This page is part of the CCDA: Consolidated CDA Release (v4.0.0-ballot: CCDA 4.0 Ballot) generated with FHIR (HL7® FHIR® Standard) v5.0.0. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/HealthStatusObservation | Version: 4.0.0-ballot | |||
| Draft as of 2024-12-20 | Computable Name: HealthStatusObservation | |||
| Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.5:2014-06-09 | ||||
This template represents information about the overall health status of the patient. To represent the impact of a specific problem or concern related to the patient's expected health outcome use the Prognosis Observation template 2.16.840.1.113883.10.20.22.4.113.
Usage:
Description of Template, 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, sdtcCategory, 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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
|     templateId:health-status-obs | 1..1 | II | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.5 | |
|      @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: 11323-3 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
|    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 | |
|    value | 1..1 | CD | Binding: HealthStatus  (required) | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| Observation.value | required | HealthStatus  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.12 | 
| Id | Grade | Path(s) | Details | Requirements | 
| 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, sdtcCategory, 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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|    realmCode | 0..* | CS | ||
|    typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @assigningAuthorityName | 0..1 | st | ||
|     @displayable | 0..1 | bl | ||
|     @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|     @extension | 1..1 | st | ||
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
|     templateId:health-status-obs | 1..1 | II | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.5 | |
|      @extension | 1..1 | st | Required Pattern: 2014-06-09 | |
|    @classCode | 1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS | |
|    @moodCode | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN | |
|    @negationInd | 0..1 | bl | ||
|    id | 1..* | II | ||
|    sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
|    code | 1..1 | CD | Binding: ObservationType (example) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Required Pattern: 11323-3 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
|     @codeSystemName | 0..1 | st | ||
|     @codeSystemVersion | 0..1 | st | ||
|     @displayName | 0..1 | st | ||
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|     originalText | 0..1 | ED | ||
|     qualifier | 0..* | CR | ||
|     translation | 0..* | CD | ||
|    derivationExpr | 0..1 | ST | ||
|    text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
|     @integrityCheck | 0..1 | bin | ||
|     @integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
|     @language | 0..1 | cs | ||
|     @mediaType | 0..1 | cs | Binding: MediaType (example) | |
|     @representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
|     xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
|     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 | 
|     thumbnail | 0..1 | ED | ||
|    statusCode | 1..1 | CS | Binding: ActStatus (required) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Fixed Value: completed | |
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|    effectiveTime | 0..1 | IVL_TS | ||
|    priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
|    repeatNumber | 0..1 | IVL_INT | ||
|    languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
|    value | 1..1 | CD | Binding: HealthStatus  (required) | |
|    interpretationCode | 0..* | CE | Binding: CDAObservationInterpretation (required) | |
|    methodCode | 0..* | CE | Binding: ObservationMethod (example) | |
|    targetSiteCode | 0..* | CD | ||
|    subject | 0..1 | Subject | ||
|    specimen | 0..* | Specimen | ||
|    performer | 0..* | Performer2 | ||
|    author | 0..* | Author | ||
|    informant | 0..* | Informant | ||
|    participant | 0..* | Participant2 | ||
|    entryRelationship | 0..* | EntryRelationship | ||
|    reference | 0..* | Reference | ||
|    precondition | 0..* | Precondition | ||
|    sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
|    referenceRange | 0..* | InfrastructureRoot | ||
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     realmCode | 0..* | CS | ||
|     typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|      @extension | 1..1 | st | ||
|     templateId | 0..* | II | ||
|     @typeCode | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV | |
|     observationRange | 1..1 | ObservationRange | ||
|    sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| Observation.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.templateId:health-status-obs.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.classCode | required | Fixed Value: OBS http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
| Observation.moodCode | required | Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
| Observation.code | example | ObservationType http://terminology.hl7.org/ValueSet/v3-ObservationType | |
| Observation.code.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.compression | required | CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.text.mediaType | example | MediaType http://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.text.representation | required | BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.statusCode | required | ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Observation.statusCode.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.priorityCode | example | ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority | |
| Observation.languageCode | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languagesfrom the FHIR Standard | |
| Observation.value | required | HealthStatus  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.12 | |
| Observation.interpretationCode | required | CDAObservationInterpretation http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
| Observation.methodCode | example | ObservationMethod http://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.referenceRange.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | 
| Id | Grade | Path(s) | Details | Requirements | 
| II-1 | error | Observation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.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, sdtcCategory, 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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|    realmCode | 0..* | CS | ||
|    typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @assigningAuthorityName | 0..1 | st | ||
|     @displayable | 0..1 | bl | ||
|     @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|     @extension | 1..1 | st | ||
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
|     templateId:health-status-obs | 1..1 | II | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.5 | |
|      @extension | 1..1 | st | Required Pattern: 2014-06-09 | |
|    @classCode | 1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS | |
|    @moodCode | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN | |
|    @negationInd | 0..1 | bl | ||
|    id | 1..* | II | ||
|    sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
|    code | 1..1 | CD | Binding: ObservationType (example) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Required Pattern: 11323-3 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
|     @codeSystemName | 0..1 | st | ||
|     @codeSystemVersion | 0..1 | st | ||
|     @displayName | 0..1 | st | ||
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|     originalText | 0..1 | ED | ||
|     qualifier | 0..* | CR | ||
|     translation | 0..* | CD | ||
|    derivationExpr | 0..1 | ST | ||
|    text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
|     @integrityCheck | 0..1 | bin | ||
|     @integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
|     @language | 0..1 | cs | ||
|     @mediaType | 0..1 | cs | Binding: MediaType (example) | |
|     @representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
|     xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
|     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 | 
|     thumbnail | 0..1 | ED | ||
|    statusCode | 1..1 | CS | Binding: ActStatus (required) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Fixed Value: completed | |
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|    effectiveTime | 0..1 | IVL_TS | ||
|    priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
|    repeatNumber | 0..1 | IVL_INT | ||
|    languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
|    value | 1..1 | CD | Binding: HealthStatus  (required) | |
|    interpretationCode | 0..* | CE | Binding: CDAObservationInterpretation (required) | |
|    methodCode | 0..* | CE | Binding: ObservationMethod (example) | |
|    targetSiteCode | 0..* | CD | ||
|    subject | 0..1 | Subject | ||
|    specimen | 0..* | Specimen | ||
|    performer | 0..* | Performer2 | ||
|    author | 0..* | Author | ||
|    informant | 0..* | Informant | ||
|    participant | 0..* | Participant2 | ||
|    entryRelationship | 0..* | EntryRelationship | ||
|    reference | 0..* | Reference | ||
|    precondition | 0..* | Precondition | ||
|    sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
|    referenceRange | 0..* | InfrastructureRoot | ||
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     realmCode | 0..* | CS | ||
|     typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|      @extension | 1..1 | st | ||
|     templateId | 0..* | II | ||
|     @typeCode | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV | |
|     observationRange | 1..1 | ObservationRange | ||
|    sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| Observation.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.templateId:health-status-obs.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.classCode | required | Fixed Value: OBS http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
| Observation.moodCode | required | Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
| Observation.code | example | ObservationType http://terminology.hl7.org/ValueSet/v3-ObservationType | |
| Observation.code.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.compression | required | CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.text.mediaType | example | MediaType http://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.text.representation | required | BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.statusCode | required | ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Observation.statusCode.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.priorityCode | example | ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority | |
| Observation.languageCode | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languagesfrom the FHIR Standard | |
| Observation.value | required | HealthStatus  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.12 | |
| Observation.interpretationCode | required | CDAObservationInterpretation http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
| Observation.methodCode | example | ObservationMethod http://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.referenceRange.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | 
| Id | Grade | Path(s) | Details | Requirements | 
| II-1 | error | Observation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.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('#') | 
This structure is derived from Observation
Summary
Mandatory: 10 elements
 Fixed: 3 elements
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, sdtcCategory, 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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
|     templateId:health-status-obs | 1..1 | II | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.5 | |
|      @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: 11323-3 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
|    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 | |
|    value | 1..1 | CD | Binding: HealthStatus  (required) | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| Observation.value | required | HealthStatus  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.12 | 
| Id | Grade | Path(s) | Details | Requirements | 
| 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, sdtcCategory, 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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|    realmCode | 0..* | CS | ||
|    typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @assigningAuthorityName | 0..1 | st | ||
|     @displayable | 0..1 | bl | ||
|     @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|     @extension | 1..1 | st | ||
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
|     templateId:health-status-obs | 1..1 | II | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.5 | |
|      @extension | 1..1 | st | Required Pattern: 2014-06-09 | |
|    @classCode | 1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS | |
|    @moodCode | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN | |
|    @negationInd | 0..1 | bl | ||
|    id | 1..* | II | ||
|    sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
|    code | 1..1 | CD | Binding: ObservationType (example) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Required Pattern: 11323-3 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
|     @codeSystemName | 0..1 | st | ||
|     @codeSystemVersion | 0..1 | st | ||
|     @displayName | 0..1 | st | ||
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|     originalText | 0..1 | ED | ||
|     qualifier | 0..* | CR | ||
|     translation | 0..* | CD | ||
|    derivationExpr | 0..1 | ST | ||
|    text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
|     @integrityCheck | 0..1 | bin | ||
|     @integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
|     @language | 0..1 | cs | ||
|     @mediaType | 0..1 | cs | Binding: MediaType (example) | |
|     @representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
|     xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
|     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 | 
|     thumbnail | 0..1 | ED | ||
|    statusCode | 1..1 | CS | Binding: ActStatus (required) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Fixed Value: completed | |
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|    effectiveTime | 0..1 | IVL_TS | ||
|    priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
|    repeatNumber | 0..1 | IVL_INT | ||
|    languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
|    value | 1..1 | CD | Binding: HealthStatus  (required) | |
|    interpretationCode | 0..* | CE | Binding: CDAObservationInterpretation (required) | |
|    methodCode | 0..* | CE | Binding: ObservationMethod (example) | |
|    targetSiteCode | 0..* | CD | ||
|    subject | 0..1 | Subject | ||
|    specimen | 0..* | Specimen | ||
|    performer | 0..* | Performer2 | ||
|    author | 0..* | Author | ||
|    informant | 0..* | Informant | ||
|    participant | 0..* | Participant2 | ||
|    entryRelationship | 0..* | EntryRelationship | ||
|    reference | 0..* | Reference | ||
|    precondition | 0..* | Precondition | ||
|    sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
|    referenceRange | 0..* | InfrastructureRoot | ||
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     realmCode | 0..* | CS | ||
|     typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|      @extension | 1..1 | st | ||
|     templateId | 0..* | II | ||
|     @typeCode | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV | |
|     observationRange | 1..1 | ObservationRange | ||
|    sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| Observation.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.templateId:health-status-obs.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.classCode | required | Fixed Value: OBS http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
| Observation.moodCode | required | Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
| Observation.code | example | ObservationType http://terminology.hl7.org/ValueSet/v3-ObservationType | |
| Observation.code.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.compression | required | CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.text.mediaType | example | MediaType http://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.text.representation | required | BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.statusCode | required | ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Observation.statusCode.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.priorityCode | example | ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority | |
| Observation.languageCode | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languagesfrom the FHIR Standard | |
| Observation.value | required | HealthStatus  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.12 | |
| Observation.interpretationCode | required | CDAObservationInterpretation http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
| Observation.methodCode | example | ObservationMethod http://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.referenceRange.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | 
| Id | Grade | Path(s) | Details | Requirements | 
| II-1 | error | Observation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.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('#') | 
Snapshot 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, sdtcCategory, 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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|    realmCode | 0..* | CS | ||
|    typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @assigningAuthorityName | 0..1 | st | ||
|     @displayable | 0..1 | bl | ||
|     @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|     @extension | 1..1 | st | ||
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
|     templateId:health-status-obs | 1..1 | II | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.5 | |
|      @extension | 1..1 | st | Required Pattern: 2014-06-09 | |
|    @classCode | 1..1 | cs | Binding: CDAActClassObservation (required) Fixed Value: OBS | |
|    @moodCode | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN | |
|    @negationInd | 0..1 | bl | ||
|    id | 1..* | II | ||
|    sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
|    code | 1..1 | CD | Binding: ObservationType (example) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Required Pattern: 11323-3 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
|     @codeSystemName | 0..1 | st | ||
|     @codeSystemVersion | 0..1 | st | ||
|     @displayName | 0..1 | st | ||
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|     originalText | 0..1 | ED | ||
|     qualifier | 0..* | CR | ||
|     translation | 0..* | CD | ||
|    derivationExpr | 0..1 | ST | ||
|    text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
|     @integrityCheck | 0..1 | bin | ||
|     @integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
|     @language | 0..1 | cs | ||
|     @mediaType | 0..1 | cs | Binding: MediaType (example) | |
|     @representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
|     xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
|     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 | 
|     thumbnail | 0..1 | ED | ||
|    statusCode | 1..1 | CS | Binding: ActStatus (required) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Fixed Value: completed | |
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|    effectiveTime | 0..1 | IVL_TS | ||
|    priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
|    repeatNumber | 0..1 | IVL_INT | ||
|    languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
|    value | 1..1 | CD | Binding: HealthStatus  (required) | |
|    interpretationCode | 0..* | CE | Binding: CDAObservationInterpretation (required) | |
|    methodCode | 0..* | CE | Binding: ObservationMethod (example) | |
|    targetSiteCode | 0..* | CD | ||
|    subject | 0..1 | Subject | ||
|    specimen | 0..* | Specimen | ||
|    performer | 0..* | Performer2 | ||
|    author | 0..* | Author | ||
|    informant | 0..* | Informant | ||
|    participant | 0..* | Participant2 | ||
|    entryRelationship | 0..* | EntryRelationship | ||
|    reference | 0..* | Reference | ||
|    precondition | 0..* | Precondition | ||
|    sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
|    referenceRange | 0..* | InfrastructureRoot | ||
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     realmCode | 0..* | CS | ||
|     typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|      @extension | 1..1 | st | ||
|     templateId | 0..* | II | ||
|     @typeCode | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: REFV | |
|     observationRange | 1..1 | ObservationRange | ||
|    sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| Observation.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.templateId:health-status-obs.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.classCode | required | Fixed Value: OBS http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
| Observation.moodCode | required | Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
| Observation.code | example | ObservationType http://terminology.hl7.org/ValueSet/v3-ObservationType | |
| Observation.code.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.text.compression | required | CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| Observation.text.mediaType | example | MediaType http://terminology.hl7.org/ValueSet/v3-MediaType | |
| Observation.text.representation | required | BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| Observation.statusCode | required | ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Observation.statusCode.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.priorityCode | example | ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority | |
| Observation.languageCode | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languagesfrom the FHIR Standard | |
| Observation.value | required | HealthStatus  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.12 | |
| Observation.interpretationCode | required | CDAObservationInterpretation http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
| Observation.methodCode | example | ObservationMethod http://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.referenceRange.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | 
| Id | Grade | Path(s) | Details | Requirements | 
| II-1 | error | Observation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.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('#') | 
This structure is derived from Observation
Summary
Mandatory: 10 elements
 Fixed: 3 elements
Slices
This structure defines the following Slices: