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: ResultObservation - Detailed Descriptions

Draft as of 2023-12-21

Definitions for the ResultObservation logical model.

Guidance on how to interpret the contents of this table can be found here

0. Observation
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-interpretationCode: SHOULD contain interpretationCode (interpretationCode.exists())
should-author: SHOULD contain author (author.exists())
should-referenceRange: SHOULD contain referenceRange (referenceRange.exists())
2. Observation.templateId
Control1..?
SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
4. Observation.templateId:result-obs
Slice Nameresult-obs
Control1..1
6. Observation.templateId:result-obs.root
Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.2
8. Observation.templateId:result-obs.extension
Control1..?
Pattern Value2023-05-01
10. Observation.classCode
Comments

SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-7130).

Fixed ValueOBS
12. Observation.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-7131).

Fixed ValueEVN
14. Observation.id
Comments

SHALL contain at least one [1..*] id (CONF:4537-7137).

Control1..?
16. Observation.code
Short(USCDI) Tests
Comments

SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4537-7133).

Invariantsshall-code-or-nullflavor: SHALL contain either a @code attribute or a @nullFlavor attribute, but not both. ((code | nullFlavor).count() = 1)
4537-19212: This code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212). (codeSystem = '2.16.840.1.113883.6.1')
18. Observation.code.nullFlavor
Comments

Either code or nullFlavor MUST be present

20. Observation.code.code
Comments

Either code or nullFlavor MUST be present

22. Observation.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
24. Observation.text.reference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
26. Observation.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4537-7134).

Control1..?
28. Observation.statusCode.code
Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Result Status urn:oid:2.16.840.1.113883.11.20.9.39 STATIC (CONF:4537-14849).

Control1..?
BindingThe codes SHALL be taken from Result Status
30. Observation.effectiveTime
ShortRepresents the clinically relevant time of the measurement (e.g., the time a blood pressure reading is obtained, the time the blood sample was obtained for a chemistry test).
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:4537-7140).

Control1..?
32. Observation.value
Short(USCDI) Values/Results - Value can be any type, but certain types have additional rules.
Control1..1
SlicingThis element introduces a set of slices on Observation.value. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
34. Observation.value:physical-quantity
Slice Namephysical-quantity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
36. Observation.value:physical-quantity.unit
Short(USCDI) Result Unit of Measure
Control1..?
BindingThe codes SHOULD be taken from UnitsOfMeasureCaseSensitive
38. Observation.value:physical-quantity.translation
ShortCan be used to represent the original results as output by the lab
Control0..1
40. Observation.value:coded
Slice Namecoded
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
Invariants4537-32610: If Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610). (codeSystem = '2.16.840.1.113883.6.96' or codeSystem = '2.16.840.1.113883.6.1')
42. Observation.value:coded.translation
ShortCan be used to represent the original results as output by the lab
Control0..1
44. Observation.interpretationCode
Short(USCDI) Result Interpretation
Comments

SHOULD contain zero or more [0..*] interpretationCode, which SHALL be selected from ValueSet Observation Interpretation (HL7) urn:oid:2.16.840.1.113883.1.11.78 DYNAMIC (CONF:4537-7147).

46. Observation.methodCode
Comments

MAY contain zero or one [0..1] methodCode (CONF:4537-7148).

Control0..1
48. Observation.targetSiteCode
Comments

MAY contain zero or one [0..1] targetSiteCode (CONF:4537-7153).

Control0..1
50. Observation.author
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4537-7149).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
52. Observation.referenceRange
Short(USCDI) Result Reference Range
Comments

SHOULD contain zero or more [0..*] referenceRange (CONF:4537-7150).

54. Observation.referenceRange.observationRange
Comments

The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:4537-7151).

56. Observation.referenceRange.observationRange.code
Comments

This observationRange SHALL NOT contain [0..0] code (CONF:4537-7152).

Control0..0
58. Observation.referenceRange.observationRange.value
Comments

This observationRange SHALL contain exactly one [1..1] value (CONF:4537-32175).

Control1..?

Guidance on how to interpret the contents of this table can be found here

0. Observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.


Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-interpretationCode: SHOULD contain interpretationCode (interpretationCode.exists())
should-author: SHOULD contain author (author.exists())
should-referenceRange: SHOULD contain referenceRange (referenceRange.exists())
2. Observation.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
4. Observation.templateId:result-obs
Slice Nameresult-obs
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
6. Observation.templateId:result-obs.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.2
8. Observation.templateId:result-obs.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2023-05-01
10. Observation.classCode
Comments

SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-7130).

Control1..1
BindingThe codes SHALL be taken from ActClassObservation (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOBS
12. Observation.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-7131).

Control1..1
BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
14. Observation.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

SHALL contain at least one [1..*] id (CONF:4537-7137).


Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

Control10..*1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
Is Modifierfalse
16. Observation.code
Definition

Describes what was observed. Sometimes this is called the observation "name".

Short(USCDI) TestsType of observation (code / type)
Comments

SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4537-7133).


All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

Control1..1
This element is affected by the following invariants: obs-7
BindingFor example codes, see ObservationTypehttp://hl7.org/fhir/ValueSet/observation-codes
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept
Is Modifierfalse
XML FormatThe type of this property is determined using the xsi:typeattribute.
Requirements

Knowing what kind of observation is being made is essential to understanding the observation.

Alternate NamesName
Invariantsshall-code-or-nullflavor: SHALL contain either a @code attribute or a @nullFlavor attribute, but not both. ((code | nullFlavor).count() = 1)
4537-19212: This code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212). (codeSystem = '2.16.840.1.113883.6.1')
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Observation.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Comments

Either code or nullFlavor MUST be present

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
20. Observation.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

Either code or nullFlavor MUST be present

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
22. Observation.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortSHOULD reference the portion of section narrative text corresponding to this entryText summary of the resource, for human interpretation
Comments

Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
This element is affected by the following invariants: dom-6
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EDNarrative
Is Modifierfalse
XML FormatThe type of this property is determined using the xsi:typeattribute.
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Observation.text.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
LabelReference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
26. Observation.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4537-7134).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
28. Observation.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Result Status urn:oid:2.16.840.1.113883.11.20.9.39 STATIC (CONF:4537-14849).

Control1..1
BindingThe codes SHALL be taken from Result Status
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
30. Observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
32. Observation.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
34. Observation.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
36. Observation.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
38. Observation.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
40. Observation.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
42. Observation.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
44. Observation.effectiveTime
ShortRepresents the clinically relevant time of the measurement (e.g., the time a blood pressure reading is obtained, the time the blood sample was obtained for a chemistry test).
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:4537-7140).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
46. Observation.value
Short(USCDI) Values/Results - Value can be any type, but certain types have additional rules.
Control1..1
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
XML FormatThe type of this property is determined using the xsi:typeattribute.
SlicingThis element introduces a set of slices on Observation.value. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
48. Observation.value:physical-quantity
Slice Namephysical-quantity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
XML FormatThe type of this property is determined using the xsi:typeattribute.
50. Observation.value:physical-quantity.unit
Definition

The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].

Short(USCDI) Result Unit of Measure
Control1..1
BindingThe codes SHOULD be taken from UnitsOfMeasureCaseSensitive
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelUnit of Measure
Default Value1
52. Observation.value:physical-quantity.translation
Definition

An alternative representation of the same physical quantity expressed in a different unit, of a different unit code system and possibly with a different value.

ShortCan be used to represent the original results as output by the lab
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQR
LabelTranslation
54. Observation.value:coded
Slice Namecoded
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariants4537-32610: If Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610). (codeSystem = '2.16.840.1.113883.6.96' or codeSystem = '2.16.840.1.113883.6.1')
56. Observation.value:coded.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

ShortCan be used to represent the original results as output by the lab
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
58. Observation.interpretationCode
Short(USCDI) Result Interpretation
Comments

SHOULD contain zero or more [0..*] interpretationCode, which SHALL be selected from ValueSet Observation Interpretation (HL7) urn:oid:2.16.840.1.113883.1.11.78 DYNAMIC (CONF:4537-7147).

Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
60. Observation.methodCode
Comments

MAY contain zero or one [0..1] methodCode (CONF:4537-7148).

Control0..1
BindingFor example codes, see ObservationMethod
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
62. Observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Comments

MAY contain zero or one [0..1] targetSiteCode (CONF:4537-7153).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
64. Observation.author
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4537-7149).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
66. Observation.referenceRange
Definition

Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.


Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two referenceRange elements would be used.

Short(USCDI) Result Reference RangeProvides guide for interpretation
Comments

SHOULD contain zero or more [0..*] referenceRange (CONF:4537-7150).


Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRootBackboneElement
Is Modifierfalse
Requirements

Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
obs-3: Must have at least a low or a high or text (low.exists() or high.exists() or text.exists())
68. Observation.referenceRange.observationRange
Comments

The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:4537-7151).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
70. Observation.referenceRange.observationRange.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueOBS
72. Observation.referenceRange.observationRange.code
Comments

This observationRange SHALL NOT contain [0..0] code (CONF:4537-7152).

Control0..0
BindingFor example codes, see v3 Code System ActCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
74. Observation.referenceRange.observationRange.value
Comments

This observationRange SHALL contain exactly one [1..1] value (CONF:4537-32175).

Control1..1
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.

Guidance on how to interpret the contents of this table can be found here

0. Observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Control1..1
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-interpretationCode: SHOULD contain interpretationCode (interpretationCode.exists())
should-author: SHOULD contain author (author.exists())
should-referenceRange: SHOULD contain referenceRange (referenceRange.exists())
2. Observation.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
4. Observation.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
6. Observation.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
8. Observation.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
10. Observation.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
12. Observation.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
14. Observation.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
16. Observation.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
18. Observation.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
20. Observation.templateId:result-obs
Slice Nameresult-obs
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
22. Observation.templateId:result-obs.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
24. Observation.templateId:result-obs.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
26. Observation.templateId:result-obs.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
28. Observation.templateId:result-obs.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.2
30. Observation.templateId:result-obs.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2023-05-01
32. Observation.classCode
Comments

SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-7130).

Control1..1
BindingThe codes SHALL be taken from ActClassObservation (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOBS
34. Observation.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-7131).

Control1..1
BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
36. Observation.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
38. Observation.id
Comments

SHALL contain at least one [1..*] id (CONF:4537-7137).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
40. Observation.code
Short(USCDI) Tests
Comments

SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4537-7133).

Control1..1
BindingFor example codes, see ObservationType
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariantsshall-code-or-nullflavor: SHALL contain either a @code attribute or a @nullFlavor attribute, but not both. ((code | nullFlavor).count() = 1)
4537-19212: This code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212). (codeSystem = '2.16.840.1.113883.6.1')
42. Observation.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Comments

Either code or nullFlavor MUST be present

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
44. Observation.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

Either code or nullFlavor MUST be present

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
46. Observation.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
48. Observation.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
50. Observation.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
52. Observation.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
54. Observation.code.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
56. Observation.code.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
58. Observation.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
60. Observation.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
62. Observation.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
64. Observation.derivationExpr
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
66. Observation.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
XML FormatThe type of this property is determined using the xsi:typeattribute.
68. Observation.text.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
70. Observation.text.compression
Definition

Indicates whether the raw byte data is compressed, and what compression algorithm was used.

Control0..1
BindingThe codes SHALL be taken from CompressionAlgorithm
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCompression
72. Observation.text.integrityCheck
Definition

The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

Control0..1
Typebase64Binary(bin: Binary Data)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelIntegrity Check
74. Observation.text.integrityCheckAlgorithm
Definition

Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

Control0..1
BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelIntegrity Check Algorithm
76. Observation.text.language
Definition

For character based information the language property specifies the human language of the text.

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelLanguage
78. Observation.text.mediaType
Definition

Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

Control0..1
BindingFor example codes, see MediaType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelMedia Type
80. Observation.text.representation
Control0..1
BindingThe codes SHALL be taken from Binary Data Encoding Value Set
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
82. Observation.text.xmlText
Definition

Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments

This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as unadorned text.
84. Observation.text.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
LabelReference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
86. Observation.text.thumbnail
Definition

An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelThumbnail
88. Observation.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4537-7134).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
90. Observation.statusCode.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
92. Observation.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Result Status urn:oid:2.16.840.1.113883.11.20.9.39 STATIC (CONF:4537-14849).

Control1..1
BindingThe codes SHALL be taken from Result Status
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
94. Observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
96. Observation.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
98. Observation.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
100. Observation.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
102. Observation.statusCode.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
104. Observation.statusCode.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
106. Observation.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
108. Observation.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
110. Observation.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
112. Observation.effectiveTime
ShortRepresents the clinically relevant time of the measurement (e.g., the time a blood pressure reading is obtained, the time the blood sample was obtained for a chemistry test).
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:4537-7140).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
114. Observation.priorityCode
Control0..1
BindingFor example codes, see ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
116. Observation.repeatNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
118. Observation.languageCode
Control0..1
BindingThe codes SHALL be taken from AllLanguages
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
120. Observation.value
Short(USCDI) Values/Results - Value can be any type, but certain types have additional rules.
Control1..1
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
XML FormatThe type of this property is determined using the xsi:typeattribute.
SlicingThis element introduces a set of slices on Observation.value. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
122. Observation.value:physical-quantity
Slice Namephysical-quantity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
XML FormatThe type of this property is determined using the xsi:typeattribute.
124. Observation.value:physical-quantity.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
126. Observation.value:physical-quantity.unit
Definition

The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].

Short(USCDI) Result Unit of Measure
Control1..1
BindingThe codes SHOULD be taken from UnitsOfMeasureCaseSensitive
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelUnit of Measure
Default Value1
128. Observation.value:physical-quantity.value
Definition

The magnitude of the quantity measured in terms of the unit.

Control0..1
Typedecimal(real: Real Number)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelMaginitude Value
130. Observation.value:physical-quantity.translation
Definition

An alternative representation of the same physical quantity expressed in a different unit, of a different unit code system and possibly with a different value.

ShortCan be used to represent the original results as output by the lab
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQR
LabelTranslation
132. Observation.value:coded
Slice Namecoded
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariants4537-32610: If Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610). (codeSystem = '2.16.840.1.113883.6.96' or codeSystem = '2.16.840.1.113883.6.1')
134. Observation.value:coded.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
136. Observation.value:coded.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
138. Observation.value:coded.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
140. Observation.value:coded.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
142. Observation.value:coded.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
144. Observation.value:coded.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
146. Observation.value:coded.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
148. Observation.value:coded.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
150. Observation.value:coded.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
152. Observation.value:coded.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
154. Observation.value:coded.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

ShortCan be used to represent the original results as output by the lab
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
156. Observation.interpretationCode
Short(USCDI) Result Interpretation
Comments

SHOULD contain zero or more [0..*] interpretationCode, which SHALL be selected from ValueSet Observation Interpretation (HL7) urn:oid:2.16.840.1.113883.1.11.78 DYNAMIC (CONF:4537-7147).

Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
158. Observation.methodCode
Comments

MAY contain zero or one [0..1] methodCode (CONF:4537-7148).

Control0..1
BindingFor example codes, see ObservationMethod
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
160. Observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Comments

MAY contain zero or one [0..1] targetSiteCode (CONF:4537-7153).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
162. Observation.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
164. Observation.specimen
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
166. Observation.performer
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
168. Observation.author
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4537-7149).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
170. Observation.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
172. Observation.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
174. Observation.entryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
176. Observation.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
178. Observation.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
180. Observation.sdtcPrecondition2
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
182. Observation.referenceRange
Definition

Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.

Short(USCDI) Result Reference Range
Comments

SHOULD contain zero or more [0..*] referenceRange (CONF:4537-7150).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
184. Observation.referenceRange.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
186. Observation.referenceRange.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
188. Observation.referenceRange.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
190. Observation.referenceRange.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
192. Observation.referenceRange.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
194. Observation.referenceRange.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
196. Observation.referenceRange.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
198. Observation.referenceRange.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
200. Observation.referenceRange.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
202. Observation.referenceRange.typeCode
Control0..1
BindingThe codes SHALL be taken from ActRelationshipType (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFV
204. Observation.referenceRange.observationRange
Comments

The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:4537-7151).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
206. Observation.referenceRange.observationRange.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
208. Observation.referenceRange.observationRange.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
210. Observation.referenceRange.observationRange.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
212. Observation.referenceRange.observationRange.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
214. Observation.referenceRange.observationRange.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
216. Observation.referenceRange.observationRange.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
218. Observation.referenceRange.observationRange.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
220. Observation.referenceRange.observationRange.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
222. Observation.referenceRange.observationRange.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
224. Observation.referenceRange.observationRange.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueOBS
226. Observation.referenceRange.observationRange.moodCode
Control0..1
BindingThe codes SHALL be taken from ActMoodPredicate
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN.CRT
228. Observation.referenceRange.observationRange.code
Comments

This observationRange SHALL NOT contain [0..0] code (CONF:4537-7152).

Control0..0
BindingFor example codes, see v3 Code System ActCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
230. Observation.referenceRange.observationRange.text
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
232. Observation.referenceRange.observationRange.value
Comments

This observationRange SHALL contain exactly one [1..1] value (CONF:4537-32175).

Control1..1
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
234. Observation.referenceRange.observationRange.interpretationCode
Control0..1
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
236. Observation.referenceRange.observationRange.sdtcPrecondition1
Definition

The sdtc:precondition1 extension allows for the association of a criterion with a reference range (ObservationRange), which allows the expression in a lab report that a reference range is conditional on some criterion such as patient sex or age (or a combination of criterion).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition1.
238. Observation.referenceRange.observationRange.sdtcPrecondition1.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
240. Observation.referenceRange.observationRange.sdtcPrecondition1.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
242. Observation.referenceRange.observationRange.sdtcPrecondition1.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
244. Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
246. Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
248. Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
250. Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
252. Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
254. Observation.referenceRange.observationRange.sdtcPrecondition1.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
256. Observation.referenceRange.observationRange.sdtcPrecondition1.typeCode
Control0..1
BindingThe codes SHALL be taken from ActRelationshipType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePRCN
258. Observation.referenceRange.observationRange.sdtcPrecondition1.conjunctionCode
Definition

A code specifying the logical conjunction of the criteria among all the condition-links of Acts (e.g., and, or, exclusive-or). All AND criteria must be true. If OR and AND criteria occur together, one criterion out of the OR-group must be true and all AND criteria must be true also. If XOR criteria occur together with OR and AND criteria, exactly one of the XOR criteria must be true, and at least one of the OR criteria and all AND criteria must be true. In other words, the sets of AND, OR, and XOR criteria are in turn combined by a logical AND operator (all AND criteria and at least one OR criterion and exactly one XOR criterion).

Control1..1
BindingThe codes SHALL be taken from RelationshipConjunction (2.0.0)
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
260. Observation.referenceRange.observationRange.sdtcPrecondition1.criterion1
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
262. Observation.sdtcInFulfillmentOf1
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.