HL7.CDA.US.CCDA\Substance or Device Allergy - Intolerance Observation - Definitions

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

Resource Profile: SubstanceOrDeviceAllergyIntoleranceObservation - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.24.3.90 resource profile.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

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

1. Observation
2. Observation.classCode
Requirements	SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-16303).
Pattern Value	OBS
3. Observation.moodCode
Requirements	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-16304).
Pattern Value	EVN
4. Observation.templateId
Slicing	This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ root value @ root,
5. Observation.templateId:primary
SliceName	primary
Control	1..1
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1098-16305) such that it
6. Observation.templateId:primary.root
Control	1..1
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.90" (CONF:1098-16306).
Pattern Value	2.16.840.1.113883.10.20.24.3.90
7. Observation.templateId:primary.extension
Control	1..1
Requirements	SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32527).
Pattern Value	2014-06-09
8. Observation.id
Control	10..*
Requirements	SHALL contain at least one [1..*] id (CONF:1098-16307).
9. Observation.code
Requirements	SHALL contain exactly one [1..1] code (CONF:1098-16345).
10. Observation.code.code
Control	1..1
Requirements	This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:1098-16346).
Pattern Value	ASSERTION
11. Observation.code.codeSystem
Control	1..1
Requirements	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-32171).
Pattern Value	2.16.840.1.113883.5.4
12. Observation.statusCode
Control	10..1
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1098-16308).
13. Observation.statusCode.code
Control	1..1
Requirements	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-26354).
Pattern Value	completed
14. Observation.effectiveTime
Control	10..1
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-16309).
15. Observation.effectiveTime.low
Control	1..1
Requirements	This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-31536).
16. Observation.effectiveTime.high
Control	0..1
Requirements	This effectiveTime MAY contain zero or one [0..1] high (CONF:1098-31537).
17. Observation.value
Control	10..1*
Type	Choice of: , http://hl7.org/fhir/cda/StructureDefinition/ED, http://hl7.org/fhir/cda/StructureDefinition/TS, http://hl7.org/fhir/cda/StructureDefinition/II, http://hl7.org/fhir/cda/StructureDefinition/ST, http://hl7.org/fhir/cda/StructureDefinition/PQ, http://hl7.org/fhir/cda/StructureDefinition/CE, http://hl7.org/fhir/cda/StructureDefinition/TEL, http://hl7.org/fhir/cda/StructureDefinition/MO, http://hl7.org/fhir/cda/StructureDefinition/AD, http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ, http://hl7.org/fhir/cda/StructureDefinition/EN, http://hl7.org/fhir/cda/StructureDefinition/BL, http://hl7.org/fhir/cda/StructureDefinition/REAL, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SC, http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ, http://hl7.org/fhir/cda/StructureDefinition/CV, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/INT, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
Requirements	SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:1098-16312).
18. Observation.value.code
Control	1..1
Binding	The codes SHALL be taken from Allergy and Intolerance Type
Requirements	This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Allergy and Intolerance Type urn:oid:2.16.840.1.113883.3.88.12.3221.6.2 DYNAMIC (CONF:1098-16317).
19. Observation.author
Type	http://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements	SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31144).
20. Observation.participant
Slicing	This element introduces a set of slices on Observation.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ typeCode
21. Observation.participant:participant1
SliceName	participant1
Control	0..*
Requirements	SHOULD contain zero or more [0..*] participant (CONF:1098-16318) such that it
22. Observation.participant:participant1.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="CSM" Consumable (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-16319).
Pattern Value	CSM
23. Observation.participant:participant1.participantRole
Control	1..1
Requirements	SHALL contain exactly one [1..1] participantRole (CONF:1098-16320).
24. Observation.participant:participant1.participantRole.classCode
Control	1..1
Requirements	This participantRole SHALL contain exactly one [1..1] @classCode="MANU" Manufactured Product (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1098-16321).
Pattern Value	MANU
25. Observation.participant:participant1.participantRole.playingEntity
Control	1..1
Requirements	This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-16322).
26. Observation.participant:participant1.participantRole.playingEntity.classCode
Control	1..1
Requirements	This playingEntity SHALL contain exactly one [1..1] @classCode="MMAT" Manufactured Material (CodeSystem: HL7EntityClass urn:oid:2.16.840.1.113883.5.41 STATIC) (CONF:1098-16323).
Pattern Value	MMAT
27. Observation.participant:participant1.participantRole.playingEntity.code
Control	1..1
Binding	For example codes, see Substance Reactant for Intolerance
Requirements	This playingEntity SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Substance Reactant for Intolerance urn:oid:2.16.840.1.113762.1.4.1010.1 DYNAMIC (CONF:1098-16324).
28. Observation.entryRelationship
Slicing	This 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
29. Observation.entryRelationship:allergyStatus
SliceName	allergyStatus
Control	0..1
Requirements	MAY contain zero or one [0..1] entryRelationship (CONF:1098-16333) such that it
30. Observation.entryRelationship:allergyStatus.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16335).
Pattern Value	SUBJ
31. Observation.entryRelationship:allergyStatus.inversionInd
Control	1..1
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16334).
Pattern Value	true
32. Observation.entryRelationship:allergyStatus.observation
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(AllergyStatusObservation)
Requirements	SHALL contain exactly one [1..1] Allergy Status Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.28:2019-06-20) (CONF:1098-16336).
33. Observation.entryRelationship:reaction
SliceName	reaction
Control	0..*
Requirements	SHOULD contain zero or more [0..*] entryRelationship (CONF:1098-16337) such that it
34. Observation.entryRelationship:reaction.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="MFST" Is Manifestation of (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16339).
Pattern Value	MFST
35. Observation.entryRelationship:reaction.inversionInd
Control	1..1
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16338).
Pattern Value	true
36. Observation.entryRelationship:reaction.observation
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements	SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-16340).
37. Observation.entryRelationship:severity
SliceName	severity
Control	0..1
Requirements	SHOULD NOT contain zero or one [0..1] entryRelationship (CONF:1098-16341) such that it
38. Observation.entryRelationship:severity.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16342).
Pattern Value	SUBJ
39. Observation.entryRelationship:severity.inversionInd
Control	1..1
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16343).
Pattern Value	true
40. Observation.entryRelationship:severity.observation
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(SeverityObservation)
Requirements	SHALL contain exactly one [1..1] Severity Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.8:2014-06-09) (CONF:1098-16344).
41. Observation.entryRelationship:criticality
SliceName	criticality
Control	0..1
Requirements	SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-32935) such that it
42. Observation.entryRelationship:criticality.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32936).
Pattern Value	SUBJ
43. Observation.entryRelationship:criticality.inversionInd
Control	1..1
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-32937).
Pattern Value	true
44. Observation.entryRelationship:criticality.observation
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(CriticalityObservation)
Requirements	SHALL contain exactly one [1..1] Criticality Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.145) (CONF:1098-32938).

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

1. Observation
Definition	Base definition for all types defined in FHIR type system.
Control	10..1*
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
2. Observation.classCode
Control	1..1
Binding	The codes SHALL be taken from ActClassObservation
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-16303).
Pattern Value	OBS
3. Observation.moodCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-16304).
Pattern Value	EVN
4. Observation.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Slicing	This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ root value @ root,
5. Observation.templateId:primary
SliceName	primary
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1098-16305) such that it
6. Observation.templateId:primary.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.90" (CONF:1098-16306).
Pattern Value	2.16.840.1.113883.10.20.24.3.90
7. Observation.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32527).
Pattern Value	2014-06-09
8. Observation.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Control	10..*1
Type	http://hl7.org/fhir/cda/StructureDefinition/IIid
Requirements	SHALL contain at least one [1..*] id (CONF:1098-16307).
Comments	Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
9. Observation.code
Definition	Describes what was observed. Sometimes this is called the observation "name".
Control	1..1
Binding	The codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitableFor example codes, see LOINCCodes
Type	http://hl7.org/fhir/cda/StructureDefinition/CDCodeableConcept
XML Representation	The type of this property is determined using the xsi:type attribute.
Requirements	SHALL contain exactly one [1..1] code (CONF:1098-16345). Knowing what kind of observation is being made is essential to understanding the observation.
Alternate Names	Name
Comments	All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.
10. Observation.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:1098-16346).
Pattern Value	ASSERTION
11. Observation.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-32171).
Pattern Value	2.16.840.1.113883.5.4
12. Observation.statusCode
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1098-16308).
13. Observation.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-26354).
Pattern Value	completed
14. Observation.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
15. Observation.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
16. Observation.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
17. Observation.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
18. Observation.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
19. Observation.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
20. Observation.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
21. Observation.effectiveTime
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-16309).
22. Observation.effectiveTime.low
Definition	This is the low limit of the interval.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/TS
Requirements	This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-31536).
23. Observation.effectiveTime.high
Definition	This is the high limit of the interval.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/TS
Requirements	This effectiveTime MAY contain zero or one [0..1] high (CONF:1098-31537).
24. Observation.value
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
Requirements	SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:1098-16312).
25. Observation.value.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Binding	The codes SHALL be taken from Allergy and Intolerance Type
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Allergy and Intolerance Type urn:oid:2.16.840.1.113883.3.88.12.3221.6.2 DYNAMIC (CONF:1098-16317).
26. Observation.author
Definition	Base definition for all types defined in FHIR type system.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements	SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31144).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
27. Observation.participant
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
Slicing	This element introduces a set of slices on Observation.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ typeCode
28. Observation.participant:participant1
SliceName	participant1
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements	SHOULD contain zero or more [0..*] participant (CONF:1098-16318) such that it
29. Observation.participant:participant1.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationType
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="CSM" Consumable (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-16319).
Pattern Value	CSM
30. Observation.participant:participant1.participantRole
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements	SHALL contain exactly one [1..1] participantRole (CONF:1098-16320).
31. Observation.participant:participant1.participantRole.classCode
Control	1..1
Binding	The codes SHALL be taken from RoleClassRoot
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This participantRole SHALL contain exactly one [1..1] @classCode="MANU" Manufactured Product (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1098-16321).
Default Value	ROL
Pattern Value	MANU
32. Observation.participant:participant1.participantRole.playingEntity
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
Requirements	This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-16322).
33. Observation.participant:participant1.participantRole.playingEntity.classCode
Control	1..1
Binding	The codes SHALL be taken from EntityClassRoot
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This playingEntity SHALL contain exactly one [1..1] @classCode="MMAT" Manufactured Material (CodeSystem: HL7EntityClass urn:oid:2.16.840.1.113883.5.41 STATIC) (CONF:1098-16323).
Default Value	ENT
Pattern Value	MMAT
34. Observation.participant:participant1.participantRole.playingEntity.determinerCode
Control	1..1
Binding	The codes SHALL be taken from EntityDeterminer
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	INSTANCE
Fixed Value	INSTANCE
35. Observation.participant:participant1.participantRole.playingEntity.code
Control	1..1
Binding	For example codes, see Substance Reactant for Intolerance
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
Requirements	This playingEntity SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Substance Reactant for Intolerance urn:oid:2.16.840.1.113762.1.4.1010.1 DYNAMIC (CONF:1098-16324).
36. Observation.entryRelationship
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
Slicing	This 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
37. Observation.entryRelationship.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
38. Observation.entryRelationship.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
39. Observation.entryRelationship:allergyStatus
SliceName	allergyStatus
Control	0..1
Type	Element
Requirements	MAY contain zero or one [0..1] entryRelationship (CONF:1098-16333) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
40. Observation.entryRelationship:allergyStatus.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16335).
Pattern Value	SUBJ
41. Observation.entryRelationship:allergyStatus.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16334).
Pattern Value	true
42. Observation.entryRelationship:allergyStatus.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
43. Observation.entryRelationship:allergyStatus.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(AllergyStatusObservation)
Requirements	SHALL contain exactly one [1..1] Allergy Status Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.28:2019-06-20) (CONF:1098-16336).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
44. Observation.entryRelationship:allergyStatus.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
45. Observation.entryRelationship:allergyStatus.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
46. Observation.entryRelationship:allergyStatus.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
47. Observation.entryRelationship:allergyStatus.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
48. Observation.entryRelationship:allergyStatus.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
49. Observation.entryRelationship:allergyStatus.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
50. Observation.entryRelationship:allergyStatus.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
51. Observation.entryRelationship:allergyStatus.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
52. Observation.entryRelationship:reaction
SliceName	reaction
Control	0..*
Type	Element
Requirements	SHOULD contain zero or more [0..*] entryRelationship (CONF:1098-16337) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
53. Observation.entryRelationship:reaction.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="MFST" Is Manifestation of (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16339).
Pattern Value	MFST
54. Observation.entryRelationship:reaction.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16338).
Pattern Value	true
55. Observation.entryRelationship:reaction.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
56. Observation.entryRelationship:reaction.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements	SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-16340).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
57. Observation.entryRelationship:reaction.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
58. Observation.entryRelationship:reaction.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
59. Observation.entryRelationship:reaction.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
60. Observation.entryRelationship:reaction.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
61. Observation.entryRelationship:reaction.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
62. Observation.entryRelationship:reaction.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
63. Observation.entryRelationship:reaction.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
64. Observation.entryRelationship:reaction.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
65. Observation.entryRelationship:severity
SliceName	severity
Control	0..1
Type	Element
Requirements	SHOULD NOT contain zero or one [0..1] entryRelationship (CONF:1098-16341) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
66. Observation.entryRelationship:severity.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16342).
Pattern Value	SUBJ
67. Observation.entryRelationship:severity.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16343).
Pattern Value	true
68. Observation.entryRelationship:severity.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
69. Observation.entryRelationship:severity.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(SeverityObservation)
Requirements	SHALL contain exactly one [1..1] Severity Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.8:2014-06-09) (CONF:1098-16344).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
70. Observation.entryRelationship:severity.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
71. Observation.entryRelationship:severity.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
72. Observation.entryRelationship:severity.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
73. Observation.entryRelationship:severity.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
74. Observation.entryRelationship:severity.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
75. Observation.entryRelationship:severity.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
76. Observation.entryRelationship:severity.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
77. Observation.entryRelationship:severity.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
78. Observation.entryRelationship:criticality
SliceName	criticality
Control	0..1
Type	Element
Requirements	SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-32935) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
79. Observation.entryRelationship:criticality.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32936).
Pattern Value	SUBJ
80. Observation.entryRelationship:criticality.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-32937).
Pattern Value	true
81. Observation.entryRelationship:criticality.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
82. Observation.entryRelationship:criticality.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(CriticalityObservation)
Requirements	SHALL contain exactly one [1..1] Criticality Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.145) (CONF:1098-32938).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
83. Observation.entryRelationship:criticality.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
84. Observation.entryRelationship:criticality.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
85. Observation.entryRelationship:criticality.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
86. Observation.entryRelationship:criticality.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
87. Observation.entryRelationship:criticality.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
88. Observation.entryRelationship:criticality.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
89. Observation.entryRelationship:criticality.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
90. Observation.entryRelationship:criticality.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act

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

1. Observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
2. Observation.classCode
Control	1..1
Binding	The codes SHALL be taken from ActClassObservation
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-16303).
Pattern Value	OBS
3. Observation.moodCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-16304).
Pattern Value	EVN
4. Observation.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
5. Observation.realmCode
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
6. Observation.typeId
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
7. Observation.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Slicing	This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ root value @ root,
8. Observation.templateId:primary
SliceName	primary
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1098-16305) such that it
9. Observation.templateId:primary.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
10. Observation.templateId:primary.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
11. Observation.templateId:primary.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
12. Observation.templateId:primary.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.90" (CONF:1098-16306).
Pattern Value	2.16.840.1.113883.10.20.24.3.90
13. Observation.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32527).
Pattern Value	2014-06-09
14. Observation.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain at least one [1..*] id (CONF:1098-16307).
15. Observation.code
Control	1..1
Binding	The codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
Requirements	SHALL contain exactly one [1..1] code (CONF:1098-16345).
16. Observation.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
17. Observation.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:1098-16346).
Pattern Value	ASSERTION
18. Observation.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-32171).
Pattern Value	2.16.840.1.113883.5.4
19. Observation.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
20. Observation.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
21. Observation.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
22. Observation.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `valueSet`.
23. Observation.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `valueSetVersion`.
24. Observation.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
25. Observation.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
26. Observation.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
27. Observation.derivationExpr
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ST
28. Observation.text
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
XML Representation	The type of this property is determined using the xsi:type attribute.
29. Observation.statusCode
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1098-16308).
30. Observation.statusCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
31. Observation.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-26354).
Pattern Value	completed
32. Observation.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
33. Observation.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
34. Observation.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
35. Observation.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
36. Observation.statusCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `valueSet`.
37. Observation.statusCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `valueSetVersion`.
38. Observation.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
39. Observation.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
40. Observation.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
41. Observation.effectiveTime
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-16309).
42. Observation.effectiveTime.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
43. Observation.effectiveTime.value
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Control	0..1
Type	dateTime
XML Representation	In the XML format, this property is represented as an attribute.
44. Observation.effectiveTime.inclusive
Definition	Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
45. Observation.effectiveTime.operator
Definition	A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.
Control	0..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
46. Observation.effectiveTime.low
Definition	This is the low limit of the interval.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/TS
Requirements	This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-31536).
47. Observation.effectiveTime.high
Definition	This is the high limit of the interval.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/TS
Requirements	This effectiveTime MAY contain zero or one [0..1] high (CONF:1098-31537).
48. Observation.effectiveTime.width
Definition	The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PQ
49. Observation.effectiveTime.center
Definition	The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/TS
50. Observation.priorityCode
Control	0..1
Binding	The codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
51. Observation.repeatNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-INT
52. Observation.languageCode
Control	0..1
Binding	The codes SHALL be taken from HumanLanguage
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
53. Observation.value
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
Requirements	SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:1098-16312).
54. Observation.value.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
55. Observation.value.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Binding	The codes SHALL be taken from Allergy and Intolerance Type
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Allergy and Intolerance Type urn:oid:2.16.840.1.113883.3.88.12.3221.6.2 DYNAMIC (CONF:1098-16317).
56. Observation.value.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
57. Observation.value.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
58. Observation.value.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
59. Observation.value.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
60. Observation.value.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `valueSet`.
61. Observation.value.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `valueSetVersion`.
62. Observation.value.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
63. Observation.value.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
64. Observation.value.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
65. Observation.interpretationCode
Control	0..*
Binding	The codes SHALL be taken from ObservationInterpretation
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
66. Observation.methodCode
Control	0..*
Binding	The codes SHALL be taken from ObservationMethod; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
67. Observation.targetSiteCode
Definition	Drawn from concept domain ActSite
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
68. Observation.subject
Control	0..1
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
69. Observation.subject.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
70. Observation.subject.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Observation.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
71. Observation.subject.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationTargetSubject
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	SBJ
Fixed Value	SBJ
72. Observation.subject.contextControlCode
Control	1..1
Binding	The codes SHALL be taken from ContextControl
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	OP
Fixed Value	OP
73. Observation.subject.awarenessCode
Control	0..1
Binding	The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
74. Observation.subject.relatedSubject
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
75. Observation.specimen
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Specimen
76. Observation.performer
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Performer2
77. Observation.author
Definition	Base definition for all types defined in FHIR type system.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements	SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31144).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
78. Observation.informant
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
79. Observation.informant.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
80. Observation.informant.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Observation.informant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
81. Observation.informant.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationInformationGenerator
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	INF
Fixed Value	INF
82. Observation.informant.contextControlCode
Control	1..1
Binding	The codes SHALL be taken from ContextControl
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	OP
Fixed Value	OP
83. Observation.informant.assignedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
84. Observation.informant.relatedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
85. Observation.participant
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
Slicing	This element introduces a set of slices on Observation.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ typeCode
86. Observation.participant:participant1
SliceName	participant1
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements	SHOULD contain zero or more [0..*] participant (CONF:1098-16318) such that it
87. Observation.participant:participant1.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
88. Observation.participant:participant1.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationType
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="CSM" Consumable (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-16319).
Pattern Value	CSM
89. Observation.participant:participant1.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from ContextControl
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Fixed Value	OP
90. Observation.participant:participant1.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
91. Observation.participant:participant1.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
92. Observation.participant:participant1.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
93. Observation.participant:participant1.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
XML Representation	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `functionCode`.
94. Observation.participant:participant1.time
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
95. Observation.participant:participant1.awarenessCode
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
96. Observation.participant:participant1.participantRole
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements	SHALL contain exactly one [1..1] participantRole (CONF:1098-16320).
97. Observation.participant:participant1.participantRole.classCode
Control	1..1
Binding	The codes SHALL be taken from RoleClassRoot
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This participantRole SHALL contain exactly one [1..1] @classCode="MANU" Manufactured Product (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1098-16321).
Default Value	ROL
Pattern Value	MANU
98. Observation.participant:participant1.participantRole.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
99. Observation.participant:participant1.participantRole.id
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
100. Observation.participant:participant1.participantRole.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
XML Representation	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `identifiedBy`.
101. Observation.participant:participant1.participantRole.code
Control	0..1
Binding	The codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
102. Observation.participant:participant1.participantRole.addr
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/AD
103. Observation.participant:participant1.participantRole.telecom
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/TEL
104. Observation.participant:participant1.participantRole.playingDevice
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Device
105. Observation.participant:participant1.participantRole.playingEntity
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
Requirements	This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-16322).
106. Observation.participant:participant1.participantRole.playingEntity.classCode
Control	1..1
Binding	The codes SHALL be taken from EntityClassRoot
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This playingEntity SHALL contain exactly one [1..1] @classCode="MMAT" Manufactured Material (CodeSystem: HL7EntityClass urn:oid:2.16.840.1.113883.5.41 STATIC) (CONF:1098-16323).
Default Value	ENT
Pattern Value	MMAT
107. Observation.participant:participant1.participantRole.playingEntity.determinerCode
Control	1..1
Binding	The codes SHALL be taken from EntityDeterminer
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	INSTANCE
Fixed Value	INSTANCE
108. Observation.participant:participant1.participantRole.playingEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
109. Observation.participant:participant1.participantRole.playingEntity.code
Control	1..1
Binding	For example codes, see Substance Reactant for Intolerance
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
Requirements	This playingEntity SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Substance Reactant for Intolerance urn:oid:2.16.840.1.113762.1.4.1010.1 DYNAMIC (CONF:1098-16324).
110. Observation.participant:participant1.participantRole.playingEntity.quantity
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/PQ
111. Observation.participant:participant1.participantRole.playingEntity.name
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/EN
112. Observation.participant:participant1.participantRole.playingEntity.desc
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
113. Observation.participant:participant1.participantRole.scopingEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Entity
114. Observation.entryRelationship
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
Slicing	This 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
115. Observation.entryRelationship.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
116. Observation.entryRelationship.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
117. Observation.entryRelationship.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
118. Observation.entryRelationship.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
119. Observation.entryRelationship.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
120. Observation.entryRelationship.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
121. Observation.entryRelationship.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
122. Observation.entryRelationship.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
123. Observation.entryRelationship.observation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
124. Observation.entryRelationship.regionOfInterest
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
125. Observation.entryRelationship.observationMedia
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
126. Observation.entryRelationship.substanceAdministration
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
127. Observation.entryRelationship.supply
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
128. Observation.entryRelationship.procedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
129. Observation.entryRelationship.encounter
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
130. Observation.entryRelationship.organizer
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
131. Observation.entryRelationship.act
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
132. Observation.entryRelationship:allergyStatus
SliceName	allergyStatus
Control	0..1
Type	Element
Requirements	MAY contain zero or one [0..1] entryRelationship (CONF:1098-16333) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
133. Observation.entryRelationship:allergyStatus.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
134. Observation.entryRelationship:allergyStatus.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
135. Observation.entryRelationship:allergyStatus.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16335).
Pattern Value	SUBJ
136. Observation.entryRelationship:allergyStatus.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16334).
Pattern Value	true
137. Observation.entryRelationship:allergyStatus.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
138. Observation.entryRelationship:allergyStatus.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
139. Observation.entryRelationship:allergyStatus.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
140. Observation.entryRelationship:allergyStatus.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
141. Observation.entryRelationship:allergyStatus.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(AllergyStatusObservation)
Requirements	SHALL contain exactly one [1..1] Allergy Status Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.28:2019-06-20) (CONF:1098-16336).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
142. Observation.entryRelationship:allergyStatus.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
143. Observation.entryRelationship:allergyStatus.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
144. Observation.entryRelationship:allergyStatus.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
145. Observation.entryRelationship:allergyStatus.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
146. Observation.entryRelationship:allergyStatus.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
147. Observation.entryRelationship:allergyStatus.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
148. Observation.entryRelationship:allergyStatus.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
149. Observation.entryRelationship:allergyStatus.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
150. Observation.entryRelationship:reaction
SliceName	reaction
Control	0..*
Type	Element
Requirements	SHOULD contain zero or more [0..*] entryRelationship (CONF:1098-16337) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
151. Observation.entryRelationship:reaction.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
152. Observation.entryRelationship:reaction.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
153. Observation.entryRelationship:reaction.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="MFST" Is Manifestation of (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16339).
Pattern Value	MFST
154. Observation.entryRelationship:reaction.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16338).
Pattern Value	true
155. Observation.entryRelationship:reaction.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
156. Observation.entryRelationship:reaction.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
157. Observation.entryRelationship:reaction.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
158. Observation.entryRelationship:reaction.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
159. Observation.entryRelationship:reaction.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements	SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-16340).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
160. Observation.entryRelationship:reaction.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
161. Observation.entryRelationship:reaction.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
162. Observation.entryRelationship:reaction.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
163. Observation.entryRelationship:reaction.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
164. Observation.entryRelationship:reaction.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
165. Observation.entryRelationship:reaction.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
166. Observation.entryRelationship:reaction.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
167. Observation.entryRelationship:reaction.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
168. Observation.entryRelationship:severity
SliceName	severity
Control	0..1
Type	Element
Requirements	SHOULD NOT contain zero or one [0..1] entryRelationship (CONF:1098-16341) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
169. Observation.entryRelationship:severity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
170. Observation.entryRelationship:severity.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
171. Observation.entryRelationship:severity.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16342).
Pattern Value	SUBJ
172. Observation.entryRelationship:severity.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16343).
Pattern Value	true
173. Observation.entryRelationship:severity.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
174. Observation.entryRelationship:severity.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
175. Observation.entryRelationship:severity.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
176. Observation.entryRelationship:severity.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
177. Observation.entryRelationship:severity.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(SeverityObservation)
Requirements	SHALL contain exactly one [1..1] Severity Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.8:2014-06-09) (CONF:1098-16344).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
178. Observation.entryRelationship:severity.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
179. Observation.entryRelationship:severity.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
180. Observation.entryRelationship:severity.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
181. Observation.entryRelationship:severity.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
182. Observation.entryRelationship:severity.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
183. Observation.entryRelationship:severity.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
184. Observation.entryRelationship:severity.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
185. Observation.entryRelationship:severity.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
186. Observation.entryRelationship:criticality
SliceName	criticality
Control	0..1
Type	Element
Requirements	SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-32935) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
187. Observation.entryRelationship:criticality.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
188. Observation.entryRelationship:criticality.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
189. Observation.entryRelationship:criticality.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32936).
Pattern Value	SUBJ
190. Observation.entryRelationship:criticality.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-32937).
Pattern Value	true
191. Observation.entryRelationship:criticality.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
192. Observation.entryRelationship:criticality.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
193. Observation.entryRelationship:criticality.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
194. Observation.entryRelationship:criticality.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
195. Observation.entryRelationship:criticality.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(CriticalityObservation)
Requirements	SHALL contain exactly one [1..1] Criticality Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.145) (CONF:1098-32938).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
196. Observation.entryRelationship:criticality.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
197. Observation.entryRelationship:criticality.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
198. Observation.entryRelationship:criticality.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
199. Observation.entryRelationship:criticality.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
200. Observation.entryRelationship:criticality.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
201. Observation.entryRelationship:criticality.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
202. Observation.entryRelationship:criticality.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
203. Observation.entryRelationship:criticality.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
204. Observation.reference
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
205. Observation.reference.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
206. Observation.reference.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Observation.reference.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
207. Observation.reference.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
208. Observation.reference.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
209. Observation.reference.externalAct
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalAct
210. Observation.reference.externalObservation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
211. Observation.reference.externalProcedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
212. Observation.reference.externalDocument
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
213. Observation.precondition
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Precondition
214. Observation.referenceRange
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
215. Observation.referenceRange.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
216. Observation.referenceRange.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Observation.referenceRange.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
217. Observation.referenceRange.typeCode
Control	1..1
Binding	The codes SHALL be taken from ActRelationshipPertains
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	REFV
Fixed Value	REFV
218. Observation.referenceRange.observationRange
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationRange