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/FunctionalStatusObservation | Version: 3.0.0-ballot | |||
| Draft as of 2023-12-21 | Computable Name: FunctionalStatusObservation | |||
| Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.67:2014-06-09 | ||||
This template represents the patient’s physical function (e.g., mobility status, instrumental activities of daily living, self-care status) and problems that limit function (dyspnea, dysphagia). The template may include assessment scale observations, identify supporting caregivers, and provide information about non-medicinal supplies. This template is used to represent physical or developmental function of all patient populations.
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-author: SHOULD contain author |
  Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:functional-status-obs | 1..1 | II | ||
  @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.67 | |
  @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: 54522-8 | |
 @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 | |
| effectiveTime | 1..1 | IVL_TS | ||
| value | C | 1..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | 1098-14234: If coded, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-14234). |
 author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:supply, profile:observation, value:typeCode | |
 entryRelationship:nonMedSupply | 0..1 | EntryRelationship | ||
 @typeCode | 1..1 | cs | Fixed Value: REFR | |
| supply | 1..1 | NonMedicinalSupplyActivity | Base for all types and resources | |
| entryRelationship:caregiverCharacteristics | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Fixed Value: REFR | |
| observation | 1..1 | CaregiverCharacteristics | Base for all types and resources | |
| entryRelationship:assessmentScaleObservation | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Fixed Value: COMP | |
| observation | 1..1 | AssessmentScaleObservation | Base for all types and resources | |
| referenceRange | 0..* | InfrastructureRoot | referenceRange could be used to represent normal or expected capability for the function being evaluated. | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| 1098-14234 | warning | Observation.value | If coded, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-14234). : codeSystem.exists() implies codeSystem = '2.16.840.1.113883.6.96' | |
| should-author | warning | Observation | SHOULD contain author : author.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-author: SHOULD contain author |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:functional-status-obs | 1..1 | II | ||
 @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.67 | |
| @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: 54522-8 | |
| @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 | Binding: ActStatus (required) | |
| @code | 1..1 | cs | Fixed Value: completed | |
| effectiveTime | 1..1 | IVL_TS | ||
 value | C | 1..1 | 1098-14234: If coded, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-14234). | |
 value | ANY | |||
| value | BL | |||
| value | ED | |||
| value | ST | |||
| value | CD | |||
| value | CV | |||
| value | CE | |||
| value | CO | |||
| value | SC | |||
| value | II | |||
| value | TEL | |||
| value | AD | |||
| value | EN | |||
| value | INT | |||
| value | REAL | |||
| value | PQ | |||
| value | MO | |||
| value | TS | |||
| value | IVL_PQ | |||
| value | IVL_TS | |||
| value | PIVL_TS | |||
| value | EIVL_TS | |||
| value | SXPR_TS | |||
| value | RTO_PQ_PQ | |||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:supply, profile:observation, value:typeCode | |
| entryRelationship:nonMedSupply | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| supply | C | 1..1 | NonMedicinalSupplyActivity | Base for all types and resources |
| entryRelationship:caregiverCharacteristics | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| observation | C | 1..1 | CaregiverCharacteristics | Base for all types and resources |
| entryRelationship:assessmentScaleObservation | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
| observation | C | 1..1 | AssessmentScaleObservation | Base for all types and resources |
 referenceRange | 0..* | InfrastructureRoot | referenceRange could be used to represent normal or expected capability for the function being evaluated. | |
| observationRange | 1..1 | ObservationRange | ||
| 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.entryRelationship:nonMedSupply.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: COMP |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-14234 | warning | Observation.value | If coded, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-14234). : codeSystem.exists() implies codeSystem = '2.16.840.1.113883.6.96' | |
| should-author | warning | Observation | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | Observation.entryRelationship:nonMedSupply.supply | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-quantity | warning | Observation.entryRelationship:nonMedSupply.supply | SHOULD contain quantity : quantity.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | Observation.entryRelationship:nonMedSupply.supply, Observation.entryRelationship:caregiverCharacteristics.observation, Observation.entryRelationship:assessmentScaleObservation.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:functional-status-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.priorityCode | example | ActPriority |
| Observation.languageCode | required | AllLanguages |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | example | ObservationMethod |
| Observation.entryRelationship:nonMedSupply.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:nonMedSupply.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:nonMedSupply.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:caregiverCharacteristics.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:caregiverCharacteristics.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:assessmentScaleObservation.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:assessmentScaleObservation.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: COMP |
| Observation.referenceRange.nullFlavor | required | CDANullFlavor |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavor |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-14234 | warning | Observation.value | If coded, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-14234). : codeSystem.exists() implies codeSystem = '2.16.840.1.113883.6.96' | |
| should-author | warning | Observation | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | Observation.entryRelationship:nonMedSupply.supply | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-quantity | warning | Observation.entryRelationship:nonMedSupply.supply | SHOULD contain quantity : quantity.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | Observation.entryRelationship:nonMedSupply.supply, Observation.entryRelationship:caregiverCharacteristics.observation, Observation.entryRelationship:assessmentScaleObservation.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: 11 elements (3 nested mandatory elements)
Fixed Value: 6 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-author: SHOULD contain author |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:functional-status-obs | 1..1 | II | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.67 | |
| @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: 54522-8 | |
| @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 | |
| effectiveTime | 1..1 | IVL_TS | ||
| value | C | 1..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | 1098-14234: If coded, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-14234). |
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:supply, profile:observation, value:typeCode | |
| entryRelationship:nonMedSupply | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Fixed Value: REFR | |
| supply | 1..1 | NonMedicinalSupplyActivity | Base for all types and resources | |
| entryRelationship:caregiverCharacteristics | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Fixed Value: REFR | |
| observation | 1..1 | CaregiverCharacteristics | Base for all types and resources | |
| entryRelationship:assessmentScaleObservation | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Fixed Value: COMP | |
| observation | 1..1 | AssessmentScaleObservation | Base for all types and resources | |
| referenceRange | 0..* | InfrastructureRoot | referenceRange could be used to represent normal or expected capability for the function being evaluated. | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| 1098-14234 | warning | Observation.value | If coded, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-14234). : codeSystem.exists() implies codeSystem = '2.16.840.1.113883.6.96' | |
| should-author | warning | Observation | SHOULD contain author : author.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-author: SHOULD contain author |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:functional-status-obs | 1..1 | II | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.67 | |
| @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: 54522-8 | |
| @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 | Binding: ActStatus (required) | |
| @code | 1..1 | cs | Fixed Value: completed | |
| effectiveTime | 1..1 | IVL_TS | ||
| value | C | 1..1 | 1098-14234: If coded, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-14234). | |
| value | ANY | |||
| value | BL | |||
| value | ED | |||
| value | ST | |||
| value | CD | |||
| value | CV | |||
| value | CE | |||
| value | CO | |||
| value | SC | |||
| value | II | |||
| value | TEL | |||
| value | AD | |||
| value | EN | |||
| value | INT | |||
| value | REAL | |||
| value | PQ | |||
| value | MO | |||
| value | TS | |||
| value | IVL_PQ | |||
| value | IVL_TS | |||
| value | PIVL_TS | |||
| value | EIVL_TS | |||
| value | SXPR_TS | |||
| value | RTO_PQ_PQ | |||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:supply, profile:observation, value:typeCode | |
| entryRelationship:nonMedSupply | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| supply | C | 1..1 | NonMedicinalSupplyActivity | Base for all types and resources |
| entryRelationship:caregiverCharacteristics | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| observation | C | 1..1 | CaregiverCharacteristics | Base for all types and resources |
| entryRelationship:assessmentScaleObservation | 0..1 | EntryRelationship | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
| observation | C | 1..1 | AssessmentScaleObservation | Base for all types and resources |
| referenceRange | 0..* | InfrastructureRoot | referenceRange could be used to represent normal or expected capability for the function being evaluated. | |
| observationRange | 1..1 | ObservationRange | ||
| 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.entryRelationship:nonMedSupply.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: COMP |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-14234 | warning | Observation.value | If coded, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-14234). : codeSystem.exists() implies codeSystem = '2.16.840.1.113883.6.96' | |
| should-author | warning | Observation | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | Observation.entryRelationship:nonMedSupply.supply | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-quantity | warning | Observation.entryRelationship:nonMedSupply.supply | SHOULD contain quantity : quantity.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | Observation.entryRelationship:nonMedSupply.supply, Observation.entryRelationship:caregiverCharacteristics.observation, Observation.entryRelationship:assessmentScaleObservation.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:functional-status-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.priorityCode | example | ActPriority |
| Observation.languageCode | required | AllLanguages |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | example | ObservationMethod |
| Observation.entryRelationship:nonMedSupply.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:nonMedSupply.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:nonMedSupply.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:caregiverCharacteristics.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:caregiverCharacteristics.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:assessmentScaleObservation.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:assessmentScaleObservation.typeId.nullFlavor | required | CDANullFlavor |
| Observation.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: COMP |
| Observation.referenceRange.nullFlavor | required | CDANullFlavor |
| Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavor |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-14234 | warning | Observation.value | If coded, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-14234). : codeSystem.exists() implies codeSystem = '2.16.840.1.113883.6.96' | |
| should-author | warning | Observation | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | Observation.entryRelationship:nonMedSupply.supply | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-quantity | warning | Observation.entryRelationship:nonMedSupply.supply | SHOULD contain quantity : quantity.exists() | |
| should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | Observation.entryRelationship:nonMedSupply.supply, Observation.entryRelationship:caregiverCharacteristics.observation, Observation.entryRelationship:assessmentScaleObservation.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: 11 elements (3 nested mandatory elements)
Fixed Value: 6 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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