Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build
United States of America
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 
| Active as of 2023-01-16 |
Definitions for the 2.16.840.1.113883.10.20.22.4.138 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:1098-32914). |
| Pattern Value | OBS |
| 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:1098-32915). |
| Pattern Value | EVN |
| 4. Observation.templateId | |
| Slicing | This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 5. Observation.templateId:primary | |
| SliceName | primary |
| Control | 1..1 |
| Requirements | SHALL contain exactly one [1..1] templateId (CONF:1098-32916) such that it |
| 6. Observation.templateId:primary.root | |
| Control | 1..1 |
| Requirements | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.138" (CONF:1098-32917). |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.138 |
| 7. Observation.id | |
| Control | 10..* |
| Requirements | SHALL contain at least one [1..*] id (CONF:1098-32918). |
| 8. Observation.code | |
| Requirements | SHALL contain exactly one [1..1] code (CONF:1098-32919). |
| 9. Observation.code.code | |
| Control | 1..1 |
| Requirements | This code SHALL contain exactly one [1..1] @code="75303-8" Nutrition assessment (CONF:1098-32926). |
| Pattern Value | 75303-8 |
| 10. Observation.code.codeSystem | |
| Control | 1..1 |
| Requirements | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32927). |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 11. Observation.statusCode | |
| Control | 10..1 |
| Requirements | SHALL contain exactly one [1..1] statusCode (CONF:1098-32920). |
| 12. Observation.statusCode.code | |
| Control | 1..1 |
| Requirements | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-32921). |
| Pattern Value | completed |
| 13. Observation.effectiveTime | |
| Control | 10..1 |
| Requirements | SHALL contain exactly one [1..1] effectiveTime (CONF:1098-32923). |
| 14. Observation.value | |
| Control | 10..1* |
| Requirements | SHALL contain exactly one [1..1] value (CONF:1098-32922). |
| Invariants | Defined on this element 1098-32925: If xsi:type=“CD”, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-32925). (: null) |
| 15. Observation.author | |
| Type | http://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:1098-32924). |
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. |
| Control | 10..1* |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 2. Observation.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClassObservation |
| Type | code |
| XML Representation | In 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:1098-32914). |
| Pattern Value | OBS |
| 3. Observation.moodCode | |
| Control | 1..1 |
| Type | code |
| XML Representation | In 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:1098-32915). |
| Pattern Value | EVN |
| 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 |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 5. Observation.templateId:primary | |
| SliceName | primary |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| Requirements | SHALL contain exactly one [1..1] templateId (CONF:1098-32916) 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. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.138" (CONF:1098-32917). |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.138 |
| 7. Observation.id | |
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| Control | 10..*1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/IIid |
| Requirements | SHALL contain at least one [1..*] id (CONF:1098-32918). |
| 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. |
| 8. Observation.code | |
| Definition | Describes what was observed. Sometimes this is called the observation "name". |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitableFor example codes, see LOINCCodes |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CDCodeableConcept |
| XML Representation | The type of this property is determined using the xsi:type attribute. |
| Requirements | SHALL contain exactly one [1..1] code (CONF:1098-32919). Knowing what kind of observation is being made is essential to understanding the observation. |
| Alternate Names | Name |
| 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. |
| 9. Observation.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | This code SHALL contain exactly one [1..1] @code="75303-8" Nutrition assessment (CONF:1098-32926). |
| Pattern Value | 75303-8 |
| 10. Observation.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32927). |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 11. Observation.statusCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS |
| Requirements | SHALL contain exactly one [1..1] statusCode (CONF:1098-32920). |
| 12. 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. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-32921). |
| Pattern Value | completed |
| 13. Observation.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 14. Observation.statusCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 15. Observation.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 16. Observation.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 17. Observation.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED |
| 18. Observation.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR |
| 19. Observation.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD |
| XML Representation | The type of this property is determined using the xsi:type attribute. |
| 20. Observation.effectiveTime | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-TS |
| Requirements | SHALL contain exactly one [1..1] effectiveTime (CONF:1098-32923). |
| 21. Observation.value | |
| Control | 1..1 |
| Type | Choice 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 Representation | The type of this property is determined using the xsi:type attribute. |
| Requirements | SHALL contain exactly one [1..1] value (CONF:1098-32922). |
| Invariants | Defined on this element 1098-32925: If xsi:type=“CD”, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-32925). (: null) |
| 22. Observation.author | |
| Definition | Base definition for all types defined in FHIR type system. |
| Control | 0..* |
| Type | http://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:1098-32924). |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
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. |
| Control | 1..1 |
| 2. Observation.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClassObservation |
| Type | code |
| XML Representation | In 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:1098-32914). |
| Pattern Value | OBS |
| 3. Observation.moodCode | |
| Control | 1..1 |
| Type | code |
| XML Representation | In 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:1098-32915). |
| Pattern Value | EVN |
| 4. Observation.negationInd | |
| Control | 0..1 |
| Type | boolean |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 5. Observation.realmCode | |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS |
| 6. Observation.typeId | |
| Control | 0..1 |
| Type | http://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 |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 8. Observation.templateId:primary | |
| SliceName | primary |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| Requirements | SHALL contain exactly one [1..1] templateId (CONF:1098-32916) 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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code |
| XML Representation | In 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In 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). |
| Control | 0..1 |
| Type | boolean |
| XML Representation | In 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. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.138" (CONF:1098-32917). |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.138 |
| 13. Observation.templateId:primary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 14. Observation.id | |
| Control | 1..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| Requirements | SHALL contain at least one [1..*] id (CONF:1098-32918). |
| 15. Observation.code | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitable |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD |
| XML Representation | The type of this property is determined using the xsi:type attribute. |
| Requirements | SHALL contain exactly one [1..1] code (CONF:1098-32919). |
| 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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code |
| XML Representation | In 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. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | This code SHALL contain exactly one [1..1] @code="75303-8" Nutrition assessment (CONF:1098-32926). |
| Pattern Value | 75303-8 |
| 18. Observation.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32927). |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 19. Observation.code.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string |
| XML Representation | In 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSet. |
| 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSetVersion. |
| 24. Observation.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED |
| 25. Observation.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR |
| 26. Observation.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD |
| XML Representation | The type of this property is determined using the xsi:type attribute. |
| 27. Observation.derivationExpr | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ST |
| 28. Observation.text | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED |
| XML Representation | The type of this property is determined using the xsi:type attribute. |
| 29. Observation.statusCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS |
| Requirements | SHALL contain exactly one [1..1] statusCode (CONF:1098-32920). |
| 30. Observation.statusCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 31. 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. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-32921). |
| Pattern Value | completed |
| 32. Observation.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 33. Observation.statusCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 34. Observation.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 35. Observation.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 36. Observation.statusCode.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSet. |
| 37. Observation.statusCode.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSetVersion. |
| 38. Observation.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED |
| 39. Observation.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR |
| 40. Observation.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD |
| XML Representation | The type of this property is determined using the xsi:type attribute. |
| 41. Observation.effectiveTime | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-TS |
| Requirements | SHALL contain exactly one [1..1] effectiveTime (CONF:1098-32923). |
| 42. Observation.priorityCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
| 43. Observation.repeatNumber | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-INT |
| 44. Observation.languageCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from HumanLanguage |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS |
| 45. Observation.value | |
| Control | 1..1 |
| Type | Choice 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 Representation | The type of this property is determined using the xsi:type attribute. |
| Requirements | SHALL contain exactly one [1..1] value (CONF:1098-32922). |
| Invariants | Defined on this element 1098-32925: If xsi:type=“CD”, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-32925). (: ) |
| 46. Observation.interpretationCode | |
| Control | 0..* |
| Binding | The codes SHALL be taken from ObservationInterpretation |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
| 47. Observation.methodCode | |
| Control | 0..* |
| Binding | The codes SHALL be taken from ObservationMethod; other codes may be used where these codes are not suitable |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
| 48. Observation.targetSiteCode | |
| Definition | Drawn from concept domain ActSite |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD |
| 49. Observation.subject | |
| Control | 0..1 |
| Type | Element |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 50. 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 51. 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. |
| Control | 0..* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, 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. |
| Invariants | Defined 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()) |
| Slicing | This element introduces a set of slices on Observation.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 52. Observation.subject.typeCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationTargetSubject |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | SBJ |
| Fixed Value | SBJ |
| 53. Observation.subject.contextControlCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | OP |
| Fixed Value | OP |
| 54. Observation.subject.awarenessCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
| 55. Observation.subject.relatedSubject | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject |
| 56. Observation.specimen | |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Specimen |
| 57. Observation.performer | |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Performer2 |
| 58. Observation.author | |
| Definition | Base definition for all types defined in FHIR type system. |
| Control | 0..* |
| Type | http://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:1098-32924). |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 59. Observation.informant | |
| Control | 0..* |
| Type | Element |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 60. 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 61. 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. |
| Control | 0..* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, 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. |
| Invariants | Defined 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()) |
| Slicing | This element introduces a set of slices on Observation.informant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 62. Observation.informant.typeCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationInformationGenerator |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | INF |
| Fixed Value | INF |
| 63. Observation.informant.contextControlCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | OP |
| Fixed Value | OP |
| 64. Observation.informant.assignedEntity | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity |
| 65. Observation.informant.relatedEntity | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity |
| 66. Observation.participant | |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Participant2 |
| 67. Observation.entryRelationship | |
| Control | 0..* |
| Type | Element |
| Invariants | Defined 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) |
| 68. 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 69. 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. |
| Control | 0..* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, 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. |
| Invariants | Defined 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()) |
| Slicing | This element introduces a set of slices on Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 70. Observation.entryRelationship.typeCode | |
| Control | 1..1 |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 71. Observation.entryRelationship.inversionInd | |
| Control | 0..1 |
| Type | boolean |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 72. Observation.entryRelationship.contextConductionInd | |
| Control | 1..1 |
| Type | boolean |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 73. Observation.entryRelationship.sequenceNumber | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/INT |
| 74. Observation.entryRelationship.negationInd | |
| Control | 0..1 |
| Type | boolean |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 75. Observation.entryRelationship.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL |
| 76. Observation.entryRelationship.observation | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation |
| 77. Observation.entryRelationship.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest |
| 78. Observation.entryRelationship.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia |
| 79. Observation.entryRelationship.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration |
| 80. Observation.entryRelationship.supply | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply |
| 81. Observation.entryRelationship.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure |
| 82. Observation.entryRelationship.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter |
| 83. Observation.entryRelationship.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer |
| 84. Observation.entryRelationship.act | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act |
| 85. Observation.reference | |
| Control | 0..* |
| Type | Element |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 86. 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 87. 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. |
| Control | 0..* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, 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. |
| Invariants | Defined 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()) |
| Slicing | This element introduces a set of slices on Observation.reference.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 88. Observation.reference.typeCode | |
| Control | 1..1 |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 89. Observation.reference.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL |
| 90. Observation.reference.externalAct | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalAct |
| 91. Observation.reference.externalObservation | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation |
| 92. Observation.reference.externalProcedure | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure |
| 93. Observation.reference.externalDocument | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument |
| 94. Observation.precondition | |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Precondition |
| 95. Observation.referenceRange | |
| Control | 0..* |
| Type | Element |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 96. 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 97. 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. |
| Control | 0..* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, 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. |
| Invariants | Defined 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()) |
| Slicing | This element introduces a set of slices on Observation.referenceRange.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 98. Observation.referenceRange.typeCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActRelationshipPertains |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | REFV |
| Fixed Value | REFV |
| 99. Observation.referenceRange.observationRange | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationRange |
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1.0-draft1 based on FHIR 5.0.0-snapshot3. Generated 2023-01-16
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