Highest Pressure Ulcer Stage - Consolidated CDA (C-CDA) v3.0.0

Consolidated CDA (C-CDA)
3.0.0 - STU3 United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Logical Model: Highest Pressure Ulcer Stage

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/HighestPressureUlcerStage				Version: 3.0.0
Draft as of 2024-05-18				Computable Name: HighestPressureUlcerStage
Other Identifiers: OID:2.16.840.1.113883.10.20.22.4.77

This observation contains a description of the wound tissue of the most severe or highest staged pressure ulcer observed on a patient.

Usage:

Use this Logical Model: Longitudinal Care Wound Observation

Formal Views of Template Content

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

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation	C	1..1	Observation	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root
templateId:highest-pressure-ulcer-stage		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.77
@extension		0..0
@classCode		1..1	cs	Fixed Value: OBS
@moodCode		1..1	cs	Fixed Value: EVN
id		1..*	II
code		1..1	CD	Highest pressure injury stage
@code		1..1	cs	Required Pattern: 420905001
@codeSystem		1..1	oid, uuid, ruid	SNOMED CT Required Pattern: 2.16.840.1.113883.6.96
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
value		1..1	ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
should-text-ref-value	warning	Observation	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Observation.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Name	Flags	Card.	Type	Description & Constraints
Observation	C	1..1	Observation	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root
templateId:highest-pressure-ulcer-stage		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.77
@classCode		1..1	cs	Binding: CDAActClassObservation (required) Fixed Value: OBS
@moodCode		1..1	cs	Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN
id		1..*	II
code		1..1	CD	Highest pressure injury stage Binding: ObservationType (example)
@code		1..1	cs	Required Pattern: 420905001
@codeSystem		1..1	oid, uuid, ruid	SNOMED CT Required Pattern: 2.16.840.1.113883.6.96
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
value		1..1
value			ANY
value			BL
value			ED
value			ST
value			CD
value			CV
value			CE
value			CO
value			SC
value			II
value			TEL
value			AD
value			EN
value			INT
value			REAL
value			PQ
value			MO
value			TS
value			IVL_PQ
value			IVL_TS
value			PIVL_TS
value			EIVL_TS
value			SXPR_TS
value			RTO_PQ_PQ
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.classCode	required	Fixed Value: OBS `http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation`
Observation.moodCode	required	Fixed Value: EVN `http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation\|2.0.0`
Observation.code	example	ObservationType `http://terminology.hl7.org/ValueSet/v3-ObservationType`

Constraints

Id	Grade	Path(s)	Details	Requirements
should-text-ref-value	warning	Observation	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Observation.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Name	Flags	Card.	Type	Description & Constraints
Observation	C	1..1	Observation	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root
templateId:highest-pressure-ulcer-stage		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.77
@classCode		1..1	cs	Binding: CDAActClassObservation (required) Fixed Value: OBS
@moodCode		1..1	cs	Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN
@negationInd		0..1	bl
id		1..*	II
code		1..1	CD	Highest pressure injury stage Binding: ObservationType (example)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: 420905001
@codeSystem		1..1	oid, uuid, ruid	SNOMED CT Required Pattern: 2.16.840.1.113883.6.96
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
qualifier		0..*	CR
translation		0..*	CD
derivationExpr		0..1	ST
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
thumbnail		0..1	ED
statusCode		0..1	CS	Binding: ActStatus (required)
effectiveTime		0..1	IVL_TS
priorityCode		0..1	CE	Binding: ActPriority (example)
repeatNumber		0..1	IVL_INT
languageCode		0..1	CS	Binding: AllLanguages (required)
value		1..1
value			ANY
value			BL
value			ED
value			ST
value			CD
value			CV
value			CE
value			CO
value			SC
value			II
value			TEL
value			AD
value			EN
value			INT
value			REAL
value			PQ
value			MO
value			TS
value			IVL_PQ
value			IVL_TS
value			PIVL_TS
value			EIVL_TS
value			SXPR_TS
value			RTO_PQ_PQ
interpretationCode		0..*	CE	Binding: CDAObservationInterpretation (required)
methodCode		0..*	CE	Binding: ObservationMethod (example)
targetSiteCode		0..*	CD
subject		0..1	Subject
specimen		0..*	Specimen
performer		0..*	Performer2
author		0..*	Author
informant		0..*	Informant
participant		0..*	Participant2
entryRelationship		0..*	EntryRelationship
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
referenceRange		0..*	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAActRelationshipType (required) Fixed Value: REFV
observationRange		1..1	ObservationRange
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.typeId.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.templateId:highest-pressure-ulcer-stage.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.classCode	required	Fixed Value: OBS `http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation`
Observation.moodCode	required	Fixed Value: EVN `http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation\|2.0.0`
Observation.code	example	ObservationType `http://terminology.hl7.org/ValueSet/v3-ObservationType`
Observation.code.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.text.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.text.compression	required	CDACompressionAlgorithm `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm`
Observation.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm\|2.0.0`
Observation.text.mediaType	example	MediaType `http://terminology.hl7.org/ValueSet/v3-MediaType`
Observation.text.representation	required	BinaryDataEncoding `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding`
Observation.statusCode	required	ActStatus `http://terminology.hl7.org/ValueSet/v3-ActStatus`
Observation.priorityCode	example	ActPriority `http://terminology.hl7.org/ValueSet/v3-ActPriority`
Observation.languageCode	required	AllLanguages `http://hl7.org/fhir/ValueSet/all-languages` from the FHIR Standard
Observation.interpretationCode	required	CDAObservationInterpretation `http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation`
Observation.methodCode	example	ObservationMethod `http://terminology.hl7.org/ValueSet/v3-ObservationMethod`
Observation.referenceRange.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.referenceRange.typeId.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.referenceRange.typeCode	required	Fixed Value: REFV `http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType`

Constraints

Id	Grade	Path(s)	Details	Requirements
should-text-ref-value	warning	Observation	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Observation.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

This structure is derived from Observation

Summary

Mandatory: 7 elements
Fixed: 2 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Observation.templateId

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation	C	1..1	Observation	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root
templateId:highest-pressure-ulcer-stage		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.77
@extension		0..0
@classCode		1..1	cs	Fixed Value: OBS
@moodCode		1..1	cs	Fixed Value: EVN
id		1..*	II
code		1..1	CD	Highest pressure injury stage
@code		1..1	cs	Required Pattern: 420905001
@codeSystem		1..1	oid, uuid, ruid	SNOMED CT Required Pattern: 2.16.840.1.113883.6.96
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
value		1..1	ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
should-text-ref-value	warning	Observation	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Observation.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	1..1	Observation	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root
templateId:highest-pressure-ulcer-stage		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.77
@classCode		1..1	cs	Binding: CDAActClassObservation (required) Fixed Value: OBS
@moodCode		1..1	cs	Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN
id		1..*	II
code		1..1	CD	Highest pressure injury stage Binding: ObservationType (example)
@code		1..1	cs	Required Pattern: 420905001
@codeSystem		1..1	oid, uuid, ruid	SNOMED CT Required Pattern: 2.16.840.1.113883.6.96
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
value		1..1
value			ANY
value			BL
value			ED
value			ST
value			CD
value			CV
value			CE
value			CO
value			SC
value			II
value			TEL
value			AD
value			EN
value			INT
value			REAL
value			PQ
value			MO
value			TS
value			IVL_PQ
value			IVL_TS
value			PIVL_TS
value			EIVL_TS
value			SXPR_TS
value			RTO_PQ_PQ
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.classCode	required	Fixed Value: OBS `http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation`
Observation.moodCode	required	Fixed Value: EVN `http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation\|2.0.0`
Observation.code	example	ObservationType `http://terminology.hl7.org/ValueSet/v3-ObservationType`

Constraints

Id	Grade	Path(s)	Details	Requirements
should-text-ref-value	warning	Observation	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Observation.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	1..1	Observation	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root
templateId:highest-pressure-ulcer-stage		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.77
@classCode		1..1	cs	Binding: CDAActClassObservation (required) Fixed Value: OBS
@moodCode		1..1	cs	Binding: XActMoodDocumentObservation (2.0.0) (required) Fixed Value: EVN
@negationInd		0..1	bl
id		1..*	II
code		1..1	CD	Highest pressure injury stage Binding: ObservationType (example)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: 420905001
@codeSystem		1..1	oid, uuid, ruid	SNOMED CT Required Pattern: 2.16.840.1.113883.6.96
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
qualifier		0..*	CR
translation		0..*	CD
derivationExpr		0..1	ST
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
thumbnail		0..1	ED
statusCode		0..1	CS	Binding: ActStatus (required)
effectiveTime		0..1	IVL_TS
priorityCode		0..1	CE	Binding: ActPriority (example)
repeatNumber		0..1	IVL_INT
languageCode		0..1	CS	Binding: AllLanguages (required)
value		1..1
value			ANY
value			BL
value			ED
value			ST
value			CD
value			CV
value			CE
value			CO
value			SC
value			II
value			TEL
value			AD
value			EN
value			INT
value			REAL
value			PQ
value			MO
value			TS
value			IVL_PQ
value			IVL_TS
value			PIVL_TS
value			EIVL_TS
value			SXPR_TS
value			RTO_PQ_PQ
interpretationCode		0..*	CE	Binding: CDAObservationInterpretation (required)
methodCode		0..*	CE	Binding: ObservationMethod (example)
targetSiteCode		0..*	CD
subject		0..1	Subject
specimen		0..*	Specimen
performer		0..*	Performer2
author		0..*	Author
informant		0..*	Informant
participant		0..*	Participant2
entryRelationship		0..*	EntryRelationship
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
referenceRange		0..*	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAActRelationshipType (required) Fixed Value: REFV
observationRange		1..1	ObservationRange
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.typeId.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.templateId:highest-pressure-ulcer-stage.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.classCode	required	Fixed Value: OBS `http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation`
Observation.moodCode	required	Fixed Value: EVN `http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation\|2.0.0`
Observation.code	example	ObservationType `http://terminology.hl7.org/ValueSet/v3-ObservationType`
Observation.code.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.text.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.text.compression	required	CDACompressionAlgorithm `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm`
Observation.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm\|2.0.0`
Observation.text.mediaType	example	MediaType `http://terminology.hl7.org/ValueSet/v3-MediaType`
Observation.text.representation	required	BinaryDataEncoding `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding`
Observation.statusCode	required	ActStatus `http://terminology.hl7.org/ValueSet/v3-ActStatus`
Observation.priorityCode	example	ActPriority `http://terminology.hl7.org/ValueSet/v3-ActPriority`
Observation.languageCode	required	AllLanguages `http://hl7.org/fhir/ValueSet/all-languages` from the FHIR Standard
Observation.interpretationCode	required	CDAObservationInterpretation `http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation`
Observation.methodCode	example	ObservationMethod `http://terminology.hl7.org/ValueSet/v3-ObservationMethod`
Observation.referenceRange.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.referenceRange.typeId.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`
Observation.referenceRange.typeCode	required	Fixed Value: REFV `http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType`

Constraints

Id	Grade	Path(s)	Details	Requirements
should-text-ref-value	warning	Observation	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Observation.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

This structure is derived from Observation

Summary

Mandatory: 7 elements
Fixed: 2 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Observation.templateId

Other representations of profile: CSV, Excel

IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#3.0.0 based on FHIR 5.0.0. Generated 2024-05-18
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