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: AssessmentScaleObservation - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.69 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" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-14434).

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 STATIC) (CONF:81-14435).

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:81-14436) such that it

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

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.69" (CONF:81-14437).

Pattern Value2.16.840.1.113883.10.20.22.4.69
7. Observation.id
Control10..*
Requirements

SHALL contain at least one [1..*] id (CONF:81-14438).

8. Observation.code
Requirements

SHALL contain exactly one [1..1] code (CONF:81-14439).

InvariantsDefined on this element
81-14440: **SHOULD** be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) identifying the assessment scale (CONF:81-14440). (: null)
9. Observation.derivationExpr
Requirements

MAY contain zero or one [0..1] derivationExpr (CONF:81-14637).

10. Observation.statusCode
Control10..1
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:81-14444).

11. Observation.statusCode.code
Control1..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:81-19088).

Pattern Valuecompleted
12. Observation.effectiveTime
Control10..1
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:81-14445).

13. Observation.value
Control10..1*
Requirements

SHALL contain exactly one [1..1] value (CONF:81-14450).

14. Observation.interpretationCode
Requirements

MAY contain zero or more [0..*] interpretationCode (CONF:81-14459).

15. Observation.interpretationCode.translation
Control0..*
Requirements

The interpretationCode, if present, MAY contain zero or more [0..*] translation (CONF:81-14888).

16. Observation.author
Requirements

MAY contain zero or more [0..*] author (CONF:81-14460).

17. 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 @ observation
18. Observation.entryRelationship:supporting
SliceNamesupporting
Control0..*
Requirements

SHOULD contain zero or more [0..*] entryRelationship (CONF:81-14451) such that it

19. Observation.entryRelationship:supporting.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" has component (CONF:81-16741).

Pattern ValueCOMP
20. Observation.entryRelationship:supporting.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(AssessmentScaleSupportingObservation)
Requirements

SHALL contain exactly one [1..1] Assessment Scale Supporting Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.86) (CONF:81-16742).

21. Observation.referenceRange
Requirements

MAY contain zero or more [0..*] referenceRange (CONF:81-16799).

22. Observation.referenceRange.observationRange
Requirements

The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:81-16800).

23. Observation.referenceRange.observationRange.text
Control0..1
Requirements

This observationRange SHOULD contain zero or one [0..1] text (CONF:81-16801).

24. Observation.referenceRange.observationRange.text.reference
Control0..1
Requirements

The text, if present, SHOULD contain zero or one [0..1] reference (CONF:81-16802).

25. Observation.referenceRange.observationRange.text.reference.value
Control0..1
Requirements

The reference, if present, MAY contain zero or one [0..1] @value (CONF:81-16803).

InvariantsDefined on this element
81-16804: This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:81-16804). (: null)

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

1. Observation
Definition

Base definition for all types defined in FHIR type system.

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

SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-14434).

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 STATIC) (CONF:81-14435).

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:81-14436) 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="2.16.840.1.113883.10.20.22.4.69" (CONF:81-14437).

Pattern Value2.16.840.1.113883.10.20.22.4.69
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:81-14438).

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 (CONF:81-14439).

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

Alternate NamesName
Comments

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

InvariantsDefined on this element
81-14440: **SHOULD** be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) identifying the assessment scale (CONF:81-14440). (: null)
9. Observation.derivationExpr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
Requirements

MAY contain zero or one [0..1] derivationExpr (CONF:81-14637).

10. Observation.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:81-14444).

11. Observation.statusCode.code
Definition

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

Control1..1
Typestring
XML RepresentationIn 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:81-19088).

Pattern Valuecompleted
12. Observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

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

The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
19. Observation.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:81-14445).

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

SHALL contain exactly one [1..1] value (CONF:81-14450).

21. Observation.interpretationCode
Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

MAY contain zero or more [0..*] interpretationCode (CONF:81-14459).

22. Observation.interpretationCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
23. Observation.interpretationCode.translation
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

The interpretationCode, if present, MAY contain zero or more [0..*] translation (CONF:81-14888).

24. Observation.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
Requirements

MAY contain zero or more [0..*] author (CONF:81-14460).

25. 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 @ observation
26. Observation.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
27. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
28. Observation.entryRelationship:supporting
SliceNamesupporting
Control0..*
TypeElement
Requirements

SHOULD contain zero or more [0..*] entryRelationship (CONF:81-14451) 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)
29. Observation.entryRelationship:supporting.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" has component (CONF:81-16741).

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

Base definition for all types defined in FHIR type system.

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

SHALL contain exactly one [1..1] Assessment Scale Supporting Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.86) (CONF:81-16742).

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

Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two referenceRange elements would be used.

Control0..*
TypeElementBackboneElement
Requirements

MAY contain zero or more [0..*] referenceRange (CONF:81-16799).

Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

Comments

Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
41. 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
42. Observation.referenceRange.observationRange
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationRange
Requirements

The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:81-16800).

43. Observation.referenceRange.observationRange.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOBS
44. Observation.referenceRange.observationRange.moodCode
Control1..1
BindingThe codes SHALL be taken from ActMoodPredicate
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueEVN.CRT
Fixed ValueEVN.CRT
45. Observation.referenceRange.observationRange.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
Requirements

This observationRange SHOULD contain zero or one [0..1] text (CONF:81-16801).

46. Observation.referenceRange.observationRange.text.reference
Definition

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

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

The text, if present, SHOULD contain zero or one [0..1] reference (CONF:81-16802).

47. Observation.referenceRange.observationRange.text.reference.value
Control0..1
Typeuri
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The reference, if present, MAY contain zero or one [0..1] @value (CONF:81-16803).

InvariantsDefined on this element
81-16804: This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:81-16804). (: null)

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 STATIC) (CONF:81-14434).

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 STATIC) (CONF:81-14435).

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:81-14436) 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="2.16.840.1.113883.10.20.22.4.69" (CONF:81-14437).

Pattern Value2.16.840.1.113883.10.20.22.4.69
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:81-14438).

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

SHALL contain exactly one [1..1] code (CONF:81-14439).

InvariantsDefined on this element
81-14440: **SHOULD** be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) identifying the assessment scale (CONF:81-14440). (: )
16. Observation.derivationExpr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
Requirements

MAY contain zero or one [0..1] derivationExpr (CONF:81-14637).

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
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:81-14444).

19. Observation.statusCode.nullFlavor
Definition

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

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

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

Control1..1
Typestring
XML RepresentationIn 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:81-19088).

Pattern Valuecompleted
21. Observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

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

The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
30. Observation.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:81-14445).

31. 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
32. Observation.repeatNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-INT
33. Observation.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
34. Observation.value
Control1..1
TypeChoice of: http://hl7.org/fhir/cda/StructureDefinition/BL, http://hl7.org/fhir/cda/StructureDefinition/ED, http://hl7.org/fhir/cda/StructureDefinition/ST, http://hl7.org/fhir/cda/StructureDefinition/CD, http://hl7.org/fhir/cda/StructureDefinition/CV, http://hl7.org/fhir/cda/StructureDefinition/CE, http://hl7.org/fhir/cda/StructureDefinition/SC, http://hl7.org/fhir/cda/StructureDefinition/II, http://hl7.org/fhir/cda/StructureDefinition/TEL, http://hl7.org/fhir/cda/StructureDefinition/AD, http://hl7.org/fhir/cda/StructureDefinition/EN, http://hl7.org/fhir/cda/StructureDefinition/INT, http://hl7.org/fhir/cda/StructureDefinition/REAL, http://hl7.org/fhir/cda/StructureDefinition/PQ, http://hl7.org/fhir/cda/StructureDefinition/MO, http://hl7.org/fhir/cda/StructureDefinition/TS, http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ, http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS, http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

SHALL contain exactly one [1..1] value (CONF:81-14450).

35. Observation.interpretationCode
Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

MAY contain zero or more [0..*] interpretationCode (CONF:81-14459).

36. Observation.interpretationCode.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.
37. Observation.interpretationCode.code
Definition

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

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

Specifies the code system that defines the code.

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

The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
45. Observation.interpretationCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
46. Observation.interpretationCode.translation
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

The interpretationCode, if present, MAY contain zero or more [0..*] translation (CONF:81-14888).

47. 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
48. Observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
49. 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()))
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.

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

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
52. 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
53. 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
54. 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
55. Observation.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
56. Observation.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
57. Observation.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
58. Observation.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
Requirements

MAY contain zero or more [0..*] author (CONF:81-14460).

59. 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()))
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.

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

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
62. 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
63. 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
64. Observation.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
65. Observation.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
66. Observation.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
67. 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 @ observation
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.

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

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
70. Observation.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
71. Observation.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
72. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
73. Observation.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
74. Observation.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
75. Observation.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
76. Observation.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
77. Observation.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
78. Observation.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
79. Observation.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
80. Observation.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
81. Observation.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
82. Observation.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
83. Observation.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
84. Observation.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
85. Observation.entryRelationship:supporting
SliceNamesupporting
Control0..*
TypeElement
Requirements

SHOULD contain zero or more [0..*] entryRelationship (CONF:81-14451) 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)
86. Observation.entryRelationship:supporting.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
87. Observation.entryRelationship:supporting.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
88. Observation.entryRelationship:supporting.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" has component (CONF:81-16741).

Pattern ValueCOMP
89. Observation.entryRelationship:supporting.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
90. Observation.entryRelationship:supporting.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
91. Observation.entryRelationship:supporting.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
92. Observation.entryRelationship:supporting.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
93. Observation.entryRelationship:supporting.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
94. Observation.entryRelationship:supporting.observation
Definition

Base definition for all types defined in FHIR type system.

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

SHALL contain exactly one [1..1] Assessment Scale Supporting Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.86) (CONF:81-16742).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
95. Observation.entryRelationship:supporting.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
96. Observation.entryRelationship:supporting.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
97. Observation.entryRelationship:supporting.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
98. Observation.entryRelationship:supporting.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
99. Observation.entryRelationship:supporting.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
100. Observation.entryRelationship:supporting.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
101. Observation.entryRelationship:supporting.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
102. Observation.entryRelationship:supporting.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
103. Observation.reference
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
104. 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
105. 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
106. Observation.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
107. Observation.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
108. Observation.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
109. Observation.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
110. Observation.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
111. Observation.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
112. Observation.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition
113. Observation.referenceRange
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] referenceRange (CONF:81-16799).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
114. 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
115. 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
116. 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
117. Observation.referenceRange.observationRange
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationRange
Requirements

The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:81-16800).

118. Observation.referenceRange.observationRange.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOBS
119. Observation.referenceRange.observationRange.moodCode
Control1..1
BindingThe codes SHALL be taken from ActMoodPredicate
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueEVN.CRT
Fixed ValueEVN.CRT
120. Observation.referenceRange.observationRange.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
121. Observation.referenceRange.observationRange.code
Control0..1
BindingThe codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
122. Observation.referenceRange.observationRange.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
Requirements

This observationRange SHOULD contain zero or one [0..1] text (CONF:81-16801).

123. Observation.referenceRange.observationRange.text.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.
124. Observation.referenceRange.observationRange.text.charset
Definition

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

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
125. Observation.referenceRange.observationRange.text.compression
Definition

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

Control0..1
BindingThe codes SHALL be taken from CompressionAlgorithm
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
126. Observation.referenceRange.observationRange.text.integrityCheck
Definition

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

Control0..1
Typebase64Binary
XML RepresentationIn the XML format, this property is represented as an attribute.
127. Observation.referenceRange.observationRange.text.integrityCheckAlgorithm
Definition

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

Control0..1
BindingThe codes SHALL be taken from IntegrityCheckAlgorithm
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
128. Observation.referenceRange.observationRange.text.language
Definition

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

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
129. Observation.referenceRange.observationRange.text.mediaType
Definition

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

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
130. Observation.referenceRange.observationRange.text.representation
Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
131. Observation.referenceRange.observationRange.text.data[x]
Definition

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

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

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

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

The text, if present, SHOULD contain zero or one [0..1] reference (CONF:81-16802).

133. Observation.referenceRange.observationRange.text.reference.nullFlavor
Definition

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

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

The reference, if present, MAY contain zero or one [0..1] @value (CONF:81-16803).

InvariantsDefined on this element
81-16804: This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:81-16804). (: )
135. Observation.referenceRange.observationRange.text.reference.useablePeriod
Definition

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

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

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

Control0..*
BindingThe codes SHALL be taken from AddressUse
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
137. Observation.referenceRange.observationRange.text.thumbnail
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
138. Observation.referenceRange.observationRange.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
XML RepresentationThe type of this property is determined using the xsi:type attribute.
139. Observation.referenceRange.observationRange.interpretationCode
Control0..1
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE