Clinical Document Architecture, published by Health Level 7. This guide is not an authorized publication; it is the continuous build for version 2.0.0-sd-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/cda-core-2.0/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/cda/stds/core/StructureDefinition/Observation | Version: 2.0.0-sd-ballot | |||
Active as of 2024-03-04 | Computable Name: Observation |
A derivative of the RIM Observation class, used for representing coded and other observations. Observation.negationInd, when set to “true”, is a positive assertion that the Observation as a whole is negated. Some properties such as Observation.id, Observation.moodCode, and the participations are not negated. These properties always have the same meaning: i.e., the author remains the author of the negative Observation. An observation statement with negationInd is still a statement about the specific fact described by the Observation. For instance, a negated “finding of wheezing on July 1” means that the author positively denies that there was wheezing on July 1, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from InfrastructureRoot
Path | Conformance | ValueSet / Code | URI |
Observation.classCode | required | ActClassObservationhttp://terminology.hl7.org/ValueSet/v3-ActClassObservation|2.0.0 | |
Observation.moodCode | required | XActMoodDocumentObservationhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | example | ObservationTypehttp://terminology.hl7.org/ValueSet/v3-ObservationType | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.interpretationCode | required | ObservationInterpretationhttp://terminology.hl7.org/ValueSet/v3-ObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipType|2.0.0 |
Path | Conformance | ValueSet / Code | URI |
Observation.classCode | required | ActClassObservationhttp://terminology.hl7.org/ValueSet/v3-ActClassObservation|2.0.0 | |
Observation.moodCode | required | XActMoodDocumentObservationhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | example | ObservationTypehttp://terminology.hl7.org/ValueSet/v3-ObservationType | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.interpretationCode | required | ObservationInterpretationhttp://terminology.hl7.org/ValueSet/v3-ObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipType|2.0.0 |
Path | Conformance | ValueSet / Code | URI |
Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG | |
Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG | |
Observation.classCode | required | ActClassObservationhttp://terminology.hl7.org/ValueSet/v3-ActClassObservation|2.0.0 | |
Observation.moodCode | required | XActMoodDocumentObservationhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | example | ObservationTypehttp://terminology.hl7.org/ValueSet/v3-ObservationType | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.interpretationCode | required | ObservationInterpretationhttp://terminology.hl7.org/ValueSet/v3-ObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG | |
Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipType|2.0.0 |
This structure is derived from InfrastructureRoot
Differential View
This structure is derived from InfrastructureRoot
Path | Conformance | ValueSet / Code | URI |
Observation.classCode | required | ActClassObservationhttp://terminology.hl7.org/ValueSet/v3-ActClassObservation|2.0.0 | |
Observation.moodCode | required | XActMoodDocumentObservationhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | example | ObservationTypehttp://terminology.hl7.org/ValueSet/v3-ObservationType | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.interpretationCode | required | ObservationInterpretationhttp://terminology.hl7.org/ValueSet/v3-ObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipType|2.0.0 |
Key Elements View
Path | Conformance | ValueSet / Code | URI |
Observation.classCode | required | ActClassObservationhttp://terminology.hl7.org/ValueSet/v3-ActClassObservation|2.0.0 | |
Observation.moodCode | required | XActMoodDocumentObservationhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | example | ObservationTypehttp://terminology.hl7.org/ValueSet/v3-ObservationType | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.interpretationCode | required | ObservationInterpretationhttp://terminology.hl7.org/ValueSet/v3-ObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipType|2.0.0 |
Snapshot View
Path | Conformance | ValueSet / Code | URI |
Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG | |
Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG | |
Observation.classCode | required | ActClassObservationhttp://terminology.hl7.org/ValueSet/v3-ActClassObservation|2.0.0 | |
Observation.moodCode | required | XActMoodDocumentObservationhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | example | ObservationTypehttp://terminology.hl7.org/ValueSet/v3-ObservationType | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.interpretationCode | required | ObservationInterpretationhttp://terminology.hl7.org/ValueSet/v3-ObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG | |
Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipType|2.0.0 |
This structure is derived from InfrastructureRoot