Vital Signs Cross-Country Cross-Language Cross-Paradigm (Demo) IG
0.5.4 - ci-build

Vital Signs Cross-Country Cross-Language Cross-Paradigm (Demo) IG, published by FO. This guide is not an authorized publication; it is the continuous build for version 0.5.4 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/frankoemig/vital-signs-demo/ and changes regularly. See the Directory of published versions

Logical Model: CDAlm - Detailed Descriptions

Active as of 2024-04-16

Definitions for the CDAlm logical model.

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

0. CDAtemplate
Definition

This is a draft LM for CDA. (It still requires modifications comparable to the OBX representation in form of slicing.)

ShortLM for CDA representation
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. CDAtemplate.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
    "code" : "OBS"
  }]
}
4. CDAtemplate.moodCode
Definition

mood code

Shortmood code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActMood",
    "code" : "EVN"
  }]
}
6. CDAtemplate.code
Definition

code

Shortcode
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://loinc.org",
    "code" : "85354-9"
  }]
}
8. CDAtemplate.value
Definition

test value

Shorttest value
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. CDAtemplate.observationRange
Definition

observation Range

Shortobservation Range
Control0..1
TypeBackboneElement
12. CDAtemplate.observationRange.typeCode
Definition

type code

Shorttype code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
    "code" : "REFV"
  }]
}
14. CDAtemplate.observationRange.referenceRange
Definition

reference range

Shortreference range
Control1..1
TypeBackboneElement
16. CDAtemplate.observationRange.referenceRange.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
    "code" : "OBS"
  }]
}
18. CDAtemplate.observationRange.referenceRange.moodCode
Definition

mood code

Shortmood code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActMood",
    "code" : "EVN"
  }]
}
20. CDAtemplate.observationRange.referenceRange.value
Definition

reference range values

Shortreference range values
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. CDAtemplate.interpretation
Definition

interpretation code (OBX-8)

Shortinterpretation code (OBX-8)
Control0..1
TypeCodeableConcept
24. CDAtemplate.effectiveTime
Definition

date of observation

Shortdate of observation
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. CDAtemplate.component
Definition

component

Shortcomponent
Control1..*
TypeBackboneElement
28. CDAtemplate.component.typeCode
Definition

type code

Shorttype code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
    "code" : "COMP"
  }]
}
30. CDAtemplate.component.separatableInd
Definition

is this concept independent?

Shortis this concept independent?
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. CDAtemplate.component.systolicBP
Definition

systolic blood pressure

Shortsystolic blood pressure
Control0..1
TypeBackboneElement
34. CDAtemplate.component.systolicBP.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://loinc.org",
    "code" : "8480-6"
  }]
}
36. CDAtemplate.component.systolicBP.value
Definition

observed/measured value

Shortobserved/measured value
Control0..*
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. CDAtemplate.component.systolicBP.unit
Definition

units

Shortunits
Control0..*
TypeCodeableConcept
40. CDAtemplate.component.systolicBP.component
Definition

component

Shortcomponent
Control1..*
TypeBackboneElement
42. CDAtemplate.component.systolicBP.component.referenceRange
Definition

reference range for values

Shortreference range for values
Control0..1
TypeCodeableConcept
44. CDAtemplate.component.systolicBP.component.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
46. CDAtemplate.component.systolicBP.component.value
Definition

reference range

Shortreference range
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
48. CDAtemplate.component.systolicBP.interpretation
Definition

interpretation code

Shortinterpretation code
Control0..1
TypeCodeableConcept
50. CDAtemplate.component.diastolicBP
Definition

diastolic blood pressure

Shortdiastolic blood pressure
Control0..1
TypeBackboneElement
52. CDAtemplate.component.diastolicBP.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://loinc.org",
    "code" : "8482-2"
  }]
}
54. CDAtemplate.component.diastolicBP.value
Definition

observed/measured value

Shortobserved/measured value
Control0..*
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
56. CDAtemplate.component.diastolicBP.unit
Definition

units

Shortunits
Control0..*
TypeCodeableConcept
58. CDAtemplate.component.diastolicBP.referenceRange
Definition

reference range for values

Shortreference range for values
Control0..1
TypeCodeableConcept
60. CDAtemplate.component.diastolicBP.interpretation
Definition

interpretation code

Shortinterpretation code
Control0..1
TypeCodeableConcept
62. CDAtemplate.component.meanArterialBP
Definition

mean arterial blood pressure

Shortmean arterial blood pressure
Control0..1
TypeBackboneElement
64. CDAtemplate.component.meanArterialBP.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
66. CDAtemplate.component.meanArterialBP.value
Definition

observed/measured value

Shortobserved/measured value
Control0..*
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
68. CDAtemplate.component.meanArterialBP.unit
Definition

units

Shortunits
Control0..*
TypeCodeableConcept
70. CDAtemplate.component.meanArterialBP.referenceRange
Definition

reference range for values

Shortreference range for values
Control0..1
TypeCodeableConcept
72. CDAtemplate.component.meanArterialBP.interpretation
Definition

interpretation code

Shortinterpretation code
Control0..1
TypeCodeableConcept
74. CDAtemplate.component.pulsePressureBP
Definition

pulse pressure blood pressure

Shortpulse pressure blood pressure
Control0..1
TypeBackboneElement
76. CDAtemplate.component.pulsePressureBP.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
78. CDAtemplate.component.pulsePressureBP.value
Definition

observed/measured value

Shortobserved/measured value
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
80. CDAtemplate.component.pulsePressureBP.unit
Definition

units

Shortunits
Control0..*
TypeCodeableConcept
82. CDAtemplate.component.pulsePressureBP.referenceRange
Definition

reference range for values

Shortreference range for values
Control0..1
TypeCodeableConcept
84. CDAtemplate.component.pulsePressureBP.interpretation
Definition

interpretation code

Shortinterpretation code
Control0..1
TypeCodeableConcept
86. CDAtemplate.component.exertion
Definition

exertion during measurement

Shortexertion during measurement
Control0..1
TypeBackboneElement
88. CDAtemplate.component.exertion.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://vitals.oemig.de/fhir/CodeSystem/ObservationCodes",
    "code" : "exertion"
  }]
}
90. CDAtemplate.component.exertion.value
Definition

exertion during measurement

Shortexertion during measurement
Control0..*
BindingThe codes SHALL be taken from Exertion
(required to http://vitals.oemig.de/fhir/ValueSet/Exertion)
TypeCodeableConcept
92. CDAtemplate.component.location
Definition

location of measurement

Shortlocation of measurement
Control0..1
TypeBackboneElement
94. CDAtemplate.component.location.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://vitals.oemig.de/fhir/CodeSystem/ObservationCodes",
    "code" : "location"
  }]
}
96. CDAtemplate.component.location.value
Definition

exertion during measurement

Shortexertion during measurement
Control0..*
BindingThe codes SHALL be taken from Location
(required to http://vitals.oemig.de/fhir/ValueSet/Location)
TypeCodeableConcept
98. CDAtemplate.component.sleepStatus
Definition

sleep status during measurement

Shortsleep status during measurement
Control0..1
TypeCodeableConcept
100. CDAtemplate.component.sleepStatus.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://vitals.oemig.de/fhir/CodeSystem/ObservationCodes",
    "code" : "consciousness"
  }]
}
102. CDAtemplate.component.sleepStatus.value
Definition

exertion during measurement

Shortexertion during measurement
Control0..*
BindingThe codes SHALL be taken from Consciousness
(required to http://vitals.oemig.de/fhir/ValueSet/Consciousness)
TypeCodeableConcept
104. CDAtemplate.participant
Definition

participants

Shortparticipants
Control0..*
TypeBackboneElement
106. CDAtemplate.participant.subject
Definition

patient

Shortpatient
Control0..1
TypeReference(Patient)
108. CDAtemplate.participant.author
Definition

author

Shortauthor
Control0..1
TypeReference(Practitioner)
110. CDAtemplate.participant.performer
Definition

performer

Shortperformer
Control0..1
TypeReference(Practitioner)

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

0. CDAtemplate
Definition

This is a draft LM for CDA. (It still requires modifications comparable to the OBX representation in form of slicing.)

ShortLM for CDA representation
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. CDAtemplate.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
    "code" : "OBS"
  }]
}
4. CDAtemplate.moodCode
Definition

mood code

Shortmood code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActMood",
    "code" : "EVN"
  }]
}
6. CDAtemplate.code
Definition

code

Shortcode
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://loinc.org",
    "code" : "85354-9"
  }]
}
8. CDAtemplate.value
Definition

test value

Shorttest value
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
10. CDAtemplate.observationRange
Definition

observation Range

Shortobservation Range
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. CDAtemplate.observationRange.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. CDAtemplate.observationRange.typeCode
Definition

type code

Shorttype code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
    "code" : "REFV"
  }]
}
16. CDAtemplate.observationRange.referenceRange
Definition

reference range

Shortreference range
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. CDAtemplate.observationRange.referenceRange.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
20. CDAtemplate.observationRange.referenceRange.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
    "code" : "OBS"
  }]
}
22. CDAtemplate.observationRange.referenceRange.moodCode
Definition

mood code

Shortmood code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActMood",
    "code" : "EVN"
  }]
}
24. CDAtemplate.observationRange.referenceRange.value
Definition

reference range values

Shortreference range values
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
26. CDAtemplate.interpretation
Definition

interpretation code (OBX-8)

Shortinterpretation code (OBX-8)
Control0..1
TypeCodeableConcept
Summarytrue
28. CDAtemplate.effectiveTime
Definition

date of observation

Shortdate of observation
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
30. CDAtemplate.component
Definition

component

Shortcomponent
Control1..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. CDAtemplate.component.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
34. CDAtemplate.component.typeCode
Definition

type code

Shorttype code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
    "code" : "COMP"
  }]
}
36. CDAtemplate.component.separatableInd
Definition

is this concept independent?

Shortis this concept independent?
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. CDAtemplate.component.systolicBP
Definition

systolic blood pressure

Shortsystolic blood pressure
Control0..1
TypeBackboneElement
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. CDAtemplate.component.systolicBP.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
42. CDAtemplate.component.systolicBP.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://loinc.org",
    "code" : "8480-6"
  }]
}
44. CDAtemplate.component.systolicBP.value
Definition

observed/measured value

Shortobserved/measured value
Control0..*
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. CDAtemplate.component.systolicBP.unit
Definition

units

Shortunits
Control0..*
TypeCodeableConcept
48. CDAtemplate.component.systolicBP.component
Definition

component

Shortcomponent
Control1..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. CDAtemplate.component.systolicBP.component.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
52. CDAtemplate.component.systolicBP.component.referenceRange
Definition

reference range for values

Shortreference range for values
Control0..1
TypeCodeableConcept
54. CDAtemplate.component.systolicBP.component.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
56. CDAtemplate.component.systolicBP.component.value
Definition

reference range

Shortreference range
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. CDAtemplate.component.systolicBP.interpretation
Definition

interpretation code

Shortinterpretation code
Control0..1
TypeCodeableConcept
60. CDAtemplate.component.diastolicBP
Definition

diastolic blood pressure

Shortdiastolic blood pressure
Control0..1
TypeBackboneElement
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. CDAtemplate.component.diastolicBP.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
64. CDAtemplate.component.diastolicBP.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://loinc.org",
    "code" : "8482-2"
  }]
}
66. CDAtemplate.component.diastolicBP.value
Definition

observed/measured value

Shortobserved/measured value
Control0..*
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
68. CDAtemplate.component.diastolicBP.unit
Definition

units

Shortunits
Control0..*
TypeCodeableConcept
70. CDAtemplate.component.diastolicBP.referenceRange
Definition

reference range for values

Shortreference range for values
Control0..1
TypeCodeableConcept
72. CDAtemplate.component.diastolicBP.interpretation
Definition

interpretation code

Shortinterpretation code
Control0..1
TypeCodeableConcept
74. CDAtemplate.component.meanArterialBP
Definition

mean arterial blood pressure

Shortmean arterial blood pressure
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. CDAtemplate.component.meanArterialBP.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
78. CDAtemplate.component.meanArterialBP.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
80. CDAtemplate.component.meanArterialBP.value
Definition

observed/measured value

Shortobserved/measured value
Control0..*
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
82. CDAtemplate.component.meanArterialBP.unit
Definition

units

Shortunits
Control0..*
TypeCodeableConcept
84. CDAtemplate.component.meanArterialBP.referenceRange
Definition

reference range for values

Shortreference range for values
Control0..1
TypeCodeableConcept
86. CDAtemplate.component.meanArterialBP.interpretation
Definition

interpretation code

Shortinterpretation code
Control0..1
TypeCodeableConcept
88. CDAtemplate.component.pulsePressureBP
Definition

pulse pressure blood pressure

Shortpulse pressure blood pressure
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. CDAtemplate.component.pulsePressureBP.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
92. CDAtemplate.component.pulsePressureBP.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
94. CDAtemplate.component.pulsePressureBP.value
Definition

observed/measured value

Shortobserved/measured value
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
96. CDAtemplate.component.pulsePressureBP.unit
Definition

units

Shortunits
Control0..*
TypeCodeableConcept
98. CDAtemplate.component.pulsePressureBP.referenceRange
Definition

reference range for values

Shortreference range for values
Control0..1
TypeCodeableConcept
100. CDAtemplate.component.pulsePressureBP.interpretation
Definition

interpretation code

Shortinterpretation code
Control0..1
TypeCodeableConcept
102. CDAtemplate.component.exertion
Definition

exertion during measurement

Shortexertion during measurement
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. CDAtemplate.component.exertion.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
106. CDAtemplate.component.exertion.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://vitals.oemig.de/fhir/CodeSystem/ObservationCodes",
    "code" : "exertion"
  }]
}
108. CDAtemplate.component.exertion.value
Definition

exertion during measurement

Shortexertion during measurement
Control0..*
BindingThe codes SHALL be taken from Exertion
(required to http://vitals.oemig.de/fhir/ValueSet/Exertion)
TypeCodeableConcept
110. CDAtemplate.component.location
Definition

location of measurement

Shortlocation of measurement
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. CDAtemplate.component.location.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
114. CDAtemplate.component.location.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://vitals.oemig.de/fhir/CodeSystem/ObservationCodes",
    "code" : "location"
  }]
}
116. CDAtemplate.component.location.value
Definition

exertion during measurement

Shortexertion during measurement
Control0..*
BindingThe codes SHALL be taken from Location
(required to http://vitals.oemig.de/fhir/ValueSet/Location)
TypeCodeableConcept
118. CDAtemplate.component.sleepStatus
Definition

sleep status during measurement

Shortsleep status during measurement
Control0..1
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
120. CDAtemplate.component.sleepStatus.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://vitals.oemig.de/fhir/CodeSystem/ObservationCodes",
    "code" : "consciousness"
  }]
}
122. CDAtemplate.component.sleepStatus.value
Definition

exertion during measurement

Shortexertion during measurement
Control0..*
BindingThe codes SHALL be taken from Consciousness
(required to http://vitals.oemig.de/fhir/ValueSet/Consciousness)
TypeCodeableConcept
124. CDAtemplate.participant
Definition

participants

Shortparticipants
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
126. CDAtemplate.participant.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
128. CDAtemplate.participant.subject
Definition

patient

Shortpatient
Control0..1
TypeReference(Patient)
Summarytrue
130. CDAtemplate.participant.author
Definition

author

Shortauthor
Control0..1
TypeReference(Practitioner)
Summarytrue
132. CDAtemplate.participant.performer
Definition

performer

Shortperformer
Control0..1
TypeReference(Practitioner)
Summarytrue

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

0. CDAtemplate
Definition

This is a draft LM for CDA. (It still requires modifications comparable to the OBX representation in form of slicing.)

ShortLM for CDA representation
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. CDAtemplate.classCode
Definition

class code

Shortclass code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
    "code" : "OBS"
  }]
}
4. CDAtemplate.moodCode
Definition

mood code

Shortmood code
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActMood",
    "code" : "EVN"
  }]
}
6. CDAtemplate.code
Definition

code

Shortcode
Control1..1
TypeCodeableConcept
Pattern Value{
  "coding" : [{
    "system" : "http://loinc.org",
    "code" : "85354-9"
  }]
}
8. CDAtemplate.value
Definition

test value

Shorttest value
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
10. CDAtemplate.observationRange
Definition

observation Range

Shortobservation Range
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. CDAtemplate.observationRange.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
14. CDAtemplate.observationRange.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on CDAtemplate.observationRange.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 16. CDAtemplate.observationRange.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. CDAtemplate.observationRange.typeCode
    Definition

    type code

    Shorttype code
    Control1..1
    TypeCodeableConcept
    Pattern Value{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "code" : "REFV"
      }]
    }
    20. CDAtemplate.observationRange.referenceRange
    Definition

    reference range

    Shortreference range
    Control1..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. CDAtemplate.observationRange.referenceRange.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    24. CDAtemplate.observationRange.referenceRange.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on CDAtemplate.observationRange.referenceRange.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 26. CDAtemplate.observationRange.referenceRange.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      28. CDAtemplate.observationRange.referenceRange.classCode
      Definition

      class code

      Shortclass code
      Control1..1
      TypeCodeableConcept
      Pattern Value{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
          "code" : "OBS"
        }]
      }
      30. CDAtemplate.observationRange.referenceRange.moodCode
      Definition

      mood code

      Shortmood code
      Control1..1
      TypeCodeableConcept
      Pattern Value{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActMood",
          "code" : "EVN"
        }]
      }
      32. CDAtemplate.observationRange.referenceRange.value
      Definition

      reference range values

      Shortreference range values
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      34. CDAtemplate.interpretation
      Definition

      interpretation code (OBX-8)

      Shortinterpretation code (OBX-8)
      Control0..1
      TypeCodeableConcept
      Summarytrue
      36. CDAtemplate.effectiveTime
      Definition

      date of observation

      Shortdate of observation
      Control1..1
      Typedate
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      38. CDAtemplate.component
      Definition

      component

      Shortcomponent
      Control1..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. CDAtemplate.component.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      42. CDAtemplate.component.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on CDAtemplate.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 44. CDAtemplate.component.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        46. CDAtemplate.component.typeCode
        Definition

        type code

        Shorttype code
        Control1..1
        TypeCodeableConcept
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
            "code" : "COMP"
          }]
        }
        48. CDAtemplate.component.separatableInd
        Definition

        is this concept independent?

        Shortis this concept independent?
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        50. CDAtemplate.component.systolicBP
        Definition

        systolic blood pressure

        Shortsystolic blood pressure
        Control0..1
        TypeBackboneElement
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        52. CDAtemplate.component.systolicBP.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        54. CDAtemplate.component.systolicBP.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on CDAtemplate.component.systolicBP.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 56. CDAtemplate.component.systolicBP.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          58. CDAtemplate.component.systolicBP.classCode
          Definition

          class code

          Shortclass code
          Control1..1
          TypeCodeableConcept
          Pattern Value{
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "8480-6"
            }]
          }
          60. CDAtemplate.component.systolicBP.value
          Definition

          observed/measured value

          Shortobserved/measured value
          Control0..*
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          62. CDAtemplate.component.systolicBP.unit
          Definition

          units

          Shortunits
          Control0..*
          TypeCodeableConcept
          64. CDAtemplate.component.systolicBP.component
          Definition

          component

          Shortcomponent
          Control1..*
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. CDAtemplate.component.systolicBP.component.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          68. CDAtemplate.component.systolicBP.component.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on CDAtemplate.component.systolicBP.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 70. CDAtemplate.component.systolicBP.component.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            72. CDAtemplate.component.systolicBP.component.referenceRange
            Definition

            reference range for values

            Shortreference range for values
            Control0..1
            TypeCodeableConcept
            74. CDAtemplate.component.systolicBP.component.classCode
            Definition

            class code

            Shortclass code
            Control1..1
            TypeCodeableConcept
            76. CDAtemplate.component.systolicBP.component.value
            Definition

            reference range

            Shortreference range
            Control0..*
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            78. CDAtemplate.component.systolicBP.interpretation
            Definition

            interpretation code

            Shortinterpretation code
            Control0..1
            TypeCodeableConcept
            80. CDAtemplate.component.diastolicBP
            Definition

            diastolic blood pressure

            Shortdiastolic blood pressure
            Control0..1
            TypeBackboneElement
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            82. CDAtemplate.component.diastolicBP.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            84. CDAtemplate.component.diastolicBP.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on CDAtemplate.component.diastolicBP.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 86. CDAtemplate.component.diastolicBP.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              88. CDAtemplate.component.diastolicBP.classCode
              Definition

              class code

              Shortclass code
              Control1..1
              TypeCodeableConcept
              Pattern Value{
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "8482-2"
                }]
              }
              90. CDAtemplate.component.diastolicBP.value
              Definition

              observed/measured value

              Shortobserved/measured value
              Control0..*
              Typeinteger
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              92. CDAtemplate.component.diastolicBP.unit
              Definition

              units

              Shortunits
              Control0..*
              TypeCodeableConcept
              94. CDAtemplate.component.diastolicBP.referenceRange
              Definition

              reference range for values

              Shortreference range for values
              Control0..1
              TypeCodeableConcept
              96. CDAtemplate.component.diastolicBP.interpretation
              Definition

              interpretation code

              Shortinterpretation code
              Control0..1
              TypeCodeableConcept
              98. CDAtemplate.component.meanArterialBP
              Definition

              mean arterial blood pressure

              Shortmean arterial blood pressure
              Control0..1
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              100. CDAtemplate.component.meanArterialBP.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              102. CDAtemplate.component.meanArterialBP.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on CDAtemplate.component.meanArterialBP.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 104. CDAtemplate.component.meanArterialBP.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                106. CDAtemplate.component.meanArterialBP.classCode
                Definition

                class code

                Shortclass code
                Control1..1
                TypeCodeableConcept
                108. CDAtemplate.component.meanArterialBP.value
                Definition

                observed/measured value

                Shortobserved/measured value
                Control0..*
                Typeinteger
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                110. CDAtemplate.component.meanArterialBP.unit
                Definition

                units

                Shortunits
                Control0..*
                TypeCodeableConcept
                112. CDAtemplate.component.meanArterialBP.referenceRange
                Definition

                reference range for values

                Shortreference range for values
                Control0..1
                TypeCodeableConcept
                114. CDAtemplate.component.meanArterialBP.interpretation
                Definition

                interpretation code

                Shortinterpretation code
                Control0..1
                TypeCodeableConcept
                116. CDAtemplate.component.pulsePressureBP
                Definition

                pulse pressure blood pressure

                Shortpulse pressure blood pressure
                Control0..1
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                118. CDAtemplate.component.pulsePressureBP.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                120. CDAtemplate.component.pulsePressureBP.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on CDAtemplate.component.pulsePressureBP.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 122. CDAtemplate.component.pulsePressureBP.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  124. CDAtemplate.component.pulsePressureBP.classCode
                  Definition

                  class code

                  Shortclass code
                  Control1..1
                  TypeCodeableConcept
                  126. CDAtemplate.component.pulsePressureBP.value
                  Definition

                  observed/measured value

                  Shortobserved/measured value
                  Control0..*
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  128. CDAtemplate.component.pulsePressureBP.unit
                  Definition

                  units

                  Shortunits
                  Control0..*
                  TypeCodeableConcept
                  130. CDAtemplate.component.pulsePressureBP.referenceRange
                  Definition

                  reference range for values

                  Shortreference range for values
                  Control0..1
                  TypeCodeableConcept
                  132. CDAtemplate.component.pulsePressureBP.interpretation
                  Definition

                  interpretation code

                  Shortinterpretation code
                  Control0..1
                  TypeCodeableConcept
                  134. CDAtemplate.component.exertion
                  Definition

                  exertion during measurement

                  Shortexertion during measurement
                  Control0..1
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  136. CDAtemplate.component.exertion.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  138. CDAtemplate.component.exertion.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on CDAtemplate.component.exertion.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 140. CDAtemplate.component.exertion.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    142. CDAtemplate.component.exertion.classCode
                    Definition

                    class code

                    Shortclass code
                    Control1..1
                    TypeCodeableConcept
                    Pattern Value{
                      "coding" : [{
                        "system" : "http://vitals.oemig.de/fhir/CodeSystem/ObservationCodes",
                        "code" : "exertion"
                      }]
                    }
                    144. CDAtemplate.component.exertion.value
                    Definition

                    exertion during measurement

                    Shortexertion during measurement
                    Control0..*
                    BindingThe codes SHALL be taken from Exertion
                    (required to http://vitals.oemig.de/fhir/ValueSet/Exertion)
                    TypeCodeableConcept
                    146. CDAtemplate.component.location
                    Definition

                    location of measurement

                    Shortlocation of measurement
                    Control0..1
                    TypeBackboneElement
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    148. CDAtemplate.component.location.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    150. CDAtemplate.component.location.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on CDAtemplate.component.location.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 152. CDAtemplate.component.location.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      154. CDAtemplate.component.location.classCode
                      Definition

                      class code

                      Shortclass code
                      Control1..1
                      TypeCodeableConcept
                      Pattern Value{
                        "coding" : [{
                          "system" : "http://vitals.oemig.de/fhir/CodeSystem/ObservationCodes",
                          "code" : "location"
                        }]
                      }
                      156. CDAtemplate.component.location.value
                      Definition

                      exertion during measurement

                      Shortexertion during measurement
                      Control0..*
                      BindingThe codes SHALL be taken from Location
                      (required to http://vitals.oemig.de/fhir/ValueSet/Location)
                      TypeCodeableConcept
                      158. CDAtemplate.component.sleepStatus
                      Definition

                      sleep status during measurement

                      Shortsleep status during measurement
                      Control0..1
                      TypeCodeableConcept
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      160. CDAtemplate.component.sleepStatus.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      162. CDAtemplate.component.sleepStatus.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on CDAtemplate.component.sleepStatus.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 164. CDAtemplate.component.sleepStatus.coding
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode defined by a terminology system
                        Comments

                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                        Control0..*
                        TypeCoding
                        Is Modifierfalse
                        Summarytrue
                        Requirements

                        Allows for alternative encodings within a code system, and translations to other code systems.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        166. CDAtemplate.component.sleepStatus.text
                        Definition

                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                        ShortPlain text representation of the concept
                        Comments

                        Very often the text is the same as a displayName of one of the codings.

                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        168. CDAtemplate.component.sleepStatus.classCode
                        Definition

                        class code

                        Shortclass code
                        Control1..1
                        TypeCodeableConcept
                        Pattern Value{
                          "coding" : [{
                            "system" : "http://vitals.oemig.de/fhir/CodeSystem/ObservationCodes",
                            "code" : "consciousness"
                          }]
                        }
                        170. CDAtemplate.component.sleepStatus.value
                        Definition

                        exertion during measurement

                        Shortexertion during measurement
                        Control0..*
                        BindingThe codes SHALL be taken from Consciousness
                        (required to http://vitals.oemig.de/fhir/ValueSet/Consciousness)
                        TypeCodeableConcept
                        172. CDAtemplate.participant
                        Definition

                        participants

                        Shortparticipants
                        Control0..*
                        TypeBackboneElement
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        174. CDAtemplate.participant.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        176. CDAtemplate.participant.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on CDAtemplate.participant.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 178. CDAtemplate.participant.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          180. CDAtemplate.participant.subject
                          Definition

                          patient

                          Shortpatient
                          Control0..1
                          TypeReference(Patient)
                          Summarytrue
                          182. CDAtemplate.participant.author
                          Definition

                          author

                          Shortauthor
                          Control0..1
                          TypeReference(Practitioner)
                          Summarytrue
                          184. CDAtemplate.participant.performer
                          Definition

                          performer

                          Shortperformer
                          Control0..1
                          TypeReference(Practitioner)
                          Summarytrue