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. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/BasicIndustryObservation | Version: 3.0.0 | |||
Draft as of 2024-05-18 | Computable Name: BasicIndustryObservation | |||
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.504:2023-05-01 |
This template represents a simple observation about the type of business that compensates for work or assigns work to an unpaid worker or volunteer (e.g., US Army, cement manufacturing, children and youth services). Multiple occupation industry observation instances in a single document or derived from multiple documents, represent a basic historical industry record.
Implementers should use the Basic Industry Observation template for conveying Industry in support of USCDI. It is recommended systems include the Basic Industry Observation in the Social History section. Implementers wishing to convey more advanced Industry detail may consider using HL7 CDA R2 Implementation Guide: C-CDA R2.1 Supplemental Templates for Occupational Data for Health in addition to this Observation.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from SocialHistoryObservation
Path | Conformance | ValueSet | URI |
Observation.value:coded | required | PHVS_Industry_NAICS_Detail _ODHhttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900 |
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 1..1 | SocialHistoryObservation | 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, templateId, templateId, classCode, moodCode, id, code, text, statusCode, effectiveTime, value, value, value, author, entryRelationship, entryRelationship, entryRelationship 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 should-value: SHOULD contain value 4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. should-sh-author: SHOULD contain author | ||||||
Slices for templateId | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||
templateId:social-history-obs | 1..1 | II | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.38 | |||||||
@extension | 1..1 | st | Required Pattern: 2022-06-01 | |||||||
templateId:basic-industry-obs | 1..1 | II | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.504 | |||||||
@extension | 1..1 | st | Required Pattern: 2023-05-01 | |||||||
@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 | C | 1..1 | CD | History of Occupation industry Binding: Social History Type (preferred) 4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). | ||||||
@code | 1..1 | cs | Required Pattern: 86188-0 | |||||||
@codeSystem | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |||||||
statusCode | 1..1 | CS | Binding: ActStatus (required) | |||||||
@code | 1..1 | cs | Fixed Value: completed | |||||||
effectiveTime | 1..1 | IVL_TS | ||||||||
Slices for value | 1..1 | (USCDI) Alcohol Use, Substance Use, SDOH Problems/Health Concerns Slice: Unordered, Open by type:$this | ||||||||
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 | |||||||||
value:coded | 1..1 | CD | Binding: Industry NAICS Detail (ODH) (required)
| |||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | |||||||
entryRelationship:supportingObs | 0..* | EntryRelationship | When an Assessment Scale Observation is contained in a Social History Observation instance that is a Social Determinant of Health Social History Observation, that Assessment Scale Observation MAY contain Assessment Scale Supporting Observations that contain LOINC question and answer pairs from SDOH screening instruments. | |||||||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SPRT | |||||||
observation | C | 1..1 | AssessmentScaleObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value | ||||||
entryRelationship:entryReference | 0..* | EntryRelationship | When an Entry Reference is contained in a Social History Template instance that is a Social Determinant of Health Social History, that Entry Reference **MAY** reference an Assessment Scale Observation elsewhere in the document that represent LOINC question and answer pairs from SDOH screening instruments. | |||||||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SPRT | |||||||
act | C | 1..1 | EntryReference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value | ||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | preferred | SocialHistoryType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.60 | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.value:physical-quantity.unit | preferred | UnitsOfMeasureCaseSensitive (a valid code from UCUM)http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive | |
Observation.value:coded | required | PHVS_Industry_NAICS_Detail _ODHhttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900 | |
Observation.entryRelationship:supportingObs.typeCode | required | Fixed Value: SPRThttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Observation.entryRelationship:entryReference.typeCode | required | Fixed Value: SPRThttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
4515-8555 | error | Observation | If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. : | |
4515-32956 | warning | Observation.code | If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). : codeSystem = '2.16.840.1.113883.6.1' or translation.where(codeSystem = '2.16.840.1.113883.6.1').exists() | |
should-sh-author | warning | Observation | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Observation, Observation.entryRelationship:supportingObs.observation, Observation.entryRelationship:entryReference.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-value | warning | Observation | SHOULD contain value : value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 1..1 | SocialHistoryObservation | 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, templateId, templateId, classCode, moodCode, id, code, text, statusCode, effectiveTime, value, value, value, author, entryRelationship, entryRelationship, entryRelationship 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 should-value: SHOULD contain value 4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. should-sh-author: SHOULD contain author | ||||||
@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 | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||
templateId:social-history-obs | 1..1 | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.38 | |||||||
@extension | 1..1 | st | Required Pattern: 2022-06-01 | |||||||
templateId:basic-industry-obs | 1..1 | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.504 | |||||||
@extension | 1..1 | st | Required Pattern: 2023-05-01 | |||||||
@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 | C | 1..1 | CD | History of Occupation industry Binding: Social History Type (preferred) 4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: 86188-0 | |||||||
@codeSystem | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
originalText | 0..1 | ED | ||||||||
qualifier | 0..* | CR | ||||||||
translation | 0..* | CD | ||||||||
derivationExpr | 0..1 | ST | ||||||||
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |||||||
@integrityCheck | 0..1 | bin | ||||||||
@integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |||||||
@language | 0..1 | cs | ||||||||
@mediaType | 0..1 | cs | Binding: MediaType (example) | |||||||
@representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||||||
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | ||||||
thumbnail | 0..1 | ED | ||||||||
statusCode | 1..1 | CS | Binding: ActStatus (required) | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Fixed Value: completed | |||||||
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
effectiveTime | 1..1 | IVL_TS | ||||||||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |||||||
repeatNumber | 0..1 | IVL_INT | ||||||||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |||||||
Slices for value | 1..1 | (USCDI) Alcohol Use, Substance Use, SDOH Problems/Health Concerns Slice: Unordered, Open by type:$this | ||||||||
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 | |||||||||
value:coded | 1..1 | CD | Binding: Industry NAICS Detail (ODH) (required)
| |||||||
interpretationCode | 0..* | CE | Binding: CDAObservationInterpretation (required) | |||||||
methodCode | 0..* | CE | Binding: ObservationMethod (example) | |||||||
targetSiteCode | 0..* | CD | ||||||||
subject | 0..1 | Subject | ||||||||
specimen | 0..* | Specimen | ||||||||
performer | 0..* | Performer2 | ||||||||
author | 0..* | AuthorParticipation | Base for all types and resources | |||||||
informant | 0..* | Informant | ||||||||
participant | 0..* | Participant2 | ||||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | |||||||
entryRelationship:supportingObs | 0..* | EntryRelationship | When an Assessment Scale Observation is contained in a Social History Observation instance that is a Social Determinant of Health Social History Observation, that Assessment Scale Observation MAY contain Assessment Scale Supporting Observations that contain LOINC question and answer pairs from SDOH screening instruments. | |||||||
@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 | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SPRT | |||||||
@inversionInd | 0..1 | bl | ||||||||
@contextConductionInd | 0..1 | bl | ||||||||
@negationInd | 0..1 | bl | ||||||||
sequenceNumber | 0..1 | INT | ||||||||
seperatableInd | 0..1 | BL | ||||||||
act | 0..1 | Act | ||||||||
encounter | 0..1 | Encounter | ||||||||
observation | C | 1..1 | AssessmentScaleObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value | ||||||
observationMedia | 0..1 | ObservationMedia | ||||||||
organizer | 0..1 | Organizer | ||||||||
procedure | 0..1 | Procedure | ||||||||
regionOfInterest | 0..1 | RegionOfInterest | ||||||||
substanceAdministration | 0..1 | SubstanceAdministration | ||||||||
supply | 0..1 | Supply | ||||||||
entryRelationship:entryReference | 0..* | EntryRelationship | When an Entry Reference is contained in a Social History Template instance that is a Social Determinant of Health Social History, that Entry Reference **MAY** reference an Assessment Scale Observation elsewhere in the document that represent LOINC question and answer pairs from SDOH screening instruments. | |||||||
@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 | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SPRT | |||||||
@inversionInd | 0..1 | bl | ||||||||
@contextConductionInd | 0..1 | bl | ||||||||
@negationInd | 0..1 | bl | ||||||||
sequenceNumber | 0..1 | INT | ||||||||
seperatableInd | 0..1 | BL | ||||||||
act | C | 1..1 | EntryReference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value | ||||||
encounter | 0..1 | Encounter | ||||||||
observation | 0..1 | Observation | ||||||||
observationMedia | 0..1 | ObservationMedia | ||||||||
organizer | 0..1 | Organizer | ||||||||
procedure | 0..1 | Procedure | ||||||||
regionOfInterest | 0..1 | RegionOfInterest | ||||||||
substanceAdministration | 0..1 | SubstanceAdministration | ||||||||
supply | 0..1 | Supply | ||||||||
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 |
Path | Conformance | ValueSet / Code | URI |
Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.templateId:social-history-obs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.templateId:basic-industry-obs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | preferred | SocialHistoryType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.60 | |
Observation.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Observation.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Observation.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.value:physical-quantity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.value:physical-quantity.unit | preferred | UnitsOfMeasureCaseSensitive (a valid code from UCUM)http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive | |
Observation.value:coded | required | PHVS_Industry_NAICS_Detail _ODHhttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900 | |
Observation.interpretationCode | required | CDAObservationInterpretationhttp://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.entryRelationship:supportingObs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:supportingObs.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:supportingObs.typeCode | required | Fixed Value: SPRThttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Observation.entryRelationship:entryReference.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:entryReference.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:entryReference.typeCode | required | Fixed Value: SPRThttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
Id | Grade | Path(s) | Details | Requirements |
4515-8555 | error | Observation | If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. : | |
4515-32956 | warning | Observation.code | If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). : codeSystem = '2.16.840.1.113883.6.1' or translation.where(codeSystem = '2.16.840.1.113883.6.1').exists() | |
should-sh-author | warning | Observation | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Observation, Observation.entryRelationship:supportingObs.observation, Observation.entryRelationship:entryReference.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-value | warning | Observation | SHOULD contain value : 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 SocialHistoryObservation
Differential View
This structure is derived from SocialHistoryObservation
Path | Conformance | ValueSet | URI |
Observation.value:coded | required | PHVS_Industry_NAICS_Detail _ODHhttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900 |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 1..1 | SocialHistoryObservation | 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, templateId, templateId, classCode, moodCode, id, code, text, statusCode, effectiveTime, value, value, value, author, entryRelationship, entryRelationship, entryRelationship 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 should-value: SHOULD contain value 4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. should-sh-author: SHOULD contain author | ||||||
Slices for templateId | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||
templateId:social-history-obs | 1..1 | II | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.38 | |||||||
@extension | 1..1 | st | Required Pattern: 2022-06-01 | |||||||
templateId:basic-industry-obs | 1..1 | II | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.504 | |||||||
@extension | 1..1 | st | Required Pattern: 2023-05-01 | |||||||
@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 | C | 1..1 | CD | History of Occupation industry Binding: Social History Type (preferred) 4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). | ||||||
@code | 1..1 | cs | Required Pattern: 86188-0 | |||||||
@codeSystem | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |||||||
statusCode | 1..1 | CS | Binding: ActStatus (required) | |||||||
@code | 1..1 | cs | Fixed Value: completed | |||||||
effectiveTime | 1..1 | IVL_TS | ||||||||
Slices for value | 1..1 | (USCDI) Alcohol Use, Substance Use, SDOH Problems/Health Concerns Slice: Unordered, Open by type:$this | ||||||||
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 | |||||||||
value:coded | 1..1 | CD | Binding: Industry NAICS Detail (ODH) (required)
| |||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | |||||||
entryRelationship:supportingObs | 0..* | EntryRelationship | When an Assessment Scale Observation is contained in a Social History Observation instance that is a Social Determinant of Health Social History Observation, that Assessment Scale Observation MAY contain Assessment Scale Supporting Observations that contain LOINC question and answer pairs from SDOH screening instruments. | |||||||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SPRT | |||||||
observation | C | 1..1 | AssessmentScaleObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value | ||||||
entryRelationship:entryReference | 0..* | EntryRelationship | When an Entry Reference is contained in a Social History Template instance that is a Social Determinant of Health Social History, that Entry Reference **MAY** reference an Assessment Scale Observation elsewhere in the document that represent LOINC question and answer pairs from SDOH screening instruments. | |||||||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SPRT | |||||||
act | C | 1..1 | EntryReference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value | ||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | preferred | SocialHistoryType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.60 | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.value:physical-quantity.unit | preferred | UnitsOfMeasureCaseSensitive (a valid code from UCUM)http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive | |
Observation.value:coded | required | PHVS_Industry_NAICS_Detail _ODHhttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900 | |
Observation.entryRelationship:supportingObs.typeCode | required | Fixed Value: SPRThttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Observation.entryRelationship:entryReference.typeCode | required | Fixed Value: SPRThttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
4515-8555 | error | Observation | If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. : | |
4515-32956 | warning | Observation.code | If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). : codeSystem = '2.16.840.1.113883.6.1' or translation.where(codeSystem = '2.16.840.1.113883.6.1').exists() | |
should-sh-author | warning | Observation | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Observation, Observation.entryRelationship:supportingObs.observation, Observation.entryRelationship:entryReference.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-value | warning | Observation | SHOULD contain value : value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 1..1 | SocialHistoryObservation | 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, templateId, templateId, classCode, moodCode, id, code, text, statusCode, effectiveTime, value, value, value, author, entryRelationship, entryRelationship, entryRelationship 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 should-value: SHOULD contain value 4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. should-sh-author: SHOULD contain author | ||||||
@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 | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||
templateId:social-history-obs | 1..1 | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.38 | |||||||
@extension | 1..1 | st | Required Pattern: 2022-06-01 | |||||||
templateId:basic-industry-obs | 1..1 | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.504 | |||||||
@extension | 1..1 | st | Required Pattern: 2023-05-01 | |||||||
@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 | C | 1..1 | CD | History of Occupation industry Binding: Social History Type (preferred) 4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: 86188-0 | |||||||
@codeSystem | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
originalText | 0..1 | ED | ||||||||
qualifier | 0..* | CR | ||||||||
translation | 0..* | CD | ||||||||
derivationExpr | 0..1 | ST | ||||||||
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |||||||
@integrityCheck | 0..1 | bin | ||||||||
@integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |||||||
@language | 0..1 | cs | ||||||||
@mediaType | 0..1 | cs | Binding: MediaType (example) | |||||||
@representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||||||
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | ||||||
thumbnail | 0..1 | ED | ||||||||
statusCode | 1..1 | CS | Binding: ActStatus (required) | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Fixed Value: completed | |||||||
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
effectiveTime | 1..1 | IVL_TS | ||||||||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |||||||
repeatNumber | 0..1 | IVL_INT | ||||||||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |||||||
Slices for value | 1..1 | (USCDI) Alcohol Use, Substance Use, SDOH Problems/Health Concerns Slice: Unordered, Open by type:$this | ||||||||
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 | |||||||||
value:coded | 1..1 | CD | Binding: Industry NAICS Detail (ODH) (required)
| |||||||
interpretationCode | 0..* | CE | Binding: CDAObservationInterpretation (required) | |||||||
methodCode | 0..* | CE | Binding: ObservationMethod (example) | |||||||
targetSiteCode | 0..* | CD | ||||||||
subject | 0..1 | Subject | ||||||||
specimen | 0..* | Specimen | ||||||||
performer | 0..* | Performer2 | ||||||||
author | 0..* | AuthorParticipation | Base for all types and resources | |||||||
informant | 0..* | Informant | ||||||||
participant | 0..* | Participant2 | ||||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | |||||||
entryRelationship:supportingObs | 0..* | EntryRelationship | When an Assessment Scale Observation is contained in a Social History Observation instance that is a Social Determinant of Health Social History Observation, that Assessment Scale Observation MAY contain Assessment Scale Supporting Observations that contain LOINC question and answer pairs from SDOH screening instruments. | |||||||
@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 | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SPRT | |||||||
@inversionInd | 0..1 | bl | ||||||||
@contextConductionInd | 0..1 | bl | ||||||||
@negationInd | 0..1 | bl | ||||||||
sequenceNumber | 0..1 | INT | ||||||||
seperatableInd | 0..1 | BL | ||||||||
act | 0..1 | Act | ||||||||
encounter | 0..1 | Encounter | ||||||||
observation | C | 1..1 | AssessmentScaleObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value | ||||||
observationMedia | 0..1 | ObservationMedia | ||||||||
organizer | 0..1 | Organizer | ||||||||
procedure | 0..1 | Procedure | ||||||||
regionOfInterest | 0..1 | RegionOfInterest | ||||||||
substanceAdministration | 0..1 | SubstanceAdministration | ||||||||
supply | 0..1 | Supply | ||||||||
entryRelationship:entryReference | 0..* | EntryRelationship | When an Entry Reference is contained in a Social History Template instance that is a Social Determinant of Health Social History, that Entry Reference **MAY** reference an Assessment Scale Observation elsewhere in the document that represent LOINC question and answer pairs from SDOH screening instruments. | |||||||
@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 | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SPRT | |||||||
@inversionInd | 0..1 | bl | ||||||||
@contextConductionInd | 0..1 | bl | ||||||||
@negationInd | 0..1 | bl | ||||||||
sequenceNumber | 0..1 | INT | ||||||||
seperatableInd | 0..1 | BL | ||||||||
act | C | 1..1 | EntryReference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value | ||||||
encounter | 0..1 | Encounter | ||||||||
observation | 0..1 | Observation | ||||||||
observationMedia | 0..1 | ObservationMedia | ||||||||
organizer | 0..1 | Organizer | ||||||||
procedure | 0..1 | Procedure | ||||||||
regionOfInterest | 0..1 | RegionOfInterest | ||||||||
substanceAdministration | 0..1 | SubstanceAdministration | ||||||||
supply | 0..1 | Supply | ||||||||
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 |
Path | Conformance | ValueSet / Code | URI |
Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.templateId:social-history-obs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.templateId:basic-industry-obs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | preferred | SocialHistoryType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.60 | |
Observation.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Observation.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Observation.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.value:physical-quantity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.value:physical-quantity.unit | preferred | UnitsOfMeasureCaseSensitive (a valid code from UCUM)http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive | |
Observation.value:coded | required | PHVS_Industry_NAICS_Detail _ODHhttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900 | |
Observation.interpretationCode | required | CDAObservationInterpretationhttp://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.entryRelationship:supportingObs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:supportingObs.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:supportingObs.typeCode | required | Fixed Value: SPRThttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Observation.entryRelationship:entryReference.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:entryReference.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:entryReference.typeCode | required | Fixed Value: SPRThttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
Id | Grade | Path(s) | Details | Requirements |
4515-8555 | error | Observation | If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. : | |
4515-32956 | warning | Observation.code | If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). : codeSystem = '2.16.840.1.113883.6.1' or translation.where(codeSystem = '2.16.840.1.113883.6.1').exists() | |
should-sh-author | warning | Observation | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Observation, Observation.entryRelationship:supportingObs.observation, Observation.entryRelationship:entryReference.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-value | warning | Observation | SHOULD contain value : 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 SocialHistoryObservation