This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions
Draft as of 2023-12-21 |
Definitions for the Indication logical model.
Guidance on how to interpret the contents of this table can be found here
0. Observation | |
Logical Container | ClinicalDocument (CDA Class) |
Validation | Instances of this type are validated by templateId |
XML Format | In the XML format, this property has the namespace urn:hl7-org:v3 . |
Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists() )should-effectiveTime: SHOULD contain effectiveTime ( effectiveTime.exists() ) |
2. Observation.templateId | |
Control | 1..? |
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: |
4. Observation.templateId:indication | |
Slice Name | indication |
Control | 1..1 |
6. Observation.templateId:indication.root | |
Control | 1..? |
Pattern Value | 2.16.840.1.113883.10.20.22.4.19 |
8. Observation.templateId:indication.extension | |
Control | 1..? |
Pattern Value | 2023-05-01 |
10. Observation.classCode | |
Comments | SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-7480). |
Fixed Value | OBS |
12. Observation.moodCode | |
Comments | SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-7481). |
Fixed Value | EVN |
14. Observation.id | |
Short | If the id element is used to reference a problem recorded elsewhere in the document then this id must equal another entry/id in the same document instance. Application Software must be responsible for resolving the identifier back to its original object and then rendering the information in the correct place in the containing section's narrative text. Its purpose is to obviate the need to repeat the complete XML representation of the referred to entry when relating one entry to another. |
Comments | SHALL contain at least one [1..*] id (CONF:4537-7483). |
Control | 1..? |
16. Observation.code | |
Comments | SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 DYNAMIC (CONF:4537-31229). |
Binding | The codes SHOULD be taken from Problem Type (SNOMEDCT) |
18. Observation.text | |
Short | SHOULD reference the portion of section narrative text corresponding to this entry |
20. Observation.text.reference | |
Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#') ) |
22. Observation.statusCode | |
Comments | SHALL contain exactly one [1..1] statusCode (CONF:4537-7487). |
Control | 1..? |
24. Observation.statusCode.code | |
Comments | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19105). |
Control | 1..? |
Fixed Value | completed |
26. Observation.effectiveTime | |
Comments | SHOULD contain zero or one [0..1] effectiveTime (CONF:4537-7488). |
28. Observation.value | |
Short | If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. |
Comments | MAY contain zero or one [0..1] value with @xsi:type="CD", where the code MAY be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:4537-7489). |
Control | 0..1 |
Binding | The codes SHOULD be taken from Problem |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/SC |
Guidance on how to interpret the contents of this table can be found here
0. Observation | |
Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. Base definition for all types defined in FHIR type system. |
Short | Base for all types and resources |
Control | 10..1* |
Is Modifier | false |
Logical Container | ClinicalDocument (CDA Class) |
Validation | Instances of this type are validated by templateId |
XML Format | In the XML format, this property has the namespace urn:hl7-org:v3 . |
Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists() )should-effectiveTime: SHOULD contain effectiveTime ( effectiveTime.exists() ) |
2. 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 | 1..* |
Type | http://hl7.org/cda/stds/core/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: |
4. Observation.templateId:indication | |
Slice Name | indication |
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/cda/stds/core/StructureDefinition/II |
6. Observation.templateId:indication.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(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Root |
Pattern Value | 2.16.840.1.113883.10.20.22.4.19 |
8. Observation.templateId:indication.extension | |
Definition | A character string as a unique identifier within the scope of the identifier root. |
Control | 1..1 |
Type | string(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Extension |
Pattern Value | 2023-05-01 |
10. Observation.classCode | |
Comments | SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-7480). |
Control | 1..1 |
Binding | The codes SHALL be taken from ActClassObservation (2.0.0) |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | OBS |
12. Observation.moodCode | |
Comments | SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-7481). |
Control | 1..1 |
Binding | The codes SHALL be taken from XActMoodDocumentObservation (2.0.0) |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | EVN |
14. Observation.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Short | If the id element is used to reference a problem recorded elsewhere in the document then this id must equal another entry/id in the same document instance. Application Software must be responsible for resolving the identifier back to its original object and then rendering the information in the correct place in the containing section's narrative text. Its purpose is to obviate the need to repeat the complete XML representation of the referred to entry when relating one entry to another.Logical id of this artifact |
Comments | SHALL contain at least one [1..*] id (CONF:4537-7483). 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. |
Control | 10..*1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/IIid |
Is Modifier | false |
16. Observation.code | |
Definition | Describes what was observed. Sometimes this is called the observation "name". |
Short | Type of observation (code / type) |
Comments | SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 DYNAMIC (CONF:4537-31229). 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. |
Control | 1..1 This element is affected by the following invariants: obs-7 |
Binding | The codes SHOULD be taken from For example codes, see Problem Type (SNOMEDCT)http://hl7.org/fhir/ValueSet/observation-codes |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept |
Is Modifier | false |
XML Format | The type of this property is determined using the xsi:type attribute. |
Requirements | Knowing what kind of observation is being made is essential to understanding the observation. |
Alternate Names | Name |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
18. Observation.text | |
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
Short | SHOULD reference the portion of section narrative text corresponding to this entryText summary of the resource, for human interpretation |
Comments | Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
Control | 0..1 This element is affected by the following invariants: dom-6 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/EDNarrative |
Is Modifier | false |
XML Format | The type of this property is determined using the xsi:type attribute. |
Alternate Names | narrative, html, xhtml, display |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
20. Observation.text.reference | |
Definition | A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data. |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
Label | Reference |
Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#') ) |
22. Observation.statusCode | |
Comments | SHALL contain exactly one [1..1] statusCode (CONF:4537-7487). |
Control | 1..1 |
Binding | The codes SHALL be taken from ActStatus |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
24. 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. |
Comments | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19105). |
Control | 1..1 |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Code |
Fixed Value | completed |
26. Observation.statusCode.codeSystem | |
Definition | Specifies the code system that defines the code. |
Control | 0..0 |
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Code System |
28. Observation.statusCode.codeSystemName | |
Definition | The common name of the coding system. |
Control | 0..0 |
Type | string(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Code System Name |
30. Observation.statusCode.codeSystemVersion | |
Definition | If applicable, a version descriptor defined specifically for the given code system. |
Control | 0..0 |
Type | string(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Code System Version |
32. 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(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Display Name |
34. Observation.statusCode.originalText | |
Definition | The text or phrase used as the basis for the coding. |
Control | 0..0 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
Label | Original Text |
36. Observation.statusCode.qualifier | |
Definition | Specifies additional codes that increase the specificity of the the primary code. |
Control | 0..0 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
Label | Qualifier |
38. 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/cda/stds/core/StructureDefinition/CD |
XML Format | The type of this property is determined using the xsi:type attribute. |
Label | Translation |
40. Observation.effectiveTime | |
Comments | SHOULD contain zero or one [0..1] effectiveTime (CONF:4537-7488). |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
42. Observation.value | |
Short | If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. |
Comments | MAY contain zero or one [0..1] value with @xsi:type="CD", where the code MAY be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:4537-7489). |
Control | 0..1 |
Binding | The codes SHOULD be taken from Problem |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
XML Format | The type of this property is determined using the xsi:type attribute. |
Guidance on how to interpret the contents of this table can be found here
0. Observation | |
Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. |
Short | Base for all types and resources |
Control | 1..1 |
Is Modifier | false |
Logical Container | ClinicalDocument (CDA Class) |
Validation | Instances of this type are validated by templateId |
XML Format | In the XML format, this property has the namespace urn:hl7-org:v3 . |
Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists() )should-effectiveTime: SHOULD contain effectiveTime ( effectiveTime.exists() ) |
2. Observation.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 CDANullFlavor |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Exceptional Value Detail |
4. Observation.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/cda/stds/core/StructureDefinition/CS |
6. Observation.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/cda/stds/core/StructureDefinition/II |
8. Observation.typeId.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 CDANullFlavor |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Exceptional Value Detail |
10. Observation.typeId.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(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Assigning Authority Name |
12. Observation.typeId.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(bl: Boolean) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Displayable |
14. Observation.typeId.root | |
Definition | Identifies the type as an HL7 Registered model |
Control | 1..1 |
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Root |
Fixed Value | 2.16.840.1.113883.1.3 |
16. Observation.typeId.extension | |
Definition | A character string as a unique identifier within the scope of the identifier root. |
Control | 1..1 |
Type | string(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Extension |
18. 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 | 1..* |
Type | http://hl7.org/cda/stds/core/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: |
20. Observation.templateId:indication | |
Slice Name | indication |
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/cda/stds/core/StructureDefinition/II |
22. Observation.templateId:indication.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 CDANullFlavor |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Exceptional Value Detail |
24. Observation.templateId:indication.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(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Assigning Authority Name |
26. Observation.templateId:indication.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(bl: Boolean) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Displayable |
28. Observation.templateId:indication.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(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Root |
Pattern Value | 2.16.840.1.113883.10.20.22.4.19 |
30. Observation.templateId:indication.extension | |
Definition | A character string as a unique identifier within the scope of the identifier root. |
Control | 1..1 |
Type | string(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Extension |
Pattern Value | 2023-05-01 |
32. Observation.classCode | |
Comments | SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-7480). |
Control | 1..1 |
Binding | The codes SHALL be taken from ActClassObservation (2.0.0) |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | OBS |
34. Observation.moodCode | |
Comments | SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-7481). |
Control | 1..1 |
Binding | The codes SHALL be taken from XActMoodDocumentObservation (2.0.0) |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | EVN |
36. Observation.negationInd | |
Control | 0..1 |
Type | boolean(bl: Boolean) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
38. Observation.id | |
Short | If the id element is used to reference a problem recorded elsewhere in the document then this id must equal another entry/id in the same document instance. Application Software must be responsible for resolving the identifier back to its original object and then rendering the information in the correct place in the containing section's narrative text. Its purpose is to obviate the need to repeat the complete XML representation of the referred to entry when relating one entry to another. |
Comments | SHALL contain at least one [1..*] id (CONF:4537-7483). |
Control | 1..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
40. Observation.code | |
Comments | SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 DYNAMIC (CONF:4537-31229). |
Control | 1..1 |
Binding | The codes SHOULD be taken from Problem Type (SNOMEDCT) |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
XML Format | The type of this property is determined using the xsi:type attribute. |
42. Observation.derivationExpr | |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/ST |
44. Observation.text | |
Short | SHOULD reference the portion of section narrative text corresponding to this entry |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
XML Format | The type of this property is determined using the xsi:type attribute. |
46. Observation.text.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 CDANullFlavor |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Exceptional Value Detail |
48. Observation.text.compression | |
Definition | Indicates whether the raw byte data is compressed, and what compression algorithm was used. |
Control | 0..1 |
Binding | The codes SHALL be taken from CompressionAlgorithm |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Compression |
50. Observation.text.integrityCheck | |
Definition | The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created. |
Control | 0..1 |
Type | base64Binary(bin: Binary Data) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Integrity Check |
52. Observation.text.integrityCheckAlgorithm | |
Definition | Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage. |
Control | 0..1 |
Binding | The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Integrity Check Algorithm |
54. Observation.text.language | |
Definition | For character based information the language property specifies the human language of the text. |
Control | 0..1 |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Language |
56. Observation.text.mediaType | |
Definition | Identifies the type of the encapsulated data and identifies a method to interpret or render the data. |
Control | 0..1 |
Binding | For example codes, see MediaType |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Media Type |
58. Observation.text.representation | |
Control | 0..1 |
Binding | The codes SHALL be taken from Binary Data Encoding Value Set |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
60. Observation.text.xmlText | |
Definition | Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.) |
Short | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. |
Comments | This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance. |
Control | 0..1 |
Type | string(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as unadorned text. |
62. Observation.text.reference | |
Definition | A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data. |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
Label | Reference |
Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#') ) |
64. Observation.text.thumbnail | |
Definition | An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference. |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
Label | Thumbnail |
66. Observation.statusCode | |
Comments | SHALL contain exactly one [1..1] statusCode (CONF:4537-7487). |
Control | 1..1 |
Binding | The codes SHALL be taken from ActStatus |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
68. 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 CDANullFlavor |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Exceptional Value Detail |
70. 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. |
Comments | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19105). |
Control | 1..1 |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Code |
Fixed Value | completed |
72. Observation.statusCode.codeSystem | |
Definition | Specifies the code system that defines the code. |
Control | 0..0 |
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Code System |
74. Observation.statusCode.codeSystemName | |
Definition | The common name of the coding system. |
Control | 0..0 |
Type | string(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Code System Name |
76. Observation.statusCode.codeSystemVersion | |
Definition | If applicable, a version descriptor defined specifically for the given code system. |
Control | 0..0 |
Type | string(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Code System Version |
78. 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(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Display Name |
80. 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(oid: ISO Object Identifier) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | 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 namevalueSet . |
82. 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(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | 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 namevalueSetVersion . |
84. Observation.statusCode.originalText | |
Definition | The text or phrase used as the basis for the coding. |
Control | 0..0 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
Label | Original Text |
86. Observation.statusCode.qualifier | |
Definition | Specifies additional codes that increase the specificity of the the primary code. |
Control | 0..0 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
Label | Qualifier |
88. 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/cda/stds/core/StructureDefinition/CD |
XML Format | The type of this property is determined using the xsi:type attribute. |
Label | Translation |
90. Observation.effectiveTime | |
Comments | SHOULD contain zero or one [0..1] effectiveTime (CONF:4537-7488). |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
92. Observation.priorityCode | |
Control | 0..1 |
Binding | For example codes, see ActPriority |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
94. Observation.repeatNumber | |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT |
96. Observation.languageCode | |
Control | 0..1 |
Binding | The codes SHALL be taken from AllLanguages |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
98. Observation.value | |
Short | If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. |
Comments | MAY contain zero or one [0..1] value with @xsi:type="CD", where the code MAY be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:4537-7489). |
Control | 0..1 |
Binding | The codes SHOULD be taken from Problem |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
XML Format | The type of this property is determined using the xsi:type attribute. |
100. Observation.interpretationCode | |
Control | 0..* |
Binding | The codes SHALL be taken from ObservationInterpretation |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
102. Observation.methodCode | |
Control | 0..* |
Binding | For example codes, see ObservationMethod |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
104. Observation.targetSiteCode | |
Definition | Drawn from concept domain ActSite |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
106. Observation.subject | |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject |
108. Observation.specimen | |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen |
110. Observation.performer | |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2 |
112. Observation.author | |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/Author |
114. Observation.informant | |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
116. Observation.participant | |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
118. Observation.entryRelationship | |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
120. Observation.reference | |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
122. Observation.precondition | |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition |
124. Observation.sdtcPrecondition2 | |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition2 |
XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc .In the XML format, this property has the actual nameprecondition2 . |
126. Observation.referenceRange | |
Definition | Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified. |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot |
128. Observation.referenceRange.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 CDANullFlavor |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Exceptional Value Detail |
130. Observation.referenceRange.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/cda/stds/core/StructureDefinition/CS |
132. Observation.referenceRange.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/cda/stds/core/StructureDefinition/II |
134. Observation.referenceRange.typeId.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 CDANullFlavor |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Exceptional Value Detail |
136. Observation.referenceRange.typeId.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(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Assigning Authority Name |
138. Observation.referenceRange.typeId.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(bl: Boolean) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Displayable |
140. Observation.referenceRange.typeId.root | |
Definition | Identifies the type as an HL7 Registered model |
Control | 1..1 |
Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Root |
Fixed Value | 2.16.840.1.113883.1.3 |
142. Observation.referenceRange.typeId.extension | |
Definition | A character string as a unique identifier within the scope of the identifier root. |
Control | 1..1 |
Type | string(st: Character String) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Extension |
144. Observation.referenceRange.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/cda/stds/core/StructureDefinition/II |
146. Observation.referenceRange.typeCode | |
Control | 0..1 |
Binding | The codes SHALL be taken from ActRelationshipType (2.0.0) |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | REFV |
148. Observation.referenceRange.observationRange | |
Control | 1..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange |
150. Observation.sdtcInFulfillmentOf1 | |
Control | 0..* |
Type | http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1 |
XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc .In the XML format, this property has the actual nameinFulfillmentOf1 . |