Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build United States of America

This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) generated with FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions

Resource Profile: SOP Instance Observation

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.8 Version: 2.1.0-draft1
Active as of 2023-01-16 Computable Name: SOPInstanceObservation
Other Identifiers: id: urn:oid:2.16.840.1.113883.10.20.6.2.8

A SOP Instance Observation contains the DICOM Service Object Pair (SOP) Instance information for referenced DICOM composite objects. The SOP Instance act class is used to reference both image and non-image DICOM instances. The text attribute contains the DICOM WADO reference.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CDAR2.Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1CDAR2.ObservationBase for all types and resources
... classCode 1..1codeRequired Pattern: DGIMG
... moodCode 1..1codeRequired Pattern: EVN
... id 1..*IIThe @root contains an OID representing the DICOM SOP Instance UID
.... code C1..1string81-19226: @code is an OID for a valid SOP class name UID (CONF:81-19226).
.... codeSystem 1..1stringRequired Pattern: 1.2.840.10008.2.6.1
... text 0..1ED
.... mediaType 1..1codeRequired Pattern: application/dicom
.... reference C1..1TEL81-9249: **SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
... effectiveTime 0..1IVL_TS
.... value 1..1dateTime
.... low 0..0
.... high 0..0
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by value:typeCode
.... entryRelationship:subject 0..*Element
..... typeCode 1..1codeRequired Pattern: SUBJ
.... entryRelationship:purposeofReferenceObservation 0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1PurposeofReferenceObservationBase for all types and resources
.... entryRelationship:referencedFramesObservation C0..*Element81-9263: This entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
..... typeCode 1..1codeRequired Pattern: COMP
..... observation 1..1ReferencedFramesObservationBase for all types and resources

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
81-9249errorObservation.text.reference**SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
:
81-9263warningObservation.entryRelationship:referencedFramesObservationThis entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
:
81-19226errorObservation.code.code@code is an OID for a valid SOP class name UID (CONF:81-19226).
:
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1CDAR2.ObservationBase for all types and resources
... classCode 1..1codeBinding: ActClassObservation (required)
Required Pattern: DGIMG
... moodCode 1..1codeRequired Pattern: EVN
... id 1..*IIThe @root contains an OID representing the DICOM SOP Instance UID
.... code C1..1string81-19226: @code is an OID for a valid SOP class name UID (CONF:81-19226).
.... codeSystem 1..1stringRequired Pattern: 1.2.840.10008.2.6.1
... text 0..1ED
.... mediaType 1..1codeRequired Pattern: application/dicom
.... reference C1..1TEL81-9249: **SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
... effectiveTime 0..1IVL_TS
.... value 1..1dateTime
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by value:typeCode
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entryRelationship:subject C0..*Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... contextConductionInd 1..1boolean
.... entryRelationship:purposeofReferenceObservation C0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... contextConductionInd 1..1boolean
..... observation 1..1PurposeofReferenceObservationBase for all types and resources
.... entryRelationship:referencedFramesObservation C0..*Element81-9263: This entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
..... typeCode 1..1codeRequired Pattern: COMP
..... contextConductionInd 1..1boolean
..... observation 1..1ReferencedFramesObservationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.classCoderequiredPattern: DGIMG
Observation.codeextensibleObservationType

Constraints

IdGradePath(s)DetailsRequirements
81-9249errorObservation.text.reference**SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
:
81-9263warningObservation.entryRelationship:referencedFramesObservationThis entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
:
81-19226errorObservation.code.code@code is an OID for a valid SOP class name UID (CONF:81-19226).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
obs-er-1errorObservation.entryRelationship, Observation.entryRelationship:subject, Observation.entryRelationship:purposeofReferenceObservation, Observation.entryRelationship:referencedFramesObservationOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1CDAR2.ObservationBase for all types and resources
... classCode 1..1codeBinding: ActClassObservation (required)
Required Pattern: DGIMG
... moodCode 1..1codeRequired Pattern: EVN
... negationInd 0..1boolean
... realmCode 0..*CS
... typeId 0..1II
... templateId 0..*II
... id 1..*IIThe @root contains an OID representing the DICOM SOP Instance UID
... code 1..1CDBinding: ObservationType (extensible)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code C1..1string81-19226: @code is an OID for a valid SOP class name UID (CONF:81-19226).
.... codeSystem 1..1stringRequired Pattern: 1.2.840.10008.2.6.1
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... derivationExpr 0..1ED
... text 0..1ED
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... charset 0..1code
.... compression 0..1codeBinding: CompressionAlgorithm (required)
.... integrityCheck 0..1base64Binary
.... integrityCheckAlgorithm 0..1codeBinding: IntegrityCheckAlgorithm (required)
.... language 0..1code
.... mediaType 1..1codeRequired Pattern: application/dicom
.... representation 0..1code
.... data[x] 0..1
..... dataStringstring
..... dataBase64Binarybase64Binary
.... reference C1..1TEL81-9249: **SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
.... thumbnail 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... value 1..1dateTime
.... inclusive 0..1boolean
.... operator 0..1code
.... width 0..1PQ
.... center 0..1TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... repeatNumber 0..1IVL_INT
... languageCode 0..1CSBinding: HumanLanguage (required)
... value 0..*
.... valueBL
.... valueED
.... valueED
.... valueCD
.... valueCV
.... valueCE
.... valueSC
.... valueII
.... valueTEL
.... valueAD
.... valueEN
.... valueINT
.... valueREAL
.... valuePQ
.... valueMO
.... valueTS
.... valueIVL_PQ
.... valueIVL_TS
.... valuePIVL_TS
.... valueEIVL_TS
.... valueSXPR_TS
.... valueRTO_PQ_PQ
... interpretationCode 0..*CEBinding: ObservationInterpretation (required)
... methodCode 0..*CEBinding: ObservationMethod (extensible)
... targetSiteCode 0..*CD
... subject 0..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by value:typeCode
.... entryRelationship:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:subject C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:purposeofReferenceObservation C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1PurposeofReferenceObservationBase for all types and resources
.... entryRelationship:referencedFramesObservation C0..*Element81-9263: This entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1ReferencedFramesObservationBase for all types and resources
... reference 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition
... referenceRange 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
.... observationRange 1..1ObservationRange

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.classCoderequiredPattern: DGIMG
Observation.codeextensibleObservationType
Observation.code.nullFlavorrequiredNullFlavor
Observation.text.nullFlavorrequiredNullFlavor
Observation.text.compressionrequiredCompressionAlgorithm
Observation.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
Observation.statusCoderequiredActStatus
Observation.effectiveTime.nullFlavorrequiredNullFlavor
Observation.priorityCodeextensibleActPriority
Observation.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Observation.interpretationCoderequiredObservationInterpretation
Observation.methodCodeextensibleObservationMethod
Observation.subject.typeCoderequiredFixed Value: SBJ
Observation.subject.contextControlCoderequiredFixed Value: OP
Observation.subject.awarenessCodeextensibleTargetAwareness
Observation.informant.typeCoderequiredFixed Value: INF
Observation.informant.contextControlCoderequiredFixed Value: OP
Observation.referenceRange.typeCoderequiredFixed Value: REFV

Constraints

IdGradePath(s)DetailsRequirements
81-9249errorObservation.text.reference**SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
:
81-9263warningObservation.entryRelationship:referencedFramesObservationThis entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
:
81-19226errorObservation.code.code@code is an OID for a valid SOP class name UID (CONF:81-19226).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-er-1errorObservation.entryRelationship, Observation.entryRelationship:subject, Observation.entryRelationship:purposeofReferenceObservation, Observation.entryRelationship:referencedFramesObservationOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

This structure is derived from CDAR2.Observation

Summary

Mandatory: 6 elements (8 nested mandatory elements)
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.entryRelationship is sliced based on the value of value:typeCode

Differential View

This structure is derived from CDAR2.Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1CDAR2.ObservationBase for all types and resources
... classCode 1..1codeRequired Pattern: DGIMG
... moodCode 1..1codeRequired Pattern: EVN
... id 1..*IIThe @root contains an OID representing the DICOM SOP Instance UID
.... code C1..1string81-19226: @code is an OID for a valid SOP class name UID (CONF:81-19226).
.... codeSystem 1..1stringRequired Pattern: 1.2.840.10008.2.6.1
... text 0..1ED
.... mediaType 1..1codeRequired Pattern: application/dicom
.... reference C1..1TEL81-9249: **SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
... effectiveTime 0..1IVL_TS
.... value 1..1dateTime
.... low 0..0
.... high 0..0
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by value:typeCode
.... entryRelationship:subject 0..*Element
..... typeCode 1..1codeRequired Pattern: SUBJ
.... entryRelationship:purposeofReferenceObservation 0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1PurposeofReferenceObservationBase for all types and resources
.... entryRelationship:referencedFramesObservation C0..*Element81-9263: This entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
..... typeCode 1..1codeRequired Pattern: COMP
..... observation 1..1ReferencedFramesObservationBase for all types and resources

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
81-9249errorObservation.text.reference**SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
:
81-9263warningObservation.entryRelationship:referencedFramesObservationThis entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
:
81-19226errorObservation.code.code@code is an OID for a valid SOP class name UID (CONF:81-19226).
:

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1CDAR2.ObservationBase for all types and resources
... classCode 1..1codeBinding: ActClassObservation (required)
Required Pattern: DGIMG
... moodCode 1..1codeRequired Pattern: EVN
... id 1..*IIThe @root contains an OID representing the DICOM SOP Instance UID
.... code C1..1string81-19226: @code is an OID for a valid SOP class name UID (CONF:81-19226).
.... codeSystem 1..1stringRequired Pattern: 1.2.840.10008.2.6.1
... text 0..1ED
.... mediaType 1..1codeRequired Pattern: application/dicom
.... reference C1..1TEL81-9249: **SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
... effectiveTime 0..1IVL_TS
.... value 1..1dateTime
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by value:typeCode
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entryRelationship:subject C0..*Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... contextConductionInd 1..1boolean
.... entryRelationship:purposeofReferenceObservation C0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... contextConductionInd 1..1boolean
..... observation 1..1PurposeofReferenceObservationBase for all types and resources
.... entryRelationship:referencedFramesObservation C0..*Element81-9263: This entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
..... typeCode 1..1codeRequired Pattern: COMP
..... contextConductionInd 1..1boolean
..... observation 1..1ReferencedFramesObservationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.classCoderequiredPattern: DGIMG
Observation.codeextensibleObservationType

Constraints

IdGradePath(s)DetailsRequirements
81-9249errorObservation.text.reference**SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
:
81-9263warningObservation.entryRelationship:referencedFramesObservationThis entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
:
81-19226errorObservation.code.code@code is an OID for a valid SOP class name UID (CONF:81-19226).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
obs-er-1errorObservation.entryRelationship, Observation.entryRelationship:subject, Observation.entryRelationship:purposeofReferenceObservation, Observation.entryRelationship:referencedFramesObservationOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1CDAR2.ObservationBase for all types and resources
... classCode 1..1codeBinding: ActClassObservation (required)
Required Pattern: DGIMG
... moodCode 1..1codeRequired Pattern: EVN
... negationInd 0..1boolean
... realmCode 0..*CS
... typeId 0..1II
... templateId 0..*II
... id 1..*IIThe @root contains an OID representing the DICOM SOP Instance UID
... code 1..1CDBinding: ObservationType (extensible)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code C1..1string81-19226: @code is an OID for a valid SOP class name UID (CONF:81-19226).
.... codeSystem 1..1stringRequired Pattern: 1.2.840.10008.2.6.1
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... derivationExpr 0..1ED
... text 0..1ED
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... charset 0..1code
.... compression 0..1codeBinding: CompressionAlgorithm (required)
.... integrityCheck 0..1base64Binary
.... integrityCheckAlgorithm 0..1codeBinding: IntegrityCheckAlgorithm (required)
.... language 0..1code
.... mediaType 1..1codeRequired Pattern: application/dicom
.... representation 0..1code
.... data[x] 0..1
..... dataStringstring
..... dataBase64Binarybase64Binary
.... reference C1..1TEL81-9249: **SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
.... thumbnail 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... value 1..1dateTime
.... inclusive 0..1boolean
.... operator 0..1code
.... width 0..1PQ
.... center 0..1TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... repeatNumber 0..1IVL_INT
... languageCode 0..1CSBinding: HumanLanguage (required)
... value 0..*
.... valueBL
.... valueED
.... valueED
.... valueCD
.... valueCV
.... valueCE
.... valueSC
.... valueII
.... valueTEL
.... valueAD
.... valueEN
.... valueINT
.... valueREAL
.... valuePQ
.... valueMO
.... valueTS
.... valueIVL_PQ
.... valueIVL_TS
.... valuePIVL_TS
.... valueEIVL_TS
.... valueSXPR_TS
.... valueRTO_PQ_PQ
... interpretationCode 0..*CEBinding: ObservationInterpretation (required)
... methodCode 0..*CEBinding: ObservationMethod (extensible)
... targetSiteCode 0..*CD
... subject 0..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by value:typeCode
.... entryRelationship:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:subject C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:purposeofReferenceObservation C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1PurposeofReferenceObservationBase for all types and resources
.... entryRelationship:referencedFramesObservation C0..*Element81-9263: This entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1ReferencedFramesObservationBase for all types and resources
... reference 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition
... referenceRange 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
.... observationRange 1..1ObservationRange

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.classCoderequiredPattern: DGIMG
Observation.codeextensibleObservationType
Observation.code.nullFlavorrequiredNullFlavor
Observation.text.nullFlavorrequiredNullFlavor
Observation.text.compressionrequiredCompressionAlgorithm
Observation.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
Observation.statusCoderequiredActStatus
Observation.effectiveTime.nullFlavorrequiredNullFlavor
Observation.priorityCodeextensibleActPriority
Observation.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Observation.interpretationCoderequiredObservationInterpretation
Observation.methodCodeextensibleObservationMethod
Observation.subject.typeCoderequiredFixed Value: SBJ
Observation.subject.contextControlCoderequiredFixed Value: OP
Observation.subject.awarenessCodeextensibleTargetAwareness
Observation.informant.typeCoderequiredFixed Value: INF
Observation.informant.contextControlCoderequiredFixed Value: OP
Observation.referenceRange.typeCoderequiredFixed Value: REFV

Constraints

IdGradePath(s)DetailsRequirements
81-9249errorObservation.text.reference**SHALL** contain a @value that contains a WADO reference as a URI (CONF:81-9249).
:
81-9263warningObservation.entryRelationship:referencedFramesObservationThis entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames (CONF:81-9263).
:
81-19226errorObservation.code.code@code is an OID for a valid SOP class name UID (CONF:81-19226).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-er-1errorObservation.entryRelationship, Observation.entryRelationship:subject, Observation.entryRelationship:purposeofReferenceObservation, Observation.entryRelationship:referencedFramesObservationOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

This structure is derived from CDAR2.Observation

Summary

Mandatory: 6 elements (8 nested mandatory elements)
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.entryRelationship is sliced based on the value of value:typeCode

 

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