Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build United States of America

This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions

Resource Profile: ProcedureActivityObservation - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.13 resource profile.

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

1. Observation
2. Observation.classCode
Requirements

SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8282).

Pattern ValueOBS
3. Observation.moodCode
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8237).

Pattern ValueEVN
4. Observation.templateId
SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ root,
5. Observation.templateId:primary
SliceNameprimary
Control1..1
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-8238) such that it

6. Observation.templateId:primary.root
Control1..1
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.13" (CONF:1098-10520).

Pattern Value2.16.840.1.113883.10.20.22.4.13
7. Observation.templateId:primary.extension
Control1..1
Requirements

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32507).

Pattern Value2014-06-09
8. Observation.id
Control10..*
Requirements

SHALL contain at least one [1..*] id (CONF:1098-8239).

9. Observation.code
Requirements

SHALL contain exactly one [1..1] code (CONF:1098-19197).

InvariantsDefined on this element
1098-19202: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19202). (: null)
10. Observation.code.originalText
Control0..1
Requirements

This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19198).

11. Observation.code.originalText.reference
Control0..1
Requirements

The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-19199).

12. Observation.code.originalText.reference.value
Control0..1
Requirements

The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-19200).

InvariantsDefined on this element
1098-19201: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19201). (: null)
13. Observation.statusCode
Control10..1
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-8245).

14. Observation.statusCode.code
Control1..1
BindingThe codes SHALL be taken from ProcedureAct statusCode
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:1098-32365).

15. Observation.effectiveTime
Requirements

SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-8246).

16. Observation.priorityCode
BindingThe codes SHALL be taken from ActPriorityThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Requirements

MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-8247).

17. Observation.value
Control10..1*
Requirements

SHALL contain exactly one [1..1] value (CONF:1098-16846).

18. Observation.value.nullFlavor
Control0..1
Requirements

This value MAY contain zero or one [0..1] @nullFlavor (CONF:1098-32778).

19. Observation.methodCode
Control0..1*
Requirements

MAY contain zero or one [0..1] methodCode (CONF:1098-8248).

InvariantsDefined on this element
1098-8249: MethodCode **SHALL NOT** conflict with the method inherent in Observation / code (CONF:1098-8249). (: null)
20. Observation.targetSiteCode
BindingThe codes SHALL be taken from Body Site Value SetFor codes, see (unbound)
Requirements

SHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-8250).

21. Observation.performer
Requirements

SHOULD contain zero or more [0..*] performer (CONF:1098-8251).

22. Observation.performer.assignedEntity
Control1..1
Requirements

The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8252).

23. Observation.performer.assignedEntity.id
Control1..*
Requirements

This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8253).

24. Observation.performer.assignedEntity.addr
Control1..*
Requirements

This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8254).

25. Observation.performer.assignedEntity.telecom
Control1..*
Requirements

This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8255).

26. Observation.performer.assignedEntity.representedOrganization
Control0..1
Requirements

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8256).

27. Observation.performer.assignedEntity.representedOrganization.id
Control0..*
Requirements

The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8257).

28. Observation.performer.assignedEntity.representedOrganization.name
Control0..*
Requirements

The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-8258).

29. Observation.performer.assignedEntity.representedOrganization.telecom
Control1..1
Requirements

The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:1098-8260).

30. Observation.performer.assignedEntity.representedOrganization.addr
Control1..1
Requirements

The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:1098-8259).

31. Observation.author
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32478).

Comments

201810 Errata STU Comment 1619: Updated cardinality from incorrect [1..] to correct [0..]

32. Observation.participant
SlicingThis element introduces a set of slices on Observation.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
  • value @ typeCode,
33. Observation.participant:location
SliceNamelocation
Control0..*
Requirements

MAY contain zero or more [0..*] participant (CONF:1098-8261) such that it

34. Observation.participant:location.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-8262).

Pattern ValueLOC
35. Observation.participant:location.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(ServiceDeliveryLocation)
Requirements

SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:1098-15904).

36. Observation.entryRelationship
SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ encounter
  • profile @ encounter,
  • profile @ encounter,
  • profile @ encounter,
37. Observation.entryRelationship:encounter
SliceNameencounter
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8264) such that it

38. Observation.entryRelationship:encounter.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8265).

Pattern ValueCOMP
39. Observation.entryRelationship:encounter.inversionInd
Control1..1
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8266).

Pattern Valuetrue
40. Observation.entryRelationship:encounter.encounter
Control1..1
Requirements

SHALL contain exactly one [1..1] encounter (CONF:1098-8267).

41. Observation.entryRelationship:encounter.encounter.classCode
Control1..1
Requirements

This encounter SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8268).

Pattern ValueENC
42. Observation.entryRelationship:encounter.encounter.moodCode
Control1..1
Requirements

This encounter SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8269).

Pattern ValueEVN
43. Observation.entryRelationship:encounter.encounter.id
Control1..1
Requirements

This encounter SHALL contain exactly one [1..1] id (CONF:1098-8270).

InvariantsDefined on this element
1098-16847: Set encounter/id to the id of an encounter in another section to signify they are the same encounter (CONF:1098-16847). (: null)
44. Observation.entryRelationship:instruction
SliceNameinstruction
Control0..1
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-8272) such that it

45. Observation.entryRelationship:instruction.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8273).

Pattern ValueSUBJ
46. Observation.entryRelationship:instruction.inversionInd
Control1..1
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8274).

Pattern Valuetrue
47. Observation.entryRelationship:instruction.act
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements

SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31394).

48. Observation.entryRelationship:indication
SliceNameindication
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8276) such that it

49. Observation.entryRelationship:indication.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8277).

Pattern ValueRSON
50. Observation.entryRelationship:indication.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements

SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-15906).

51. Observation.entryRelationship:medication
SliceNamemedication
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8279) such that it

52. Observation.entryRelationship:medication.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8280).

Pattern ValueCOMP
53. Observation.entryRelationship:medication.substanceAdministration
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationActivity)
Requirements

SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1098-15907).

54. Observation.entryRelationship:reaction
SliceNamereaction
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-32470) such that it

55. Observation.entryRelationship:reaction.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32471).

Pattern ValueCOMP
56. Observation.entryRelationship:reaction.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements

SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-32472).

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

1. Observation
Definition

Base definition for all types defined in FHIR type system.

Control10..1*
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
2. Observation.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8282).

Pattern ValueOBS
3. Observation.moodCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8237).

Pattern ValueEVN
4. Observation.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ root,
5. Observation.templateId:primary
SliceNameprimary
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-8238) such that it

6. Observation.templateId:primary.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.13" (CONF:1098-10520).

Pattern Value2.16.840.1.113883.10.20.22.4.13
7. Observation.templateId:primary.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32507).

Pattern Value2014-06-09
8. Observation.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control10..*1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IIid
Requirements

SHALL contain at least one [1..*] id (CONF:1098-8239).

Comments

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

9. Observation.code
Definition

Describes what was observed. Sometimes this is called the observation "name".

Control1..1
BindingThe codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitableFor example codes, see LOINCCodes
Typehttp://hl7.org/fhir/cda/StructureDefinition/CDCodeableConcept
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

SHALL contain exactly one [1..1] code (CONF:1098-19197).

Knowing what kind of observation is being made is essential to understanding the observation.

Alternate NamesName
Comments

All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

InvariantsDefined on this element
1098-19202: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19202). (: null)
10. Observation.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
Requirements

This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19198).

11. Observation.code.originalText.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-19199).

12. Observation.code.originalText.reference.value
Control0..1
Typeuri
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-19200).

InvariantsDefined on this element
1098-19201: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19201). (: null)
13. Observation.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-8245).

14. Observation.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Control1..1
BindingThe codes SHALL be taken from ProcedureAct statusCode
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:1098-32365).

15. Observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
16. Observation.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
17. Observation.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
18. Observation.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
19. Observation.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
20. Observation.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
21. Observation.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
22. Observation.effectiveTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-8246).

23. Observation.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-8247).

24. Observation.value
Control1..1
TypeChoice of: http://hl7.org/fhir/cda/StructureDefinition/BL, http://hl7.org/fhir/cda/StructureDefinition/ED, http://hl7.org/fhir/cda/StructureDefinition/ST, http://hl7.org/fhir/cda/StructureDefinition/CD, http://hl7.org/fhir/cda/StructureDefinition/CV, http://hl7.org/fhir/cda/StructureDefinition/CE, http://hl7.org/fhir/cda/StructureDefinition/SC, http://hl7.org/fhir/cda/StructureDefinition/II, http://hl7.org/fhir/cda/StructureDefinition/TEL, http://hl7.org/fhir/cda/StructureDefinition/AD, http://hl7.org/fhir/cda/StructureDefinition/EN, http://hl7.org/fhir/cda/StructureDefinition/INT, http://hl7.org/fhir/cda/StructureDefinition/REAL, http://hl7.org/fhir/cda/StructureDefinition/PQ, http://hl7.org/fhir/cda/StructureDefinition/MO, http://hl7.org/fhir/cda/StructureDefinition/TS, http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ, http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS, http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

SHALL contain exactly one [1..1] value (CONF:1098-16846).

25. Observation.methodCode
Control0..1
BindingThe codes SHALL be taken from ObservationMethod; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

MAY contain zero or one [0..1] methodCode (CONF:1098-8248).

InvariantsDefined on this element
1098-8249: MethodCode **SHALL NOT** conflict with the method inherent in Observation / code (CONF:1098-8249). (: null)
26. Observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
BindingThe codes SHALL be taken from Body Site Value Set
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-8250).

27. Observation.performer
Definition

Who was responsible for asserting the observed value as "true".

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2Reference(Practitioner|PractitionerRole|Organization|CareTeam|Patient|RelatedPerson)
Requirements

SHOULD contain zero or more [0..*] performer (CONF:1098-8251).

May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.

28. Observation.performer.assignedEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements

The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8252).

29. Observation.performer.assignedEntity.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueASSIGNED
Fixed ValueASSIGNED
30. Observation.performer.assignedEntity.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8253).

31. Observation.performer.assignedEntity.addr
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8254).

32. Observation.performer.assignedEntity.telecom
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8255).

33. Observation.performer.assignedEntity.representedOrganization
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organization
Requirements

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8256).

34. Observation.performer.assignedEntity.representedOrganization.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassOrganization
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueORG
Fixed ValueORG
35. Observation.performer.assignedEntity.representedOrganization.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINSTANCE
Fixed ValueINSTANCE
36. Observation.performer.assignedEntity.representedOrganization.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..*1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IIid
Requirements

The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8257).

Comments

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

37. Observation.performer.assignedEntity.representedOrganization.name
Definition

A name associated with the organization.

Control0..*1 This element is affected by the following invariants: org-1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ONstring
Requirements

The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-8258).

Need to use the name as the label of the organization.

Comments

If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.

38. Observation.performer.assignedEntity.representedOrganization.telecom
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:1098-8260).

39. Observation.performer.assignedEntity.representedOrganization.addr
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:1098-8259).

40. Observation.author
Definition

Base definition for all types defined in FHIR type system.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32478).

Comments

201810 Errata STU Comment 1619: Updated cardinality from incorrect [1..] to correct [0..]

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
41. Observation.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Observation.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
  • value @ typeCode,
42. Observation.participant:location
SliceNamelocation
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

MAY contain zero or more [0..*] participant (CONF:1098-8261) such that it

43. Observation.participant:location.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-8262).

Pattern ValueLOC
44. Observation.participant:location.participantRole
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(ServiceDeliveryLocation)
Requirements

SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:1098-15904).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
45. Observation.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ encounter
  • profile @ encounter,
  • profile @ encounter,
  • profile @ encounter,
46. Observation.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
47. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
48. Observation.entryRelationship:encounter
SliceNameencounter
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8264) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
49. Observation.entryRelationship:encounter.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8265).

Pattern ValueCOMP
50. Observation.entryRelationship:encounter.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8266).

Pattern Valuetrue
51. Observation.entryRelationship:encounter.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
52. Observation.entryRelationship:encounter.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
53. Observation.entryRelationship:encounter.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
54. Observation.entryRelationship:encounter.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
55. Observation.entryRelationship:encounter.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
56. Observation.entryRelationship:encounter.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
57. Observation.entryRelationship:encounter.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
58. Observation.entryRelationship:encounter.encounter
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
Requirements

SHALL contain exactly one [1..1] encounter (CONF:1098-8267).

59. Observation.entryRelationship:encounter.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
60. Observation.entryRelationship:encounter.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
61. Observation.entryRelationship:instruction
SliceNameinstruction
Control0..1
TypeElement
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-8272) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
62. Observation.entryRelationship:instruction.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8273).

Pattern ValueSUBJ
63. Observation.entryRelationship:instruction.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8274).

Pattern Valuetrue
64. Observation.entryRelationship:instruction.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
65. Observation.entryRelationship:instruction.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
66. Observation.entryRelationship:instruction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
67. Observation.entryRelationship:instruction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
68. Observation.entryRelationship:instruction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
69. Observation.entryRelationship:instruction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
70. Observation.entryRelationship:instruction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
71. Observation.entryRelationship:instruction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
72. Observation.entryRelationship:instruction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
73. Observation.entryRelationship:instruction.act
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements

SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31394).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
74. Observation.entryRelationship:indication
SliceNameindication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8276) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
75. Observation.entryRelationship:indication.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8277).

Pattern ValueRSON
76. Observation.entryRelationship:indication.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
77. Observation.entryRelationship:indication.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements

SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-15906).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
78. Observation.entryRelationship:indication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
79. Observation.entryRelationship:indication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
80. Observation.entryRelationship:indication.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
81. Observation.entryRelationship:indication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
82. Observation.entryRelationship:indication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
83. Observation.entryRelationship:indication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
84. Observation.entryRelationship:indication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
85. Observation.entryRelationship:indication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
86. Observation.entryRelationship:medication
SliceNamemedication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8279) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
87. Observation.entryRelationship:medication.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8280).

Pattern ValueCOMP
88. Observation.entryRelationship:medication.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
89. Observation.entryRelationship:medication.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
90. Observation.entryRelationship:medication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
91. Observation.entryRelationship:medication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
92. Observation.entryRelationship:medication.substanceAdministration
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationActivity)
Requirements

SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1098-15907).

InvariantsDefined on this element
1098-30800: Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). (: null)
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
93. Observation.entryRelationship:medication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
94. Observation.entryRelationship:medication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
95. Observation.entryRelationship:medication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
96. Observation.entryRelationship:medication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
97. Observation.entryRelationship:medication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
98. Observation.entryRelationship:reaction
SliceNamereaction
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-32470) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
99. Observation.entryRelationship:reaction.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32471).

Pattern ValueCOMP
100. Observation.entryRelationship:reaction.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
101. Observation.entryRelationship:reaction.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements

SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-32472).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
102. Observation.entryRelationship:reaction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
103. Observation.entryRelationship:reaction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
104. Observation.entryRelationship:reaction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
105. Observation.entryRelationship:reaction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
106. Observation.entryRelationship:reaction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
107. Observation.entryRelationship:reaction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
108. Observation.entryRelationship:reaction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
109. Observation.entryRelationship:reaction.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act

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

1. Observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
2. Observation.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8282).

Pattern ValueOBS
3. Observation.moodCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8237).

Pattern ValueEVN
4. Observation.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
5. Observation.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
6. Observation.typeId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
7. Observation.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ root,
8. Observation.templateId:primary
SliceNameprimary
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-8238) such that it

9. Observation.templateId:primary.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
10. Observation.templateId:primary.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
11. Observation.templateId:primary.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
12. Observation.templateId:primary.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.13" (CONF:1098-10520).

Pattern Value2.16.840.1.113883.10.20.22.4.13
13. Observation.templateId:primary.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32507).

Pattern Value2014-06-09
14. Observation.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1098-8239).

15. Observation.code
Control1..1
BindingThe codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

SHALL contain exactly one [1..1] code (CONF:1098-19197).

InvariantsDefined on this element
1098-19202: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19202). (: )
16. Observation.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
17. Observation.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
18. Observation.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
19. Observation.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
20. Observation.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
21. Observation.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
22. Observation.code.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSet.
23. Observation.code.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSetVersion.
24. Observation.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
Requirements

This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19198).

25. Observation.code.originalText.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
26. Observation.code.originalText.charset
Definition

For character-based encoding types, this property specifies the character set and character encoding used. The charset shall be identified by an Internet Assigned Numbers Authority (IANA) Charset Registration [] in accordance with RFC 2978 [].

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
27. Observation.code.originalText.compression
Definition

Indicates whether the raw byte data is compressed, and what compression algorithm was used.

Control0..1
BindingThe codes SHALL be taken from CompressionAlgorithm
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
28. Observation.code.originalText.integrityCheck
Definition

The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

Control0..1
Typebase64Binary
XML RepresentationIn the XML format, this property is represented as an attribute.
29. Observation.code.originalText.integrityCheckAlgorithm
Definition

Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

Control0..1
BindingThe codes SHALL be taken from IntegrityCheckAlgorithm
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
30. Observation.code.originalText.language
Definition

For character based information the language property specifies the human language of the text.

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
31. Observation.code.originalText.mediaType
Definition

Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
32. Observation.code.originalText.representation
Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
33. Observation.code.originalText.data[x]
Definition

Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

Control0..1
TypeChoice of: string, base64Binary
[x] NoteSee Choice of Data Types for further information about how to use [x]
XML RepresentationIn the XML format, this property is represented as unadorned text.
34. Observation.code.originalText.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-19199).

35. Observation.code.originalText.reference.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
36. Observation.code.originalText.reference.value
Control0..1
Typeuri
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-19200).

InvariantsDefined on this element
1098-19201: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19201). (: )
37. Observation.code.originalText.reference.useablePeriod
Definition

Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.

Control0..*
TypeChoice of: http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
Default Typehttp://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
XML RepresentationThe type of this property is determined using the xsi:type attribute.
38. Observation.code.originalText.reference.use
Definition

One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.

Control0..*
BindingThe codes SHALL be taken from AddressUse
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
39. Observation.code.originalText.thumbnail
Definition

An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
40. Observation.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
41. Observation.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
42. Observation.derivationExpr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
43. Observation.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
XML RepresentationThe type of this property is determined using the xsi:type attribute.
44. Observation.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-8245).

45. Observation.statusCode.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
46. Observation.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Control1..1
BindingThe codes SHALL be taken from ProcedureAct statusCode
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:1098-32365).

47. Observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
48. Observation.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
49. Observation.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
50. Observation.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
51. Observation.statusCode.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSet.
52. Observation.statusCode.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSetVersion.
53. Observation.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
54. Observation.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
55. Observation.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
56. Observation.effectiveTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-8246).

57. Observation.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-8247).

58. Observation.repeatNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-INT
59. Observation.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
60. Observation.value
Control1..1
TypeChoice of: http://hl7.org/fhir/cda/StructureDefinition/BL, http://hl7.org/fhir/cda/StructureDefinition/ED, http://hl7.org/fhir/cda/StructureDefinition/ST, http://hl7.org/fhir/cda/StructureDefinition/CD, http://hl7.org/fhir/cda/StructureDefinition/CV, http://hl7.org/fhir/cda/StructureDefinition/CE, http://hl7.org/fhir/cda/StructureDefinition/SC, http://hl7.org/fhir/cda/StructureDefinition/II, http://hl7.org/fhir/cda/StructureDefinition/TEL, http://hl7.org/fhir/cda/StructureDefinition/AD, http://hl7.org/fhir/cda/StructureDefinition/EN, http://hl7.org/fhir/cda/StructureDefinition/INT, http://hl7.org/fhir/cda/StructureDefinition/REAL, http://hl7.org/fhir/cda/StructureDefinition/PQ, http://hl7.org/fhir/cda/StructureDefinition/MO, http://hl7.org/fhir/cda/StructureDefinition/TS, http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ, http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS, http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

SHALL contain exactly one [1..1] value (CONF:1098-16846).

61. Observation.value.id
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
62. Observation.value.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
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.

InvariantsDefined on this element
ele-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 Observation.value.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
63. Observation.interpretationCode
Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
64. Observation.methodCode
Control0..1
BindingThe codes SHALL be taken from ObservationMethod; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

MAY contain zero or one [0..1] methodCode (CONF:1098-8248).

InvariantsDefined on this element
1098-8249: MethodCode **SHALL NOT** conflict with the method inherent in Observation / code (CONF:1098-8249). (: )
65. Observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
BindingThe codes SHALL be taken from Body Site Value Set
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-8250).

66. Observation.subject
Control0..1
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
67. Observation.subject.id
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
68. Observation.subject.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
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.

InvariantsDefined on this element
ele-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 Observation.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
69. Observation.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueSBJ
Fixed ValueSBJ
70. Observation.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
71. Observation.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
72. Observation.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
73. Observation.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
74. Observation.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

SHOULD contain zero or more [0..*] performer (CONF:1098-8251).

75. Observation.performer.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
76. Observation.performer.typeCode
Control0..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs)
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValuePRF
77. Observation.performer.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
78. Observation.performer.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
79. Observation.performer.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
80. Observation.performer.functionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.
81. Observation.performer.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
82. Observation.performer.modeCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
83. Observation.performer.assignedEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements

The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8252).

84. Observation.performer.assignedEntity.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueASSIGNED
Fixed ValueASSIGNED
85. Observation.performer.assignedEntity.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
86. Observation.performer.assignedEntity.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8253).

87. Observation.performer.assignedEntity.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name identifiedBy.
88. Observation.performer.assignedEntity.code
Control0..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
89. Observation.performer.assignedEntity.addr
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8254).

90. Observation.performer.assignedEntity.telecom
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8255).

91. Observation.performer.assignedEntity.assignedPerson
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Person
92. Observation.performer.assignedEntity.representedOrganization
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organization
Requirements

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8256).

93. Observation.performer.assignedEntity.representedOrganization.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassOrganization
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueORG
Fixed ValueORG
94. Observation.performer.assignedEntity.representedOrganization.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINSTANCE
Fixed ValueINSTANCE
95. Observation.performer.assignedEntity.representedOrganization.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
96. Observation.performer.assignedEntity.representedOrganization.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8257).

97. Observation.performer.assignedEntity.representedOrganization.name
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/ON
Requirements

The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-8258).

98. Observation.performer.assignedEntity.representedOrganization.telecom
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:1098-8260).

99. Observation.performer.assignedEntity.representedOrganization.addr
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:1098-8259).

100. Observation.performer.assignedEntity.representedOrganization.standardIndustryClassCode
Control0..1
BindingThe codes SHALL be taken from OrganizationIndustryClassNAICS; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
101. Observation.performer.assignedEntity.representedOrganization.asOrganizationPartOf
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf
102. Observation.author
Definition

Base definition for all types defined in FHIR type system.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32478).

Comments

201810 Errata STU Comment 1619: Updated cardinality from incorrect [1..] to correct [0..]

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
103. Observation.informant
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
104. Observation.informant.id
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
105. Observation.informant.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
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.

InvariantsDefined on this element
ele-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 Observation.informant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
106. Observation.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINF
Fixed ValueINF
107. Observation.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
108. Observation.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
109. Observation.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
110. Observation.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Observation.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
  • value @ typeCode,
111. Observation.participant:location
SliceNamelocation
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

MAY contain zero or more [0..*] participant (CONF:1098-8261) such that it

112. Observation.participant:location.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
113. Observation.participant:location.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-8262).

Pattern ValueLOC
114. Observation.participant:location.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueOP
115. Observation.participant:location.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
116. Observation.participant:location.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
117. Observation.participant:location.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
118. Observation.participant:location.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name functionCode.
119. Observation.participant:location.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
120. Observation.participant:location.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
121. Observation.participant:location.participantRole
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(ServiceDeliveryLocation)
Requirements

SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:1098-15904).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
122. Observation.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ encounter
  • profile @ encounter,
  • profile @ encounter,
  • profile @ encounter,
123. Observation.entryRelationship.id
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
124. Observation.entryRelationship.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
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.

InvariantsDefined on this element
ele-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 Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
125. Observation.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
126. Observation.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
127. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
128. Observation.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
129. Observation.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
130. Observation.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
131. Observation.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
132. Observation.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
133. Observation.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
134. Observation.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
135. Observation.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
136. Observation.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
137. Observation.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
138. Observation.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
139. Observation.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
140. Observation.entryRelationship:encounter
SliceNameencounter
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8264) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
141. Observation.entryRelationship:encounter.id
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
142. Observation.entryRelationship:encounter.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
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.

InvariantsDefined on this element
ele-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 Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
143. Observation.entryRelationship:encounter.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8265).

Pattern ValueCOMP
144. Observation.entryRelationship:encounter.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8266).

Pattern Valuetrue
145. Observation.entryRelationship:encounter.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
146. Observation.entryRelationship:encounter.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
147. Observation.entryRelationship:encounter.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
148. Observation.entryRelationship:encounter.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
149. Observation.entryRelationship:encounter.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
150. Observation.entryRelationship:encounter.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
151. Observation.entryRelationship:encounter.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
152. Observation.entryRelationship:encounter.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
153. Observation.entryRelationship:encounter.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
154. Observation.entryRelationship:encounter.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
155. Observation.entryRelationship:encounter.encounter
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
Requirements

SHALL contain exactly one [1..1] encounter (CONF:1098-8267).

156. Observation.entryRelationship:encounter.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
157. Observation.entryRelationship:encounter.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
158. Observation.entryRelationship:instruction
SliceNameinstruction
Control0..1
TypeElement
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-8272) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
159. Observation.entryRelationship:instruction.id
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
160. Observation.entryRelationship:instruction.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
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.

InvariantsDefined on this element
ele-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 Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
161. Observation.entryRelationship:instruction.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8273).

Pattern ValueSUBJ
162. Observation.entryRelationship:instruction.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8274).

Pattern Valuetrue
163. Observation.entryRelationship:instruction.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
164. Observation.entryRelationship:instruction.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
165. Observation.entryRelationship:instruction.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
166. Observation.entryRelationship:instruction.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
167. Observation.entryRelationship:instruction.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
168. Observation.entryRelationship:instruction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
169. Observation.entryRelationship:instruction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
170. Observation.entryRelationship:instruction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
171. Observation.entryRelationship:instruction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
172. Observation.entryRelationship:instruction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
173. Observation.entryRelationship:instruction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
174. Observation.entryRelationship:instruction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
175. Observation.entryRelationship:instruction.act
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements

SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31394).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
176. Observation.entryRelationship:indication
SliceNameindication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8276) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
177. Observation.entryRelationship:indication.id
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
178. Observation.entryRelationship:indication.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
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.

InvariantsDefined on this element
ele-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 Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
179. Observation.entryRelationship:indication.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8277).

Pattern ValueRSON
180. Observation.entryRelationship:indication.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
181. Observation.entryRelationship:indication.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
182. Observation.entryRelationship:indication.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
183. Observation.entryRelationship:indication.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
184. Observation.entryRelationship:indication.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
185. Observation.entryRelationship:indication.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements

SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-15906).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
186. Observation.entryRelationship:indication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
187. Observation.entryRelationship:indication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
188. Observation.entryRelationship:indication.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
189. Observation.entryRelationship:indication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
190. Observation.entryRelationship:indication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
191. Observation.entryRelationship:indication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
192. Observation.entryRelationship:indication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
193. Observation.entryRelationship:indication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
194. Observation.entryRelationship:medication
SliceNamemedication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8279) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
195. Observation.entryRelationship:medication.id
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
196. Observation.entryRelationship:medication.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
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.

InvariantsDefined on this element
ele-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 Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
197. Observation.entryRelationship:medication.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8280).

Pattern ValueCOMP
198. Observation.entryRelationship:medication.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
199. Observation.entryRelationship:medication.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
200. Observation.entryRelationship:medication.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
201. Observation.entryRelationship:medication.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
202. Observation.entryRelationship:medication.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
203. Observation.entryRelationship:medication.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
204. Observation.entryRelationship:medication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
205. Observation.entryRelationship:medication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
206. Observation.entryRelationship:medication.substanceAdministration
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationActivity)
Requirements

SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1098-15907).

InvariantsDefined on this element
1098-30800: Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). (: )
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
207. Observation.entryRelationship:medication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
208. Observation.entryRelationship:medication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
209. Observation.entryRelationship:medication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
210. Observation.entryRelationship:medication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
211. Observation.entryRelationship:medication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
212. Observation.entryRelationship:reaction
SliceNamereaction
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-32470) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
213. Observation.entryRelationship:reaction.id
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
214. Observation.entryRelationship:reaction.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
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.

InvariantsDefined on this element
ele-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 Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
215. Observation.entryRelationship:reaction.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32471).

Pattern ValueCOMP
216. Observation.entryRelationship:reaction.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
217. Observation.entryRelationship:reaction.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
218. Observation.entryRelationship:reaction.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
219. Observation.entryRelationship:reaction.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
220. Observation.entryRelationship:reaction.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
221. Observation.entryRelationship:reaction.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements

SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-32472).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
222. Observation.entryRelationship:reaction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
223. Observation.entryRelationship:reaction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
224. Observation.entryRelationship:reaction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
225. Observation.entryRelationship:reaction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
226. Observation.entryRelationship:reaction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
227. Observation.entryRelationship:reaction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
228. Observation.entryRelationship:reaction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
229. Observation.entryRelationship:reaction.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
230. Observation.reference
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
231. Observation.reference.id
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
232. Observation.reference.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
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.

InvariantsDefined on this element
ele-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 Observation.reference.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
233. Observation.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
234. Observation.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
235. Observation.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
236. Observation.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
237. Observation.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
238. Observation.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
239. Observation.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition
240. Observation.referenceRange
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
241. Observation.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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
242. Observation.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
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.

InvariantsDefined on this element
ele-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 Observation.referenceRange.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
243. Observation.referenceRange.typeCode
Control1..1
BindingThe codes SHALL be taken from ActRelationshipPertains
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueREFV
Fixed ValueREFV
244. Observation.referenceRange.observationRange
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationRange