Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build
United States of America
Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build
United States of America
This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) generated with FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.76 | Version: 2.1.0-draft1 | |||
| Active as of 2023-01-16 | Computable Name: NumberofPressureUlcersObservation | |||
| Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.76:2015-08-01 | ||||
This template represents the number of pressure ulcers observed at a particular stage.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 1..1 | CDAR2.Observation | Base for all types and resources | |
  classCode | 1..1 | code | Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
  Slices for templateId | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
   templateId:primary | 1..1 | II | ||
  root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.76 | |
  extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | 1..1 | CD | ||
| code | 1..1 | string | Required Pattern: 2264892003 | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.96 | |
 Slices for translation | 0..* | CD | Slice: Unordered, Open by value:codeSystem, value:code | |
| translation:translation1 | 1..1 | CD | ||
| code | 1..1 | string | Required Pattern: 75277-4 | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
| statusCode | 1..1 | CS | ||
 code | 1..1 | string | Required Pattern: completed | |
| effectiveTime | 1..1 | IVL_TS | ||
| value | 1..1 | INT | ||
| author | 0..1 | Author | ||
| Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by value:Observation.typeCode | |
| entryRelationship:entryRelationship1 | 1..1 | Element | ||
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
 observation | 1..1 | Observation | ||
| classCode | 1..1 | code | Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| code | 1..1 | CD | Required Pattern: ASSERTION | |
| value | 1..1 | BL, ED, ED, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | Binding: Pressure Ulcer Stage (preferred) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.entryRelationship:entryRelationship1.observation.value | preferred | Pressure Ulcer Stage |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 1..1 | CDAR2.Observation | Base for all types and resources | |
 classCode | 1..1 | code | Binding: ActClassObservation (required) Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.76 | |
| extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | 1..1 | CD | Binding: ObservationType (extensible) | |
| code | 1..1 | string | Required Pattern: 2264892003 | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.96 | |
| Slices for translation | 0..* | CD | Slice: Unordered, Open by value:codeSystem, value:code | |
| translation:translation1 | 1..1 | CD | ||
| code | 1..1 | string | Required Pattern: 75277-4 | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| code | 1..1 | string | Required Pattern: completed | |
| effectiveTime | 1..1 | IVL_TS | ||
| value | 1..1 | INT | ||
| author | 0..1 | Author | ||
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by value:Observation.typeCode |
 entryRelationship:All Slices | Content/Rules for all slices | |||
  typeCode | 1..1 | code | ||
 contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship1 | C | 1..1 | Element | |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | Observation | ||
| classCode | 1..1 | code | Binding: ActClassObservation (required) Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| code | 1..1 | CD | Binding: ObservationType (extensible) Required Pattern: ASSERTION | |
 value | 1..1 | Binding: Pressure Ulcer Stage (preferred) | ||
 value | BL | |||
| value | ED | |||
| value | ED | |||
| value | CD | |||
| value | CV | |||
| value | CE | |||
| value | SC | |||
| value | II | |||
| value | TEL | |||
| value | AD | |||
| value | EN | |||
| value | INT | |||
| value | REAL | |||
| value | PQ | |||
| value | MO | |||
| value | TS | |||
| value | IVL_PQ | |||
| value | IVL_TS | |||
| value | PIVL_TS | |||
| value | EIVL_TS | |||
| value | SXPR_TS | |||
| value | RTO_PQ_PQ | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Pattern: OBS |
| Observation.code | extensible | ObservationType |
| Observation.statusCode | required | ActStatus |
| Observation.entryRelationship:entryRelationship1.observation.classCode | required | Pattern: OBS |
| Observation.entryRelationship:entryRelationship1.observation.code | extensible | Pattern: ASSERTION |
| Observation.entryRelationship:entryRelationship1.observation.value | preferred | Pressure Ulcer Stage |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship1 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Pattern: OBS |
| Observation.templateId:primary.nullFlavor | required | NullFlavor |
| Observation.code | extensible | ObservationType |
| Observation.code.nullFlavor | required | NullFlavor |
| Observation.code.translation:translation1.nullFlavor | required | NullFlavor |
| Observation.statusCode | required | ActStatus |
| Observation.statusCode.nullFlavor | required | NullFlavor |
| Observation.priorityCode | extensible | ActPriority |
| Observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | extensible | ObservationMethod |
| Observation.subject.typeCode | required | Fixed Value: SBJ |
| Observation.subject.contextControlCode | required | Fixed Value: OP |
| Observation.subject.awarenessCode | extensible | TargetAwareness |
| Observation.informant.typeCode | required | Fixed Value: INF |
| Observation.informant.contextControlCode | required | Fixed Value: OP |
| Observation.entryRelationship:entryRelationship1.observation.classCode | required | Pattern: OBS |
| Observation.entryRelationship:entryRelationship1.observation.code | extensible | Pattern: ASSERTION |
| Observation.entryRelationship:entryRelationship1.observation.statusCode | required | ActStatus |
| Observation.entryRelationship:entryRelationship1.observation.priorityCode | extensible | ActPriority |
| Observation.entryRelationship:entryRelationship1.observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Observation.entryRelationship:entryRelationship1.observation.value | preferred | Pressure Ulcer Stage |
| Observation.entryRelationship:entryRelationship1.observation.interpretationCode | required | ObservationInterpretation |
| Observation.entryRelationship:entryRelationship1.observation.methodCode | extensible | ObservationMethod |
| Observation.entryRelationship:entryRelationship1.observation.subject.typeCode | required | Fixed Value: SBJ |
| Observation.entryRelationship:entryRelationship1.observation.subject.contextControlCode | required | Fixed Value: OP |
| Observation.entryRelationship:entryRelationship1.observation.subject.awarenessCode | extensible | TargetAwareness |
| Observation.entryRelationship:entryRelationship1.observation.informant.typeCode | required | Fixed Value: INF |
| Observation.entryRelationship:entryRelationship1.observation.informant.contextControlCode | required | Fixed Value: OP |
| Observation.entryRelationship:entryRelationship1.observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship1, Observation.entryRelationship:entryRelationship1.observation.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Observation
Summary
Mandatory: 23 elements
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 1..1 | CDAR2.Observation | Base for all types and resources | |
| classCode | 1..1 | code | Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.76 | |
| extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | 1..1 | CD | ||
| code | 1..1 | string | Required Pattern: 2264892003 | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.96 | |
| Slices for translation | 0..* | CD | Slice: Unordered, Open by value:codeSystem, value:code | |
| translation:translation1 | 1..1 | CD | ||
| code | 1..1 | string | Required Pattern: 75277-4 | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
| statusCode | 1..1 | CS | ||
| code | 1..1 | string | Required Pattern: completed | |
| effectiveTime | 1..1 | IVL_TS | ||
| value | 1..1 | INT | ||
| author | 0..1 | Author | ||
| Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by value:Observation.typeCode | |
| entryRelationship:entryRelationship1 | 1..1 | Element | ||
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| observation | 1..1 | Observation | ||
| classCode | 1..1 | code | Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| code | 1..1 | CD | Required Pattern: ASSERTION | |
| value | 1..1 | BL, ED, ED, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | Binding: Pressure Ulcer Stage (preferred) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.entryRelationship:entryRelationship1.observation.value | preferred | Pressure Ulcer Stage |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 1..1 | CDAR2.Observation | Base for all types and resources | |
| classCode | 1..1 | code | Binding: ActClassObservation (required) Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.76 | |
| extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | 1..1 | CD | Binding: ObservationType (extensible) | |
| code | 1..1 | string | Required Pattern: 2264892003 | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.96 | |
| Slices for translation | 0..* | CD | Slice: Unordered, Open by value:codeSystem, value:code | |
| translation:translation1 | 1..1 | CD | ||
| code | 1..1 | string | Required Pattern: 75277-4 | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| code | 1..1 | string | Required Pattern: completed | |
| effectiveTime | 1..1 | IVL_TS | ||
| value | 1..1 | INT | ||
| author | 0..1 | Author | ||
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by value:Observation.typeCode |
| entryRelationship:All Slices | Content/Rules for all slices | |||
| typeCode | 1..1 | code | ||
| contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship1 | C | 1..1 | Element | |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | Observation | ||
| classCode | 1..1 | code | Binding: ActClassObservation (required) Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| code | 1..1 | CD | Binding: ObservationType (extensible) Required Pattern: ASSERTION | |
| value | 1..1 | Binding: Pressure Ulcer Stage (preferred) | ||
| value | BL | |||
| value | ED | |||
| value | ED | |||
| value | CD | |||
| value | CV | |||
| value | CE | |||
| value | SC | |||
| value | II | |||
| value | TEL | |||
| value | AD | |||
| value | EN | |||
| value | INT | |||
| value | REAL | |||
| value | PQ | |||
| value | MO | |||
| value | TS | |||
| value | IVL_PQ | |||
| value | IVL_TS | |||
| value | PIVL_TS | |||
| value | EIVL_TS | |||
| value | SXPR_TS | |||
| value | RTO_PQ_PQ | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Pattern: OBS |
| Observation.code | extensible | ObservationType |
| Observation.statusCode | required | ActStatus |
| Observation.entryRelationship:entryRelationship1.observation.classCode | required | Pattern: OBS |
| Observation.entryRelationship:entryRelationship1.observation.code | extensible | Pattern: ASSERTION |
| Observation.entryRelationship:entryRelationship1.observation.value | preferred | Pressure Ulcer Stage |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship1 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
Snapshot View
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Pattern: OBS |
| Observation.templateId:primary.nullFlavor | required | NullFlavor |
| Observation.code | extensible | ObservationType |
| Observation.code.nullFlavor | required | NullFlavor |
| Observation.code.translation:translation1.nullFlavor | required | NullFlavor |
| Observation.statusCode | required | ActStatus |
| Observation.statusCode.nullFlavor | required | NullFlavor |
| Observation.priorityCode | extensible | ActPriority |
| Observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | extensible | ObservationMethod |
| Observation.subject.typeCode | required | Fixed Value: SBJ |
| Observation.subject.contextControlCode | required | Fixed Value: OP |
| Observation.subject.awarenessCode | extensible | TargetAwareness |
| Observation.informant.typeCode | required | Fixed Value: INF |
| Observation.informant.contextControlCode | required | Fixed Value: OP |
| Observation.entryRelationship:entryRelationship1.observation.classCode | required | Pattern: OBS |
| Observation.entryRelationship:entryRelationship1.observation.code | extensible | Pattern: ASSERTION |
| Observation.entryRelationship:entryRelationship1.observation.statusCode | required | ActStatus |
| Observation.entryRelationship:entryRelationship1.observation.priorityCode | extensible | ActPriority |
| Observation.entryRelationship:entryRelationship1.observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Observation.entryRelationship:entryRelationship1.observation.value | preferred | Pressure Ulcer Stage |
| Observation.entryRelationship:entryRelationship1.observation.interpretationCode | required | ObservationInterpretation |
| Observation.entryRelationship:entryRelationship1.observation.methodCode | extensible | ObservationMethod |
| Observation.entryRelationship:entryRelationship1.observation.subject.typeCode | required | Fixed Value: SBJ |
| Observation.entryRelationship:entryRelationship1.observation.subject.contextControlCode | required | Fixed Value: OP |
| Observation.entryRelationship:entryRelationship1.observation.subject.awarenessCode | extensible | TargetAwareness |
| Observation.entryRelationship:entryRelationship1.observation.informant.typeCode | required | Fixed Value: INF |
| Observation.entryRelationship:entryRelationship1.observation.informant.contextControlCode | required | Fixed Value: OP |
| Observation.entryRelationship:entryRelationship1.observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship1, Observation.entryRelationship:entryRelationship1.observation.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Observation
Summary
Mandatory: 23 elements
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1.0-draft1 generated with FHIR 5.0.0-snapshot3. Generated 2023-01-16
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