Consolidated CDA
3.0.0-ballot - ballot United States of America flag

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

Logical Model: Number of Pressure Ulcers Observation

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/NumberofPressureUlcersObservation Version: 3.0.0-ballot
Draft as of 2023-12-21 Computable Name: NumberofPressureUlcersObservation
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.76:2015-08-01

This template represents the number of pressure ulcers observed at a particular stage.

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C1..1ObservationXML 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
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:numberof-pressure-ulcers-obs 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.76
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csFixed Value: OBS
... @moodCode 1..1csFixed Value: EVN
... code 1..1CD
.... @code 1..1csRequired Pattern: 2264892003
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... @code 1..1csRequired Pattern: 75277-4
...... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CS
.... @code 1..1csFixed Value: completed
... effectiveTime 1..1IVL_TS
... value 1..1INT
... author 0..1Author
... Slices for entryRelationship 1..*EntryRelationshipSlice: Unordered, Open by value:typeCode, exists:observation
.... entryRelationship:entryRelationship1 1..1EntryRelationship
..... @typeCode 1..1csFixed Value: SUBJ
..... observation 1..1Observation
...... @classCode 1..1csFixed Value: OBS
...... @moodCode 1..1csFixed Value: EVN
...... code 1..1CDSG 20230709: This constraint not entered properly in TWB - missing codesystem and code set at top level rather than on observation.code.code - added observation.code.code and observation.code.codeSystem
....... @code 1..1csRequired Pattern: ASSERTION
....... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.5.4
...... value 1..1CDBinding: Pressure Ulcer Stage (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.entryRelationship:entryRelationship1.observation.valuepreferredPressureUlcerStage

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningObservationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorObservation.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C1..1ObservationXML 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
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:numberof-pressure-ulcers-obs 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.76
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csBinding: ActClassObservation (2.0.0) (required)
Fixed Value: OBS
... @moodCode 1..1csBinding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
... code 1..1CDBinding: ObservationType (example)
.... @code 1..1csRequired Pattern: 2264892003
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... @code 1..1csRequired Pattern: 75277-4
...... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csFixed Value: completed
... effectiveTime 1..1IVL_TS
... value 1..1INT
... author 0..1Author
... Slices for entryRelationship 1..*EntryRelationshipSlice: Unordered, Open by value:typeCode, exists:observation
.... entryRelationship:entryRelationship1 1..1EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... observation 1..1Observation
...... @classCode 1..1csBinding: ActClassObservation (2.0.0) (required)
Fixed Value: OBS
...... @moodCode 1..1csBinding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
...... code 1..1CDSG 20230709: This constraint not entered properly in TWB - missing codesystem and code set at top level rather than on observation.code.code - added observation.code.code and observation.code.codeSystem
Binding: ObservationType (example)
....... @code 1..1csRequired Pattern: ASSERTION
....... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.5.4
...... value 1..1CDBinding: Pressure Ulcer Stage (preferred)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.classCoderequiredFixed Value: OBS
Observation.moodCoderequiredFixed Value: EVN
Observation.codeexampleObservationType
Observation.statusCoderequiredActStatus
Observation.entryRelationship:entryRelationship1.typeCoderequiredFixed Value: SUBJ
Observation.entryRelationship:entryRelationship1.observation.classCoderequiredFixed Value: OBS
Observation.entryRelationship:entryRelationship1.observation.moodCoderequiredFixed Value: EVN
Observation.entryRelationship:entryRelationship1.observation.codeexampleObservationType
Observation.entryRelationship:entryRelationship1.observation.valuepreferredPressureUlcerStage

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningObservationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorObservation.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C1..1ObservationXML 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
... @nullFlavor 0..1csBinding: CDANullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1st
.... @displayable 0..1bl
.... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1st
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:numberof-pressure-ulcers-obs 1..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.76
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csBinding: ActClassObservation (2.0.0) (required)
Fixed Value: OBS
... @moodCode 1..1csBinding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
... @negationInd 0..1bl
... id 1..*II
... code 1..1CDBinding: ObservationType (example)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 1..1csRequired Pattern: 2264892003
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... @codeSystemName 0..1st
.... @codeSystemVersion 0..1st
.... @displayName 0..1st
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @code 1..1csRequired Pattern: 75277-4
...... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
...... @codeSystemName 0..1st
...... @codeSystemVersion 0..1st
...... @displayName 0..1st
...... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
...... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
...... originalText 0..1ED
...... qualifier 0..*CR
...... translation 0..*CD
... derivationExpr 0..1ST
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @compression 0..1csBinding: CompressionAlgorithm (required)
.... @integrityCheck 0..1bin
.... @integrityCheckAlgorithm 0..1csBinding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1cs
.... @mediaType 0..1csBinding: MediaType (example)
.... @representation 0..1csBinding: Binary Data Encoding Value Set (required)
.... xmlText 0..1stAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... thumbnail 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 1..1csFixed Value: completed
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (example)
... repeatNumber 0..1IVL_INT
... languageCode 0..1CSBinding: AllLanguages (required)
... value 1..1INT
... interpretationCode 0..*CEBinding: ObservationInterpretation (required)
... methodCode 0..*CEBinding: ObservationMethod (example)
... targetSiteCode 0..*CD
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..1Author
... informant 0..*Informant
... participant 0..*Participant2
... Slices for entryRelationship 1..*EntryRelationshipSlice: Unordered, Open by value:typeCode, exists:observation
.... entryRelationship:entryRelationship1 1..1EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1Observation
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
....... @nullFlavor 0..1csBinding: CDANullFlavor (required)
....... @assigningAuthorityName 0..1st
....... @displayable 0..1bl
....... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
....... @extension 1..1st
...... templateId 0..*II
...... @classCode 1..1csBinding: ActClassObservation (2.0.0) (required)
Fixed Value: OBS
...... @moodCode 1..1csBinding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
...... @negationInd 0..1bl
...... id 0..*II
...... code 1..1CDSG 20230709: This constraint not entered properly in TWB - missing codesystem and code set at top level rather than on observation.code.code - added observation.code.code and observation.code.codeSystem
Binding: ObservationType (example)
....... @nullFlavor 0..1csBinding: CDANullFlavor (required)
....... @code 1..1csRequired Pattern: ASSERTION
....... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.5.4
....... @codeSystemName 0..1st
....... @codeSystemVersion 0..1st
....... @displayName 0..1st
....... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
....... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
....... originalText 0..1ED
....... qualifier 0..*CR
....... translation 0..*CD
...... derivationExpr 0..1ST
...... text 0..1ED
...... statusCode 0..1CSBinding: ActStatus (required)
...... effectiveTime 0..1IVL_TS
...... priorityCode 0..1CEBinding: ActPriority (example)
...... repeatNumber 0..1IVL_INT
...... languageCode 0..1CSBinding: AllLanguages (required)
...... value 1..1CDBinding: Pressure Ulcer Stage (preferred)
...... interpretationCode 0..*CEBinding: ObservationInterpretation (required)
...... methodCode 0..*CEBinding: ObservationMethod (example)
...... targetSiteCode 0..*CD
...... subject 0..1Subject
...... 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..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
...... referenceRange 0..*InfrastructureRoot
....... @nullFlavor 0..1csBinding: CDANullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
........ @nullFlavor 0..1csBinding: CDANullFlavor (required)
........ @assigningAuthorityName 0..1st
........ @displayable 0..1bl
........ @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
........ @extension 1..1st
....... templateId 0..*II
....... @typeCode 0..1csBinding: ActRelationshipType (2.0.0) (required)
Fixed Value: REFV
....... observationRange 1..1ObservationRange
...... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
... reference 0..*Reference
... precondition 0..*Precondition
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... referenceRange 0..*InfrastructureRoot
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1st
.... templateId 0..*II
.... @typeCode 0..1csBinding: ActRelationshipType (2.0.0) (required)
Fixed Value: REFV
.... observationRange 1..1ObservationRange
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.nullFlavorrequiredCDANullFlavor
Observation.typeId.nullFlavorrequiredCDANullFlavor
Observation.templateId:numberof-pressure-ulcers-obs.nullFlavorrequiredCDANullFlavor
Observation.classCoderequiredFixed Value: OBS
Observation.moodCoderequiredFixed Value: EVN
Observation.codeexampleObservationType
Observation.code.nullFlavorrequiredCDANullFlavor
Observation.code.translation:translation1.nullFlavorrequiredCDANullFlavor
Observation.text.nullFlavorrequiredCDANullFlavor
Observation.text.compressionrequiredCDACompressionAlgorithm
Observation.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
Observation.text.mediaTypeexampleMediaType
Observation.text.representationrequiredBinaryDataEncoding
Observation.statusCoderequiredActStatus
Observation.statusCode.nullFlavorrequiredCDANullFlavor
Observation.priorityCodeexampleActPriority
Observation.languageCoderequiredAllLanguages
Observation.interpretationCoderequiredObservationInterpretation
Observation.methodCodeexampleObservationMethod
Observation.entryRelationship:entryRelationship1.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.typeId.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.typeCoderequiredFixed Value: SUBJ
Observation.entryRelationship:entryRelationship1.observation.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.observation.typeId.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.observation.classCoderequiredFixed Value: OBS
Observation.entryRelationship:entryRelationship1.observation.moodCoderequiredFixed Value: EVN
Observation.entryRelationship:entryRelationship1.observation.codeexampleObservationType
Observation.entryRelationship:entryRelationship1.observation.code.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.observation.statusCoderequiredActStatus
Observation.entryRelationship:entryRelationship1.observation.priorityCodeexampleActPriority
Observation.entryRelationship:entryRelationship1.observation.languageCoderequiredAllLanguages
Observation.entryRelationship:entryRelationship1.observation.valuepreferredPressureUlcerStage
Observation.entryRelationship:entryRelationship1.observation.interpretationCoderequiredObservationInterpretation
Observation.entryRelationship:entryRelationship1.observation.methodCodeexampleObservationMethod
Observation.entryRelationship:entryRelationship1.observation.referenceRange.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.observation.referenceRange.typeId.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.observation.referenceRange.typeCoderequiredFixed Value: REFV
Observation.referenceRange.nullFlavorrequiredCDANullFlavor
Observation.referenceRange.typeId.nullFlavorrequiredCDANullFlavor
Observation.referenceRange.typeCoderequiredFixed Value: REFV

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningObservationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorObservation.text.referenceIf 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: 21 elements
Fixed Value: 6 elements

Slices

This structure defines the following Slices:

  • The element Observation.templateId is sliced based on the values of value:root, value:extension
  • The element Observation.code.translation is sliced based on the values of value:codeSystem, value:code
  • The element Observation.entryRelationship is sliced based on the values of value:typeCode, exists:observation

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C1..1ObservationXML 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
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:numberof-pressure-ulcers-obs 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.76
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csFixed Value: OBS
... @moodCode 1..1csFixed Value: EVN
... code 1..1CD
.... @code 1..1csRequired Pattern: 2264892003
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... @code 1..1csRequired Pattern: 75277-4
...... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CS
.... @code 1..1csFixed Value: completed
... effectiveTime 1..1IVL_TS
... value 1..1INT
... author 0..1Author
... Slices for entryRelationship 1..*EntryRelationshipSlice: Unordered, Open by value:typeCode, exists:observation
.... entryRelationship:entryRelationship1 1..1EntryRelationship
..... @typeCode 1..1csFixed Value: SUBJ
..... observation 1..1Observation
...... @classCode 1..1csFixed Value: OBS
...... @moodCode 1..1csFixed Value: EVN
...... code 1..1CDSG 20230709: This constraint not entered properly in TWB - missing codesystem and code set at top level rather than on observation.code.code - added observation.code.code and observation.code.codeSystem
....... @code 1..1csRequired Pattern: ASSERTION
....... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.5.4
...... value 1..1CDBinding: Pressure Ulcer Stage (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.entryRelationship:entryRelationship1.observation.valuepreferredPressureUlcerStage

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningObservationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorObservation.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C1..1ObservationXML 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
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:numberof-pressure-ulcers-obs 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.76
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csBinding: ActClassObservation (2.0.0) (required)
Fixed Value: OBS
... @moodCode 1..1csBinding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
... code 1..1CDBinding: ObservationType (example)
.... @code 1..1csRequired Pattern: 2264892003
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... @code 1..1csRequired Pattern: 75277-4
...... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csFixed Value: completed
... effectiveTime 1..1IVL_TS
... value 1..1INT
... author 0..1Author
... Slices for entryRelationship 1..*EntryRelationshipSlice: Unordered, Open by value:typeCode, exists:observation
.... entryRelationship:entryRelationship1 1..1EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... observation 1..1Observation
...... @classCode 1..1csBinding: ActClassObservation (2.0.0) (required)
Fixed Value: OBS
...... @moodCode 1..1csBinding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
...... code 1..1CDSG 20230709: This constraint not entered properly in TWB - missing codesystem and code set at top level rather than on observation.code.code - added observation.code.code and observation.code.codeSystem
Binding: ObservationType (example)
....... @code 1..1csRequired Pattern: ASSERTION
....... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.5.4
...... value 1..1CDBinding: Pressure Ulcer Stage (preferred)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.classCoderequiredFixed Value: OBS
Observation.moodCoderequiredFixed Value: EVN
Observation.codeexampleObservationType
Observation.statusCoderequiredActStatus
Observation.entryRelationship:entryRelationship1.typeCoderequiredFixed Value: SUBJ
Observation.entryRelationship:entryRelationship1.observation.classCoderequiredFixed Value: OBS
Observation.entryRelationship:entryRelationship1.observation.moodCoderequiredFixed Value: EVN
Observation.entryRelationship:entryRelationship1.observation.codeexampleObservationType
Observation.entryRelationship:entryRelationship1.observation.valuepreferredPressureUlcerStage

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningObservationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorObservation.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C1..1ObservationXML 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
... @nullFlavor 0..1csBinding: CDANullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1st
.... @displayable 0..1bl
.... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1st
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:numberof-pressure-ulcers-obs 1..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.76
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csBinding: ActClassObservation (2.0.0) (required)
Fixed Value: OBS
... @moodCode 1..1csBinding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
... @negationInd 0..1bl
... id 1..*II
... code 1..1CDBinding: ObservationType (example)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 1..1csRequired Pattern: 2264892003
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... @codeSystemName 0..1st
.... @codeSystemVersion 0..1st
.... @displayName 0..1st
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @code 1..1csRequired Pattern: 75277-4
...... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
...... @codeSystemName 0..1st
...... @codeSystemVersion 0..1st
...... @displayName 0..1st
...... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
...... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
...... originalText 0..1ED
...... qualifier 0..*CR
...... translation 0..*CD
... derivationExpr 0..1ST
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @compression 0..1csBinding: CompressionAlgorithm (required)
.... @integrityCheck 0..1bin
.... @integrityCheckAlgorithm 0..1csBinding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1cs
.... @mediaType 0..1csBinding: MediaType (example)
.... @representation 0..1csBinding: Binary Data Encoding Value Set (required)
.... xmlText 0..1stAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... thumbnail 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 1..1csFixed Value: completed
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (example)
... repeatNumber 0..1IVL_INT
... languageCode 0..1CSBinding: AllLanguages (required)
... value 1..1INT
... interpretationCode 0..*CEBinding: ObservationInterpretation (required)
... methodCode 0..*CEBinding: ObservationMethod (example)
... targetSiteCode 0..*CD
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..1Author
... informant 0..*Informant
... participant 0..*Participant2
... Slices for entryRelationship 1..*EntryRelationshipSlice: Unordered, Open by value:typeCode, exists:observation
.... entryRelationship:entryRelationship1 1..1EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1Observation
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
....... @nullFlavor 0..1csBinding: CDANullFlavor (required)
....... @assigningAuthorityName 0..1st
....... @displayable 0..1bl
....... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
....... @extension 1..1st
...... templateId 0..*II
...... @classCode 1..1csBinding: ActClassObservation (2.0.0) (required)
Fixed Value: OBS
...... @moodCode 1..1csBinding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
...... @negationInd 0..1bl
...... id 0..*II
...... code 1..1CDSG 20230709: This constraint not entered properly in TWB - missing codesystem and code set at top level rather than on observation.code.code - added observation.code.code and observation.code.codeSystem
Binding: ObservationType (example)
....... @nullFlavor 0..1csBinding: CDANullFlavor (required)
....... @code 1..1csRequired Pattern: ASSERTION
....... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.5.4
....... @codeSystemName 0..1st
....... @codeSystemVersion 0..1st
....... @displayName 0..1st
....... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
....... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
....... originalText 0..1ED
....... qualifier 0..*CR
....... translation 0..*CD
...... derivationExpr 0..1ST
...... text 0..1ED
...... statusCode 0..1CSBinding: ActStatus (required)
...... effectiveTime 0..1IVL_TS
...... priorityCode 0..1CEBinding: ActPriority (example)
...... repeatNumber 0..1IVL_INT
...... languageCode 0..1CSBinding: AllLanguages (required)
...... value 1..1CDBinding: Pressure Ulcer Stage (preferred)
...... interpretationCode 0..*CEBinding: ObservationInterpretation (required)
...... methodCode 0..*CEBinding: ObservationMethod (example)
...... targetSiteCode 0..*CD
...... subject 0..1Subject
...... 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..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
...... referenceRange 0..*InfrastructureRoot
....... @nullFlavor 0..1csBinding: CDANullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
........ @nullFlavor 0..1csBinding: CDANullFlavor (required)
........ @assigningAuthorityName 0..1st
........ @displayable 0..1bl
........ @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
........ @extension 1..1st
....... templateId 0..*II
....... @typeCode 0..1csBinding: ActRelationshipType (2.0.0) (required)
Fixed Value: REFV
....... observationRange 1..1ObservationRange
...... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
... reference 0..*Reference
... precondition 0..*Precondition
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... referenceRange 0..*InfrastructureRoot
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1st
.... templateId 0..*II
.... @typeCode 0..1csBinding: ActRelationshipType (2.0.0) (required)
Fixed Value: REFV
.... observationRange 1..1ObservationRange
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.nullFlavorrequiredCDANullFlavor
Observation.typeId.nullFlavorrequiredCDANullFlavor
Observation.templateId:numberof-pressure-ulcers-obs.nullFlavorrequiredCDANullFlavor
Observation.classCoderequiredFixed Value: OBS
Observation.moodCoderequiredFixed Value: EVN
Observation.codeexampleObservationType
Observation.code.nullFlavorrequiredCDANullFlavor
Observation.code.translation:translation1.nullFlavorrequiredCDANullFlavor
Observation.text.nullFlavorrequiredCDANullFlavor
Observation.text.compressionrequiredCDACompressionAlgorithm
Observation.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
Observation.text.mediaTypeexampleMediaType
Observation.text.representationrequiredBinaryDataEncoding
Observation.statusCoderequiredActStatus
Observation.statusCode.nullFlavorrequiredCDANullFlavor
Observation.priorityCodeexampleActPriority
Observation.languageCoderequiredAllLanguages
Observation.interpretationCoderequiredObservationInterpretation
Observation.methodCodeexampleObservationMethod
Observation.entryRelationship:entryRelationship1.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.typeId.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.typeCoderequiredFixed Value: SUBJ
Observation.entryRelationship:entryRelationship1.observation.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.observation.typeId.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.observation.classCoderequiredFixed Value: OBS
Observation.entryRelationship:entryRelationship1.observation.moodCoderequiredFixed Value: EVN
Observation.entryRelationship:entryRelationship1.observation.codeexampleObservationType
Observation.entryRelationship:entryRelationship1.observation.code.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.observation.statusCoderequiredActStatus
Observation.entryRelationship:entryRelationship1.observation.priorityCodeexampleActPriority
Observation.entryRelationship:entryRelationship1.observation.languageCoderequiredAllLanguages
Observation.entryRelationship:entryRelationship1.observation.valuepreferredPressureUlcerStage
Observation.entryRelationship:entryRelationship1.observation.interpretationCoderequiredObservationInterpretation
Observation.entryRelationship:entryRelationship1.observation.methodCodeexampleObservationMethod
Observation.entryRelationship:entryRelationship1.observation.referenceRange.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.observation.referenceRange.typeId.nullFlavorrequiredCDANullFlavor
Observation.entryRelationship:entryRelationship1.observation.referenceRange.typeCoderequiredFixed Value: REFV
Observation.referenceRange.nullFlavorrequiredCDANullFlavor
Observation.referenceRange.typeId.nullFlavorrequiredCDANullFlavor
Observation.referenceRange.typeCoderequiredFixed Value: REFV

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningObservationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorObservation.text.referenceIf 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: 21 elements
Fixed Value: 6 elements

Slices

This structure defines the following Slices:

  • The element Observation.templateId is sliced based on the values of value:root, value:extension
  • The element Observation.code.translation is sliced based on the values of value:codeSystem, value:code
  • The element Observation.entryRelationship is sliced based on the values of value:typeCode, exists:observation

 

Other representations of profile: CSV, Excel