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: OutcomeObservation - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.144 resource profile.

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

1. Observation
InvariantsDefined on this element
1098-32782: SHALL contain at least one [1..*] entryRelationships (CONF:1098-32782). (: null)
2. Observation.classCode
Requirements

SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31219).

Pattern ValueOBS
3. Observation.moodCode
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31220).

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
5. Observation.templateId:primary
SliceNameprimary
Control1..1
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-31221) such that it

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

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.144" (CONF:1098-31222).

Pattern Value2.16.840.1.113883.10.20.22.4.144
7. Observation.id
Control10..*
Requirements

SHALL contain at least one [1..*] id (CONF:1098-31223).

8. Observation.code
Requirements

SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32746).

9. Observation.value
Control0..1*
Requirements

SHOULD contain zero or one [0..1] value (CONF:1098-32747).

10. 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:1098-31553).

11. 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 @ act
  • profile @ act,
12. Observation.entryRelationship:entryReference
SliceNameentryReference
Control0..*
Requirements

SHOULD contain zero or more [0..*] entryRelationship (CONF:1098-31224) such that it

InvariantsDefined on this element
1098-32461: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1098-32461). (: null)
13. Observation.entryRelationship:entryReference.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="GEVL" Evaluates goal (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31225).

Pattern ValueGEVL
14. Observation.entryRelationship:entryReference.act
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(EntryReference)
Requirements

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-32465).

15. Observation.entryRelationship:progressTowardGoalObservation
SliceNameprogressTowardGoalObservation
Control0..1
Requirements

SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-31427) such that it

16. Observation.entryRelationship:progressTowardGoalObservation.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31428).

Pattern ValueSPRT
17. Observation.entryRelationship:progressTowardGoalObservation.inversionInd
Control1..1
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1098-31429).

Pattern Valuetrue
18. Observation.entryRelationship:progressTowardGoalObservation.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ProgressTowardGoalObservation)
Requirements

SHALL contain exactly one [1..1] Progress Toward Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.110) (CONF:1098-31430).

19. Observation.entryRelationship:entryReference
SliceNameentryReference
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31688) such that it

InvariantsDefined on this element
1098-32462: This entryReference template **SHALL** reference an instance of a Intervention Act template (CONF:1098-32462). (: null)
20. Observation.entryRelationship:entryReference.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) (CONF:1098-31689).

Pattern ValueRSON
21. Observation.entryRelationship:entryReference.act
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(EntryReference)
Requirements

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-31690).

22. Observation.reference
Requirements

MAY contain zero or more [0..*] reference (CONF:1098-32763).

23. Observation.reference.typeCode
Requirements

The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32764).

Pattern ValueREFR
24. Observation.reference.externalDocument
Control10..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument(ExternalDocumentReference)
Requirements

The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1098-32765).

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
1098-32782: SHALL contain at least one [1..*] entryRelationships (CONF:1098-32782). (: null)
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" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31219).

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" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31220).

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
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:1098-31221) 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="2.16.840.1.113883.10.20.22.4.144" (CONF:1098-31222).

Pattern Value2.16.840.1.113883.10.20.22.4.144
7. 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:1098-31223).

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".

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, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32746).

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.

9. Observation.value
Control0..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

SHOULD contain zero or one [0..1] value (CONF:1098-32747).

10. 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:1098-31553).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. 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 @ act
  • profile @ act,
12. Observation.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
13. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
14. Observation.entryRelationship:entryReference
SliceNameentryReference
Control0..*
TypeElement
Requirements

SHOULD contain zero or more [0..*] entryRelationship (CONF:1098-31224) such that it

InvariantsDefined on this element
1098-32461: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1098-32461). (: null)
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)
15. Observation.entryRelationship:entryReference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="GEVL" Evaluates goal (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31225).

Pattern ValueGEVL
16. Observation.entryRelationship:entryReference.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
17. Observation.entryRelationship:entryReference.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
18. Observation.entryRelationship:entryReference.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
19. Observation.entryRelationship:entryReference.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
20. Observation.entryRelationship:entryReference.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
21. Observation.entryRelationship:entryReference.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
22. Observation.entryRelationship:entryReference.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
23. Observation.entryRelationship:entryReference.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
24. Observation.entryRelationship:entryReference.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
25. Observation.entryRelationship:entryReference.act
Definition

Base definition for all types defined in FHIR type system.

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

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-32465).

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

SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-31427) 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)
27. Observation.entryRelationship:progressTowardGoalObservation.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31428).

Pattern ValueSPRT
28. Observation.entryRelationship:progressTowardGoalObservation.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" (CONF:1098-31429).

Pattern Valuetrue
29. Observation.entryRelationship:progressTowardGoalObservation.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
30. Observation.entryRelationship:progressTowardGoalObservation.observation
Definition

Base definition for all types defined in FHIR type system.

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

SHALL contain exactly one [1..1] Progress Toward Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.110) (CONF:1098-31430).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
31. Observation.entryRelationship:progressTowardGoalObservation.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
32. Observation.entryRelationship:progressTowardGoalObservation.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
33. Observation.entryRelationship:progressTowardGoalObservation.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
34. Observation.entryRelationship:progressTowardGoalObservation.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
35. Observation.entryRelationship:progressTowardGoalObservation.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
36. Observation.entryRelationship:progressTowardGoalObservation.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
37. Observation.entryRelationship:progressTowardGoalObservation.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
38. Observation.entryRelationship:progressTowardGoalObservation.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
39. Observation.entryRelationship:entryReference
SliceNameentryReference
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31688) such that it

InvariantsDefined on this element
1098-32462: This entryReference template **SHALL** reference an instance of a Intervention Act template (CONF:1098-32462). (: null)
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)
40. Observation.entryRelationship:entryReference.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) (CONF:1098-31689).

Pattern ValueRSON
41. Observation.entryRelationship:entryReference.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
42. Observation.entryRelationship:entryReference.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
43. Observation.entryRelationship:entryReference.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
44. Observation.entryRelationship:entryReference.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
45. Observation.entryRelationship:entryReference.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
46. Observation.entryRelationship:entryReference.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
47. Observation.entryRelationship:entryReference.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
48. Observation.entryRelationship:entryReference.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
49. Observation.entryRelationship:entryReference.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
50. Observation.entryRelationship:entryReference.act
Definition

Base definition for all types defined in FHIR type system.

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

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-31690).

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

MAY contain zero or more [0..*] reference (CONF:1098-32763).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
52. Observation.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32764).

Pattern ValueREFR
53. Observation.reference.externalDocument
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument(ExternalDocumentReference)
Requirements

The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1098-32765).

InvariantsDefined 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.

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" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31219).

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" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31220).

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
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:1098-31221) 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="2.16.840.1.113883.10.20.22.4.144" (CONF:1098-31222).

Pattern Value2.16.840.1.113883.10.20.22.4.144
13. Observation.templateId:primary.extension
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
14. Observation.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1098-31223).

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, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32746).

16. Observation.derivationExpr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
17. Observation.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
XML RepresentationThe type of this property is determined using the xsi:type attribute.
18. Observation.statusCode
Control0..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
19. Observation.effectiveTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
20. Observation.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
21. Observation.repeatNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-INT
22. Observation.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
23. Observation.value
Control0..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

SHOULD contain zero or one [0..1] value (CONF:1098-32747).

24. Observation.interpretationCode
Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
25. Observation.methodCode
Control0..*
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
26. Observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
27. 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()))
28. 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
29. 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
30. 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
31. 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
32. 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
33. Observation.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
34. Observation.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
35. Observation.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
36. 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:1098-31553).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
37. 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()))
38. 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
39. 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
40. 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
41. 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
42. Observation.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
43. Observation.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
44. Observation.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
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 @ act
  • profile @ act,
46. 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
47. 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
48. Observation.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
49. Observation.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
50. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
51. Observation.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
52. Observation.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
53. Observation.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
54. Observation.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
55. Observation.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
56. Observation.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
57. Observation.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
58. Observation.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
59. Observation.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
60. Observation.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
61. Observation.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
62. Observation.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
63. Observation.entryRelationship:entryReference
SliceNameentryReference
Control0..*
TypeElement
Requirements

SHOULD contain zero or more [0..*] entryRelationship (CONF:1098-31224) such that it

InvariantsDefined on this element
1098-32461: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1098-32461). (: )
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)
64. Observation.entryRelationship:entryReference.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
65. Observation.entryRelationship:entryReference.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
66. Observation.entryRelationship:entryReference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="GEVL" Evaluates goal (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31225).

Pattern ValueGEVL
67. Observation.entryRelationship:entryReference.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
68. Observation.entryRelationship:entryReference.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
69. Observation.entryRelationship:entryReference.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
70. Observation.entryRelationship:entryReference.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
71. Observation.entryRelationship:entryReference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
72. Observation.entryRelationship:entryReference.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
73. Observation.entryRelationship:entryReference.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
74. Observation.entryRelationship:entryReference.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
75. Observation.entryRelationship:entryReference.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
76. Observation.entryRelationship:entryReference.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
77. Observation.entryRelationship:entryReference.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
78. Observation.entryRelationship:entryReference.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
79. Observation.entryRelationship:entryReference.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
80. Observation.entryRelationship:entryReference.act
Definition

Base definition for all types defined in FHIR type system.

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

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-32465).

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

SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-31427) 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)
82. Observation.entryRelationship:progressTowardGoalObservation.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
83. Observation.entryRelationship:progressTowardGoalObservation.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
84. Observation.entryRelationship:progressTowardGoalObservation.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31428).

Pattern ValueSPRT
85. Observation.entryRelationship:progressTowardGoalObservation.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" (CONF:1098-31429).

Pattern Valuetrue
86. Observation.entryRelationship:progressTowardGoalObservation.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
87. Observation.entryRelationship:progressTowardGoalObservation.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
88. Observation.entryRelationship:progressTowardGoalObservation.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
89. Observation.entryRelationship:progressTowardGoalObservation.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
90. Observation.entryRelationship:progressTowardGoalObservation.observation
Definition

Base definition for all types defined in FHIR type system.

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

SHALL contain exactly one [1..1] Progress Toward Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.110) (CONF:1098-31430).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
91. Observation.entryRelationship:progressTowardGoalObservation.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
92. Observation.entryRelationship:progressTowardGoalObservation.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
93. Observation.entryRelationship:progressTowardGoalObservation.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
94. Observation.entryRelationship:progressTowardGoalObservation.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
95. Observation.entryRelationship:progressTowardGoalObservation.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
96. Observation.entryRelationship:progressTowardGoalObservation.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
97. Observation.entryRelationship:progressTowardGoalObservation.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
98. Observation.entryRelationship:progressTowardGoalObservation.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
99. Observation.entryRelationship:entryReference
SliceNameentryReference
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31688) such that it

InvariantsDefined on this element
1098-32462: This entryReference template **SHALL** reference an instance of a Intervention Act template (CONF:1098-32462). (: )
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)
100. Observation.entryRelationship:entryReference.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
101. Observation.entryRelationship:entryReference.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
102. Observation.entryRelationship:entryReference.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) (CONF:1098-31689).

Pattern ValueRSON
103. Observation.entryRelationship:entryReference.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
104. Observation.entryRelationship:entryReference.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
105. Observation.entryRelationship:entryReference.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
106. Observation.entryRelationship:entryReference.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
107. Observation.entryRelationship:entryReference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
108. Observation.entryRelationship:entryReference.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
109. Observation.entryRelationship:entryReference.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
110. Observation.entryRelationship:entryReference.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
111. Observation.entryRelationship:entryReference.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
112. Observation.entryRelationship:entryReference.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
113. Observation.entryRelationship:entryReference.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
114. Observation.entryRelationship:entryReference.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
115. Observation.entryRelationship:entryReference.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
116. Observation.entryRelationship:entryReference.act
Definition

Base definition for all types defined in FHIR type system.

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

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-31690).

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

MAY contain zero or more [0..*] reference (CONF:1098-32763).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
118. 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
119. 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
120. Observation.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32764).

Pattern ValueREFR
121. Observation.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
122. Observation.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
123. Observation.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
124. Observation.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
125. Observation.reference.externalDocument
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument(ExternalDocumentReference)
Requirements

The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1098-32765).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
126. Observation.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition
127. 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()))
128. 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
129. 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
130. 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
131. Observation.referenceRange.observationRange
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationRange