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: Severity Entry

Official URL: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Severity.Entry | Version: 0.0.1-current
Draft as of 2025-11-04 | Computable Name: IHE_PCC_Severity_Entry

Any condition or allergy may be the subject of a severity observation. This structure is included in the target act using the element defined in the CDA Schema.

TBD for more

Usages:

- Use this Logical Model Profile: Problem Entry

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-author
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
Slices for templateId | S | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:severity-obs |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.55
@extension |  | 0..1 | st |
templateId:severity-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.1
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS
@moodCode |  | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id |  | 0..* | II |
sdtcCategory |  | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
code |  | 1..1 | CD | Binding: ObservationType (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code | S | 1..1 | cs | Required Pattern: SEV
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.5.4
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
derivationExpr |  | 0..1 | ST |
text | S | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | S C | 1..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
repeatNumber |  | 0..1 | IVL_INT |
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
value | S | 0..* | CD |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Severity Value Code VS (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
interpretationCode |  | 0..* | CE | Binding: CDAObservationInterpretation (required)
methodCode |  | 0..* | CE | Binding: ObservationMethod (example)
targetSiteCode |  | 0..* | CD |
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
entryRelationship |  | 0..* | EntryRelationship |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
referenceRange |  | 0..* | InfrastructureRoot |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV
observationRange |  | 1..1 | ObservationRange |
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.templateId:severity-obs.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.templateId:severity-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.classCode | Base | required | CDAActClassObservation | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.moodCode | Base | required | x_ActMoodDocumentObservation | 📍2.0.0 | THO v5.2
Observation.code | Base | example | ObservationType | 📦3.0.0 | THO v6.5
Observation.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Observation.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Observation.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Observation.statusCode.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Observation.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Observation.value.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.value.code | Base | preferred | Severity Value Code VS | 📦0.0.1-current | This IG
Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.methodCode | Base | example | ObservationMethod | 📦3.0.0 | THO v6.5
Observation.referenceRange.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.referenceRange.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.referenceRange.​typeCode | Base | required | CDAActRelationshipType | 📦2.0.1-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Observation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
should-author | warning | Observation | SHOULD contain author | `author.exists()`
should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-author
Slices for templateId | S | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:severity-obs |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.55
templateId:severity-entry |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.1
@classCode |  | 1..1 | cs | Fixed Value: OBS
@moodCode |  | 1..1 | cs | Fixed Value: EVN
code |  | 1..1 | CD |
@code | S | 1..1 | cs | Required Pattern: SEV
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.5.4
text | S | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry
reference | S C | 1..1 | TEL | Constraints: value-starts-octothorpe
statusCode |  | 1..1 | CS |
@code |  | 1..1 | cs | Fixed Value: completed
value | S | 0..* | CD |
@code |  | 0..1 | cs | Binding: Severity Value Code VS (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.value.code | Base | preferred | Severity Value Code VS | 📦0.0.1-current | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
should-author | warning | Observation | SHOULD contain author | `author.exists()`
should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-author
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
Slices for templateId | S | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:severity-obs |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.55
@extension |  | 0..1 | st |
templateId:severity-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.1
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS
@moodCode |  | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id |  | 0..* | II |
sdtcCategory |  | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
code |  | 1..1 | CD | Binding: ObservationType (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code | S | 1..1 | cs | Required Pattern: SEV
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.5.4
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
derivationExpr |  | 0..1 | ST |
text | S | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | S C | 1..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
repeatNumber |  | 0..1 | IVL_INT |
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
value | S | 0..* | CD |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Severity Value Code VS (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
interpretationCode |  | 0..* | CE | Binding: CDAObservationInterpretation (required)
methodCode |  | 0..* | CE | Binding: ObservationMethod (example)
targetSiteCode |  | 0..* | CD |
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
entryRelationship |  | 0..* | EntryRelationship |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
referenceRange |  | 0..* | InfrastructureRoot |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV
observationRange |  | 1..1 | ObservationRange |
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.templateId:severity-obs.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.templateId:severity-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.classCode | Base | required | CDAActClassObservation | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.moodCode | Base | required | x_ActMoodDocumentObservation | 📍2.0.0 | THO v5.2
Observation.code | Base | example | ObservationType | 📦3.0.0 | THO v6.5
Observation.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Observation.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Observation.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Observation.statusCode.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Observation.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Observation.value.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.value.code | Base | preferred | Severity Value Code VS | 📦0.0.1-current | This IG
Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.methodCode | Base | example | ObservationMethod | 📦3.0.0 | THO v6.5
Observation.referenceRange.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.referenceRange.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.referenceRange.​typeCode | Base | required | CDAActRelationshipType | 📦2.0.1-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Observation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
should-author | warning | Observation | SHOULD contain author | `author.exists()`
should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

This structure is derived from Observation

Summary

Mandatory: 10 elements
Must-Support: 5 elements
Fixed: 3 elements

Slices

This structure defines the following Slices:

- The element 2 is sliced based on the values of Observation.templateId

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-author
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
Slices for templateId | S | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:severity-obs |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.55
@extension |  | 0..1 | st |
templateId:severity-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.1
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS
@moodCode |  | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id |  | 0..* | II |
sdtcCategory |  | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
code |  | 1..1 | CD | Binding: ObservationType (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code | S | 1..1 | cs | Required Pattern: SEV
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.5.4
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
derivationExpr |  | 0..1 | ST |
text | S | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | S C | 1..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
repeatNumber |  | 0..1 | IVL_INT |
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
value | S | 0..* | CD |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Severity Value Code VS (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
interpretationCode |  | 0..* | CE | Binding: CDAObservationInterpretation (required)
methodCode |  | 0..* | CE | Binding: ObservationMethod (example)
targetSiteCode |  | 0..* | CD |
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
entryRelationship |  | 0..* | EntryRelationship |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
referenceRange |  | 0..* | InfrastructureRoot |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV
observationRange |  | 1..1 | ObservationRange |
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.templateId:severity-obs.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.templateId:severity-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.classCode | Base | required | CDAActClassObservation | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.moodCode | Base | required | x_ActMoodDocumentObservation | 📍2.0.0 | THO v5.2
Observation.code | Base | example | ObservationType | 📦3.0.0 | THO v6.5
Observation.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Observation.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Observation.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Observation.statusCode.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Observation.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Observation.value.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.value.code | Base | preferred | Severity Value Code VS | 📦0.0.1-current | This IG
Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.methodCode | Base | example | ObservationMethod | 📦3.0.0 | THO v6.5
Observation.referenceRange.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.referenceRange.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.referenceRange.​typeCode | Base | required | CDAActRelationshipType | 📦2.0.1-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Observation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
should-author | warning | Observation | SHOULD contain author | `author.exists()`
should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

Differential View

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-author
Slices for templateId | S | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:severity-obs |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.55
templateId:severity-entry |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.1
@classCode |  | 1..1 | cs | Fixed Value: OBS
@moodCode |  | 1..1 | cs | Fixed Value: EVN
code |  | 1..1 | CD |
@code | S | 1..1 | cs | Required Pattern: SEV
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.5.4
text | S | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry
reference | S C | 1..1 | TEL | Constraints: value-starts-octothorpe
statusCode |  | 1..1 | CS |
@code |  | 1..1 | cs | Fixed Value: completed
value | S | 0..* | CD |
@code |  | 0..1 | cs | Binding: Severity Value Code VS (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.value.code | Base | preferred | Severity Value Code VS | 📦0.0.1-current | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
should-author | warning | Observation | SHOULD contain author | `author.exists()`
should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-author
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
Slices for templateId | S | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:severity-obs |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.55
@extension |  | 0..1 | st |
templateId:severity-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.1
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS
@moodCode |  | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id |  | 0..* | II |
sdtcCategory |  | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
code |  | 1..1 | CD | Binding: ObservationType (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code | S | 1..1 | cs | Required Pattern: SEV
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.5.4
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
derivationExpr |  | 0..1 | ST |
text | S | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | S C | 1..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
repeatNumber |  | 0..1 | IVL_INT |
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
value | S | 0..* | CD |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Severity Value Code VS (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
interpretationCode |  | 0..* | CE | Binding: CDAObservationInterpretation (required)
methodCode |  | 0..* | CE | Binding: ObservationMethod (example)
targetSiteCode |  | 0..* | CD |
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
entryRelationship |  | 0..* | EntryRelationship |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
referenceRange |  | 0..* | InfrastructureRoot |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV
observationRange |  | 1..1 | ObservationRange |
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.templateId:severity-obs.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.templateId:severity-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.classCode | Base | required | CDAActClassObservation | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.moodCode | Base | required | x_ActMoodDocumentObservation | 📍2.0.0 | THO v5.2
Observation.code | Base | example | ObservationType | 📦3.0.0 | THO v6.5
Observation.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Observation.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Observation.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Observation.statusCode.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Observation.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Observation.value.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.value.code | Base | preferred | Severity Value Code VS | 📦0.0.1-current | This IG
Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.methodCode | Base | example | ObservationMethod | 📦3.0.0 | THO v6.5
Observation.referenceRange.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.referenceRange.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Observation.referenceRange.​typeCode | Base | required | CDAActRelationshipType | 📦2.0.1-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Observation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
should-author | warning | Observation | SHOULD contain author | `author.exists()`
should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

This structure is derived from Observation

Summary

Mandatory: 10 elements
Must-Support: 5 elements
Fixed: 3 elements

Slices

This structure defines the following Slices:

- The element 2 is sliced based on the values of Observation.templateId

Other representations of profile: CSV, Excel