Consolidated CDA
3.0.0-ballot - ballot
Consolidated CDA
3.0.0-ballot - ballot
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
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/ReactionObservation | Version: 3.0.0-ballot | |||
| Draft as of 2023-12-21 | Computable Name: ReactionObservation | |||
| Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09 | ||||
This clinical statement represents the response to an undesired symptom, finding, etc. due to administered or exposed substance. A reaction can be defined described with respect to its severity, and can have been treated by one or more interventions.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime |
  Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:reaction-obs | 1..1 | II | ||
  @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.9 | |
  @extension | 1..1 | st | Required Pattern: 2014-06-09 | |
 @classCode | 1..1 | cs | Fixed Value: OBS | |
| @moodCode | 1..1 | cs | Fixed Value: EVN | |
| id | 1..* | II | ||
| code | 1..1 | CD | ||
| @code | 1..1 | cs | Required Pattern: ASSERTION | |
 @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.5.4 | |
| text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode | 1..1 | CS | ||
| @code | 1..1 | cs | Fixed Value: completed | |
| effectiveTime | C | 0..1 | IVL_TS | should-low: SHOULD contain low should-high: SHOULD contain high |
| low | 0..1 | IVXB_TS | ||
| high | 0..1 | IVXB_TS | ||
 value | 1..1 | CD | Binding: Problem (required) | |
 Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:procedure, profile:substanceAdministration, profile:observation | |
 entryRelationship:procedure | 0..* | EntryRelationship | ||
 @typeCode | 1..1 | cs | Fixed Value: RSON | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| procedure | 1..1 | ProcedureActivityProcedure | This procedure activity is intended to contain information about procedures that were performed in response to an allergy reaction. | |
| entryRelationship:medication | 0..* | EntryRelationship | ||
| @typeCode | 1..1 | cs | Fixed Value: RSON | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| substanceAdministration | 1..1 | MedicationActivity | This medication activity is intended to contain information about medications that were administered in response to an allergy reaction. | |
| entryRelationship:severity | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Fixed Value: SUBJ | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| observation | 1..1 | SeverityObservation | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.value | required | Problem |
| Id | Grade | Path(s) | Details | Requirements |
| should-effectiveTime | warning | Observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-high | warning | Observation.effectiveTime | SHOULD contain high : high.exists() | |
| should-low | warning | Observation.effectiveTime | SHOULD contain low : low.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:reaction-obs | 1..1 | II | ||
 @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.9 | |
| @extension | 1..1 | st | Required Pattern: 2014-06-09 | |
| @classCode | 1..1 | cs | Binding: ActClassObservation (2.0.0) (required) Fixed Value: OBS | |
| @moodCode | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN | |
| id | 1..* | II | ||
| code | 1..1 | CD | Binding: ObservationType (example) | |
| @code | 1..1 | cs | Required Pattern: ASSERTION | |
| @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.5.4 | |
| text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| @code | 1..1 | cs | Fixed Value: completed | |
| effectiveTime | C | 0..1 | IVL_TS | should-low: SHOULD contain low should-high: SHOULD contain high |
| low | 0..1 | IVXB_TS | ||
| high | 0..1 | IVXB_TS | ||
| value | 1..1 | CD | Binding: Problem (required) | |
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:procedure, profile:substanceAdministration, profile:observation | |
| entryRelationship:procedure | 0..* | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| procedure | C | 1..1 | ProcedureActivityProcedure | This procedure activity is intended to contain information about procedures that were performed in response to an allergy reaction. |
| entryRelationship:medication | 0..* | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| substanceAdministration | C | 1..1 | MedicationActivity | This medication activity is intended to contain information about medications that were administered in response to an allergy reaction. |
| entryRelationship:severity | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| observation | C | 1..1 | SeverityObservation | Base for all types and resources |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.moodCode | required | Fixed Value: EVN |
| Observation.code | example | ObservationType |
| Observation.statusCode | required | ActStatus |
| Observation.value | required | Problem |
| Observation.entryRelationship:procedure.typeCode | required | Fixed Value: RSON |
| Observation.entryRelationship:medication.typeCode | required | Fixed Value: RSON |
| Observation.entryRelationship:severity.typeCode | required | Fixed Value: SUBJ |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-7513 | warning | Observation.entryRelationship:medication.substanceAdministration | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). : effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists() | |
| active-high-ts-after-document | error | Observation.entryRelationship:procedure.procedure | If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime : (statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value | |
| dose-unit-or-admin-unit | error | Observation.entryRelationship:medication.substanceAdministration | If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. : doseQuantity.unit.exists() implies administrationUnitCode.empty() | |
| should-author | warning | Observation.entryRelationship:procedure.procedure, Observation.entryRelationship:medication.substanceAdministration | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | Observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-high | warning | Observation.effectiveTime | SHOULD contain high : high.exists() | |
| should-low | warning | Observation.effectiveTime | SHOULD contain low : low.exists() | |
| should-performer | warning | Observation.entryRelationship:procedure.procedure | SHOULD contain performer : performer.exists() | |
| should-routeCode | warning | Observation.entryRelationship:medication.substanceAdministration | SHOULD contain routeCode : routeCode.exists() | |
| should-targetSiteCode | warning | Observation.entryRelationship:procedure.procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | Observation.entryRelationship:procedure.procedure, Observation.entryRelationship:medication.substanceAdministration, Observation.entryRelationship:severity.observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
| Path | Conformance | ValueSet / Code |
| Observation.nullFlavor | required | CDANullFlavor |
| Observation.typeId.nullFlavor | required | CDANullFlavor |
| Observation.templateId:reaction-obs.nullFlavor | required | CDANullFlavor |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.moodCode | required | Fixed Value: EVN |
| Observation.code | example | ObservationType |
| Observation.code.nullFlavor | required | CDANullFlavor |
| Observation.text.nullFlavor | required | CDANullFlavor |
| Observation.text.compression | required | CDACompressionAlgorithm |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm |
| Observation.text.mediaType | example | MediaType |
| Observation.text.representation | required | BinaryDataEncoding |
| Observation.statusCode | required | ActStatus |
| Observation.statusCode.nullFlavor | required | CDANullFlavor |
| Observation.effectiveTime.nullFlavor | required | CDANullFlavor |
| Observation.effectiveTime.operator | required | SetOperator |
| Observation.priorityCode | example | ActPriority |
| Observation.languageCode | required | AllLanguages |
| Observation.value | required | Problem |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | example | ObservationMethod |
| Observation.entryRelationship:procedure.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:procedure.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:procedure.typeCode | required | Fixed Value: RSON |
| Observation.entryRelationship:medication.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:medication.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:medication.typeCode | required | Fixed Value: RSON |
| Observation.entryRelationship:severity.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:severity.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:severity.typeCode | required | Fixed Value: SUBJ |
| Observation.referenceRange.nullFlavor | required | CDANullFlavor |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavor |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-7513 | warning | Observation.entryRelationship:medication.substanceAdministration | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). : effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists() | |
| active-high-ts-after-document | error | Observation.entryRelationship:procedure.procedure | If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime : (statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value | |
| dose-unit-or-admin-unit | error | Observation.entryRelationship:medication.substanceAdministration | If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. : doseQuantity.unit.exists() implies administrationUnitCode.empty() | |
| should-author | warning | Observation.entryRelationship:procedure.procedure, Observation.entryRelationship:medication.substanceAdministration | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | Observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-high | warning | Observation.effectiveTime | SHOULD contain high : high.exists() | |
| should-low | warning | Observation.effectiveTime | SHOULD contain low : low.exists() | |
| should-performer | warning | Observation.entryRelationship:procedure.procedure | SHOULD contain performer : performer.exists() | |
| should-routeCode | warning | Observation.entryRelationship:medication.substanceAdministration | SHOULD contain routeCode : routeCode.exists() | |
| should-targetSiteCode | warning | Observation.entryRelationship:procedure.procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | Observation.entryRelationship:procedure.procedure, Observation.entryRelationship:medication.substanceAdministration, Observation.entryRelationship:severity.observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
This structure is derived from Observation
Summary
Mandatory: 10 elements (6 nested mandatory elements)
Fixed Value: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:reaction-obs | 1..1 | II | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.9 | |
| @extension | 1..1 | st | Required Pattern: 2014-06-09 | |
| @classCode | 1..1 | cs | Fixed Value: OBS | |
| @moodCode | 1..1 | cs | Fixed Value: EVN | |
| id | 1..* | II | ||
| code | 1..1 | CD | ||
| @code | 1..1 | cs | Required Pattern: ASSERTION | |
| @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.5.4 | |
| text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode | 1..1 | CS | ||
| @code | 1..1 | cs | Fixed Value: completed | |
| effectiveTime | C | 0..1 | IVL_TS | should-low: SHOULD contain low should-high: SHOULD contain high |
| low | 0..1 | IVXB_TS | ||
| high | 0..1 | IVXB_TS | ||
| value | 1..1 | CD | Binding: Problem (required) | |
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:procedure, profile:substanceAdministration, profile:observation | |
| entryRelationship:procedure | 0..* | EntryRelationship | ||
| @typeCode | 1..1 | cs | Fixed Value: RSON | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| procedure | 1..1 | ProcedureActivityProcedure | This procedure activity is intended to contain information about procedures that were performed in response to an allergy reaction. | |
| entryRelationship:medication | 0..* | EntryRelationship | ||
| @typeCode | 1..1 | cs | Fixed Value: RSON | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| substanceAdministration | 1..1 | MedicationActivity | This medication activity is intended to contain information about medications that were administered in response to an allergy reaction. | |
| entryRelationship:severity | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Fixed Value: SUBJ | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| observation | 1..1 | SeverityObservation | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.value | required | Problem |
| Id | Grade | Path(s) | Details | Requirements |
| should-effectiveTime | warning | Observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-high | warning | Observation.effectiveTime | SHOULD contain high : high.exists() | |
| should-low | warning | Observation.effectiveTime | SHOULD contain low : low.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:reaction-obs | 1..1 | II | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.9 | |
| @extension | 1..1 | st | Required Pattern: 2014-06-09 | |
| @classCode | 1..1 | cs | Binding: ActClassObservation (2.0.0) (required) Fixed Value: OBS | |
| @moodCode | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN | |
| id | 1..* | II | ||
| code | 1..1 | CD | Binding: ObservationType (example) | |
| @code | 1..1 | cs | Required Pattern: ASSERTION | |
| @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.5.4 | |
| text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| @code | 1..1 | cs | Fixed Value: completed | |
| effectiveTime | C | 0..1 | IVL_TS | should-low: SHOULD contain low should-high: SHOULD contain high |
| low | 0..1 | IVXB_TS | ||
| high | 0..1 | IVXB_TS | ||
| value | 1..1 | CD | Binding: Problem (required) | |
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:procedure, profile:substanceAdministration, profile:observation | |
| entryRelationship:procedure | 0..* | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| procedure | C | 1..1 | ProcedureActivityProcedure | This procedure activity is intended to contain information about procedures that were performed in response to an allergy reaction. |
| entryRelationship:medication | 0..* | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| substanceAdministration | C | 1..1 | MedicationActivity | This medication activity is intended to contain information about medications that were administered in response to an allergy reaction. |
| entryRelationship:severity | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ | |
| @inversionInd | 1..1 | bl | Fixed Value: true | |
| observation | C | 1..1 | SeverityObservation | Base for all types and resources |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.moodCode | required | Fixed Value: EVN |
| Observation.code | example | ObservationType |
| Observation.statusCode | required | ActStatus |
| Observation.value | required | Problem |
| Observation.entryRelationship:procedure.typeCode | required | Fixed Value: RSON |
| Observation.entryRelationship:medication.typeCode | required | Fixed Value: RSON |
| Observation.entryRelationship:severity.typeCode | required | Fixed Value: SUBJ |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-7513 | warning | Observation.entryRelationship:medication.substanceAdministration | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). : effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists() | |
| active-high-ts-after-document | error | Observation.entryRelationship:procedure.procedure | If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime : (statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value | |
| dose-unit-or-admin-unit | error | Observation.entryRelationship:medication.substanceAdministration | If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. : doseQuantity.unit.exists() implies administrationUnitCode.empty() | |
| should-author | warning | Observation.entryRelationship:procedure.procedure, Observation.entryRelationship:medication.substanceAdministration | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | Observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-high | warning | Observation.effectiveTime | SHOULD contain high : high.exists() | |
| should-low | warning | Observation.effectiveTime | SHOULD contain low : low.exists() | |
| should-performer | warning | Observation.entryRelationship:procedure.procedure | SHOULD contain performer : performer.exists() | |
| should-routeCode | warning | Observation.entryRelationship:medication.substanceAdministration | SHOULD contain routeCode : routeCode.exists() | |
| should-targetSiteCode | warning | Observation.entryRelationship:procedure.procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | Observation.entryRelationship:procedure.procedure, Observation.entryRelationship:medication.substanceAdministration, Observation.entryRelationship:severity.observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Snapshot View
| Path | Conformance | ValueSet / Code |
| Observation.nullFlavor | required | CDANullFlavor |
| Observation.typeId.nullFlavor | required | CDANullFlavor |
| Observation.templateId:reaction-obs.nullFlavor | required | CDANullFlavor |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.moodCode | required | Fixed Value: EVN |
| Observation.code | example | ObservationType |
| Observation.code.nullFlavor | required | CDANullFlavor |
| Observation.text.nullFlavor | required | CDANullFlavor |
| Observation.text.compression | required | CDACompressionAlgorithm |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm |
| Observation.text.mediaType | example | MediaType |
| Observation.text.representation | required | BinaryDataEncoding |
| Observation.statusCode | required | ActStatus |
| Observation.statusCode.nullFlavor | required | CDANullFlavor |
| Observation.effectiveTime.nullFlavor | required | CDANullFlavor |
| Observation.effectiveTime.operator | required | SetOperator |
| Observation.priorityCode | example | ActPriority |
| Observation.languageCode | required | AllLanguages |
| Observation.value | required | Problem |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | example | ObservationMethod |
| Observation.entryRelationship:procedure.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:procedure.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:procedure.typeCode | required | Fixed Value: RSON |
| Observation.entryRelationship:medication.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:medication.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:medication.typeCode | required | Fixed Value: RSON |
| Observation.entryRelationship:severity.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:severity.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:severity.typeCode | required | Fixed Value: SUBJ |
| Observation.referenceRange.nullFlavor | required | CDANullFlavor |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavor |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-7513 | warning | Observation.entryRelationship:medication.substanceAdministration | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). : effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists() | |
| active-high-ts-after-document | error | Observation.entryRelationship:procedure.procedure | If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime : (statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value | |
| dose-unit-or-admin-unit | error | Observation.entryRelationship:medication.substanceAdministration | If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. : doseQuantity.unit.exists() implies administrationUnitCode.empty() | |
| should-author | warning | Observation.entryRelationship:procedure.procedure, Observation.entryRelationship:medication.substanceAdministration | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | Observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-high | warning | Observation.effectiveTime | SHOULD contain high : high.exists() | |
| should-low | warning | Observation.effectiveTime | SHOULD contain low : low.exists() | |
| should-performer | warning | Observation.entryRelationship:procedure.procedure | SHOULD contain performer : performer.exists() | |
| should-routeCode | warning | Observation.entryRelationship:medication.substanceAdministration | SHOULD contain routeCode : routeCode.exists() | |
| should-targetSiteCode | warning | Observation.entryRelationship:procedure.procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | Observation.entryRelationship:procedure.procedure, Observation.entryRelationship:medication.substanceAdministration, Observation.entryRelationship:severity.observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | Observation.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
This structure is derived from Observation
Summary
Mandatory: 10 elements (6 nested mandatory elements)
Fixed Value: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#3.0.0-ballot based on FHIR 5.0.0. Generated 2023-12-21
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