16.840.1.113883.1.3`
354. Observation.referenceRange.typeId.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
Control | 1..1
Type | string(st: Character String)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Label | Extension
356. Observation.referenceRange.templateId
Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
358. Observation.referenceRange.typeCode
Control | 0..1
Binding | The codes SHALL be taken from CDAActRelationshipType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType` )
Type | code(cs: Coded Simple Value)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `REFV`
360. Observation.referenceRange.observationRange
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
362. Observation.sdtcInFulfillmentOf1
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format | In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.