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_Status_Observation - Detailed Descriptions

Draft as of 2025-11-04

Definitions for the IHE.Problem.Status.Observation 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()`)
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:status-obs
Slice Name | status-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:status-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:status-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:status-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:status-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 | `2.16.840.1.113883.10.20.1.57`
30. Observation.templateId:status-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-status-obs
Slice Name | problem-status-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
34. Observation.templateId:problem-status-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
36. Observation.templateId:problem-status-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
38. Observation.templateId:problem-status-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
40. Observation.templateId:problem-status-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 | `2.16.840.1.113883.10.20.1.50`
42. Observation.templateId:problem-status-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
44. Observation.templateId:ihe-problem-status-obs
Slice Name | ihe-problem-status-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
46. Observation.templateId:ihe-problem-status-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
48. Observation.templateId:ihe-problem-status-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
50. Observation.templateId:ihe-problem-status-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
52. Observation.templateId:ihe-problem-status-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 | `1.3.6.1.4.1.19376.1.5.3.1.4.1.1`
54. Observation.templateId:ihe-problem-status-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
56. Observation.classCode
Comments | SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7357).
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.
Fixed Value | `OBS`
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:1198-7358).
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
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.
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 | 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 | 0..*1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II id
Is Modifier | false
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 | Diagnosis statusType of observation (code / type)
Comments | This observation is of clinical status, as indicated by the <code> element. This element must be present. 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.code.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
70. Observation.code.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.
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
Pattern Value | `33999-4`
72. Observation.code.codeSystem
Definition | Specifies the code system that defines the code.
Short | LOINC
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 | Code System
Pattern Value | `2.16.840.1.113883.6.1`
74. Observation.code.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
76. Observation.code.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
78. Observation.code.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
Pattern Value | `Status`
80. Observation.code.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`.
82. Observation.code.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`.
84. Observation.code.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
86. Observation.code.qualifier
Definition | Specifies additional codes that increase the specificity of the the primary code.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR
Label | Qualifier
88. Observation.code.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
90. Observation.derivationExpr
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ST
92. 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 | 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.Text summary of the resource, for human interpretation
Comments | 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 | 0..1 This element is affected by the following invariants: dom-6
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED Narrative
Is Modifier | false
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()))
94. 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
96. 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
98. 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
100. 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
102. 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
104. 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
106. 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.
108. 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.
110. 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 | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
Must Support | true
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('#')`)
112. 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
114. Observation.statusCode
Comments | The code attribute of <statusCode> for all clinical status observations shall be completed. While the <statusCode> element is required in all acts to record the status of the act, the only sensible value of this element in this context is completed.
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
Must Support | true
116. 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
118. 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 | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19113).
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`
120. 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
122. 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
124. 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
126. 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
128. 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`.
130. 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`.
132. 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
134. 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
136. 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
138. Observation.effectiveTime
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
140. 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
142. Observation.repeatNumber
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
144. 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
146. Observation.value
Comments | The value of @code SHALL be drawn from value set 1.3.6.1.4.1.19376.1.5.3.1.11.2 ProblemStatusObservation_value (2016‑09‑26 13:58:58)
Control | 1..1
Binding | The codes SHALL be taken from Problem Status Observation Value (required to `https://profiles.ihe.net/PCC/PSCc/ValueSet/ProblemStatusObservation.Value.VS` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | The type of this property is determined using the `xsi:type`attribute.
148. 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
150. 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
152. Observation.targetSiteCode
Definition | Drawn from concept domain ActSite
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
154. 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()))
156. 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))
158. 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()))
160. Observation.author
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Author
162. Observation.informant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant
164. Observation.participant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2
166. Observation.entryRelationship
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
168. Observation.reference
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference
170. Observation.precondition
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition
172. 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`.
174. 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())
176. 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
178. 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
180. 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()`)
182. 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
184. 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
186. 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
188. 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`
190. 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
192. 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
194. 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`
196. Observation.referenceRange.observationRange
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
198. 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`.
Invariants | should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`)
2. Observation.templateId
Control | 3..?
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
4. Observation.templateId:status-obs
Slice Name | status-obs
Control | 1..1
6. Observation.templateId:status-obs.root
Control | 1..?
Pattern Value | `2.16.840.1.113883.10.20.1.57`
8. Observation.templateId:problem-status-obs
Slice Name | problem-status-obs
Control | 1..1
10. Observation.templateId:problem-status-obs.root
Control | 1..?
Pattern Value | `2.16.840.1.113883.10.20.1.50`
12. Observation.templateId:ihe-problem-status-obs
Slice Name | ihe-problem-status-obs
Control | 1..1
14. Observation.templateId:ihe-problem-status-obs.root
Control | 1..?
Pattern Value | `1.3.6.1.4.1.19376.1.5.3.1.4.1.1`
16. Observation.classCode
Comments | SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7357).
Fixed Value | `OBS`
18. 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:1198-7358).
Fixed Value | `EVN`
20. Observation.code
Short | Diagnosis status
Comments | This observation is of clinical status, as indicated by the <code> element. This element must be present.
Must Support | true
22. Observation.code.code
Control | 1..?
Pattern Value | `33999-4`
24. Observation.code.codeSystem
Short | LOINC
Control | 1..?
Pattern Value | `2.16.840.1.113883.6.1`
26. Observation.code.displayName
Pattern Value | `Status`
28. Observation.text
Short | 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.
30. Observation.text.reference
Control | 1..?
Must Support | true
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('#')`)
32. Observation.statusCode
Comments | The code attribute of <statusCode> for all clinical status observations shall be completed. While the <statusCode> element is required in all acts to record the status of the act, the only sensible value of this element in this context is completed.
Control | 1..?
Must Support | true
34. Observation.statusCode.code
Comments | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19113).
Control | 1..?
Fixed Value | `completed`
36. Observation.value
Comments | The value of @code SHALL be drawn from value set 1.3.6.1.4.1.19376.1.5.3.1.11.2 ProblemStatusObservation_value (2016‑09‑26 13:58:58)
Control | 1..1
Binding | The codes SHALL be taken from Problem Status Observation Value (required to `https://profiles.ihe.net/PCC/PSCc/ValueSet/ProblemStatusObservation.Value.VS` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/SC

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()`)
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:status-obs
Slice Name | status-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:status-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:status-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:status-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:status-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 | `2.16.840.1.113883.10.20.1.57`
30. Observation.templateId:status-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-status-obs
Slice Name | problem-status-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
34. Observation.templateId:problem-status-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
36. Observation.templateId:problem-status-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
38. Observation.templateId:problem-status-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
40. Observation.templateId:problem-status-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 | `2.16.840.1.113883.10.20.1.50`
42. Observation.templateId:problem-status-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
44. Observation.templateId:ihe-problem-status-obs
Slice Name | ihe-problem-status-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
46. Observation.templateId:ihe-problem-status-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
48. Observation.templateId:ihe-problem-status-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
50. Observation.templateId:ihe-problem-status-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
52. Observation.templateId:ihe-problem-status-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 | `1.3.6.1.4.1.19376.1.5.3.1.4.1.1`
54. Observation.templateId:ihe-problem-status-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
56. Observation.classCode
Comments | SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7357).
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.
Fixed Value | `OBS`
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:1198-7358).
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
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.
62. Observation.id
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
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
Short | Diagnosis status
Comments | This observation is of clinical status, as indicated by the <code> element. This element must be present.
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.code.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
70. Observation.code.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.
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
Pattern Value | `33999-4`
72. Observation.code.codeSystem
Definition | Specifies the code system that defines the code.
Short | LOINC
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 | Code System
Pattern Value | `2.16.840.1.113883.6.1`
74. Observation.code.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
76. Observation.code.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
78. Observation.code.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
Pattern Value | `Status`
80. Observation.code.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`.
82. Observation.code.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`.
84. Observation.code.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
86. Observation.code.qualifier
Definition | Specifies additional codes that increase the specificity of the the primary code.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR
Label | Qualifier
88. Observation.code.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
90. Observation.derivationExpr
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ST
92. Observation.text
Short | 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 | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format | The type of this property is determined using the `xsi:type`attribute.
94. 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
96. 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
98. 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
100. 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
102. 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
104. 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
106. 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.
108. 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.
110. 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 | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
Must Support | true
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('#')`)
112. 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
114. Observation.statusCode
Comments | The code attribute of <statusCode> for all clinical status observations shall be completed. While the <statusCode> element is required in all acts to record the status of the act, the only sensible value of this element in this context is completed.
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
Must Support | true
116. 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
118. 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 | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19113).
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`
120. 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
122. 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
124. 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
126. 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
128. 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`.
130. 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`.
132. 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
134. 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
136. 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
138. Observation.effectiveTime
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
140. 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
142. Observation.repeatNumber
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
144. 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
146. Observation.value
Comments | The value of @code SHALL be drawn from value set 1.3.6.1.4.1.19376.1.5.3.1.11.2 ProblemStatusObservation_value (2016‑09‑26 13:58:58)
Control | 1..1
Binding | The codes SHALL be taken from Problem Status Observation Value (required to `https://profiles.ihe.net/PCC/PSCc/ValueSet/ProblemStatusObservation.Value.VS` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | The type of this property is determined using the `xsi:type`attribute.
148. 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
150. 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
152. Observation.targetSiteCode
Definition | Drawn from concept domain ActSite
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
154. Observation.subject
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject
156. Observation.specimen
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen
158. Observation.performer
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2
160. Observation.author
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Author
162. Observation.informant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant
164. Observation.participant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2
166. Observation.entryRelationship
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
168. Observation.reference
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference
170. Observation.precondition
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition
172. 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`.
174. 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
176. 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
178. 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
180. 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()`)
182. 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
184. 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
186. 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
188. 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`
190. 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
192. 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
194. 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`
196. Observation.referenceRange.observationRange
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
198. 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`.