International Patient Summary 1.0.0 Release
1.0 - CI Build

International Patient Summary 1.0.0 Release - Local Development build (v1.0). See the Directory of published versions

Resource Profile: IPSEntryAllergyOrIntolerance - Detailed Descriptions

Draft as of 2016-11-10

Definitions for the 2.16.840.1.113883.10.22.4.1--20161110000000 resource profile.

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

1. Observation
Control1..*1
Must Supporttrue
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:v3.
2. Observation.classCode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueOBS
3. Observation.moodCode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
4. Observation.templateId
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 @ root,
5. Observation.templateId:primary
SliceNameprimary
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Must Supporttrue
6. Observation.templateId:primary.root
Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Value2.16.840.1.113883.10.22.4.1
7. Observation.id
Must Supporttrue
8. Observation.code
Definition

This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance.html).

BindingThe codes SHALL be taken from Allergy or Intolerance TypeThe codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitable Allergy or Intolerance Typ
Must Supporttrue
9. Observation.text
Definition

The text element if present points to the text describing the problem being recorded; including any dates, comments, et cetera. The contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.

Must Supporttrue
10. Observation.text.reference
Control1..1
Must Supporttrue
11. Observation.text.reference.value
Definition

When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1

Control1..1
Typeuri
XML RepresentationIn the XML format, this property is represented as an attribute.
12. Observation.statusCode
Definition

A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the shall always have code='completed'.

Control10..1
Must Supporttrue
13. Observation.statusCode.code
Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuecompleted
14. Observation.effectiveTime
Definition

The effectiveTime, also referred to as the "biologically relevant time" is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of penicillin allergy that developed five years ago, the effectiveTime is five years ago. The effectiveTime of the Allergy - Intolerance  Observation may give an indication of whether or not the underlying allergy/intolerance is resolved.  The <low> and <high> values should be no more precise than known, but as precise as possible.

Control10..1
Must Supporttrue
15. Observation.effectiveTime.low
Definition

The effectiveTime/low (a.k.a. "onset date".html) asserts when the allergy/intolerance became biologically active.

Control1..1
Must Supporttrue
16. Observation.effectiveTime.high
Definition

The effectiveTime/high (a.k.a. "resolution date".html) asserts when the allergy/intolerance became biologically resolved. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK".If this condition is known to be resolved, then the effectiveTime/high would be present.

Control0..1
17. Observation.participant
Definition

The substance that causes the allergy or intolerance should be specified in the <participant> structure.  This is the preferred way an allergy is supposed to be expressed. However it is recognized that in some contexts a controlled vocabulary is used for describing the allergy to a substance; or for asserting known absence or unavailability of information.  In this case the <participant> structure shall be omitted. The agent responsible for an allergy or adverse reaction is not always a manufactured material (for example, food allergies.html), nor is it necessarily consumed. The following constraints reflect limitations in the base CDA R2 specification, and should be used to represent any type of responsible agent, i.e., use playingEntity classCode = "MMAT" for all agents, manufactured or not.IF the observation/value element is present and valued with a code derived form the  2.16.840.1.113883.11.22.9 Absent or Unknown Allergies value set THEN the  observation/participant element used to describe the agent SHALL be omitted.

Control0..1*
18. Observation.participant.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueCSM
19. Observation.participant.participantRole
Control1..1
Must Supporttrue
20. Observation.participant.participantRole.classCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueMANU
21. Observation.participant.participantRole.playingEntity
Control1..1
Must Supporttrue
22. Observation.participant.participantRole.playingEntity.classCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueMMAT
23. Observation.participant.participantRole.playingEntity.code
Definition

Code for the substance causing the allergy or intolerance.

Control1..1
BindingThe codes SHOULD be taken from Adverse Reaction Agents Adverse Reaction Agent
Must Supporttrue
24. Observation.entryRelationship
SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ profile
25. Observation.entryRelationship:entryRelationship-1
SliceNameentryRelationship-1
Definition

The contained entry describes the reactions that are manifestations (typeCode='MFST'.html) of the reported allergy or intolerance.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSAdverseReactionMFST)
Must Supporttrue
InvariantsDefined on this element
entryRelationship-1: contains IPS Reaction Manifestation 2.16.840.1.113883.10.22.4.6 (2016-11-15.html) (: null)
26. Observation.entryRelationship:entryRelationship-1.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueMFST
27. Observation.entryRelationship:entryRelationship-1.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
28. Observation.entryRelationship:entryRelationship-2
SliceNameentryRelationship-2
Definition

Criticality The contained entry describes the gravity of the potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction in that individual.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSCriticalityObservation)
Must Supporttrue
InvariantsDefined on this element
entryRelationship-2: contains IPS Criticality Observation 2.16.840.1.113883.10.22.4.18 (2017-03-27.html) (: null)
29. Observation.entryRelationship:entryRelationship-2.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
30. Observation.entryRelationship:entryRelationship-2.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
31. Observation.entryRelationship:entryRelationship-3
SliceNameentryRelationship-3
Definition

Certainty or Verification Status The contained entry describes the certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSCertaintyObservationAllergy)
Must Supporttrue
InvariantsDefined on this element
entryRelationship-3: contains IPS Allergy Certainty Observation 2.16.840.1.113883.10.22.10 (2018-02-07.html) (: null)
32. Observation.entryRelationship:entryRelationship-3.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
33. Observation.entryRelationship:entryRelationship-3.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
34. Observation.entryRelationship:entryRelationship-4
SliceNameentryRelationship-4
Definition

**Status of the Allergy or Intolerance ** The contained entry describes the current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on ...

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSAllergyStatusObservation)
Must Supporttrue
InvariantsDefined on this element
entryRelationship-4: contains IPS Allergy Status Observation 2.16.840.1.113883.10.22.4.21 (2017-05-24.html) (: null)
35. Observation.entryRelationship:entryRelationship-4.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
36. Observation.entryRelationship:entryRelationship-4.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuefalse

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

1. Observation
Definition

Base definition for all types defined in FHIR type system.

Control0..*
Must Supporttrue
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:v3.
2. Observation.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueOBS
3. Observation.moodCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
4. 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

Control0..*
Typehttp://hl7.org/fhir/cda/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 @ root,
5. Observation.templateId:primary
SliceNameprimary
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/fhir/cda/StructureDefinition/II
Must Supporttrue
6. Observation.templateId:primary.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
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Value2.16.840.1.113883.10.22.4.1
7. Observation.id
Definition

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

Control0..*1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IIid
Must Supporttrue
Comments

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.

8. Observation.code
Definition

This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance.html).

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

Control1..1
BindingThe codes SHALL be taken from Allergy or Intolerance TypeFor example codes, see LOINCCodes

Allergy or Intolerance Type

Codes identifying names of simple observations.

Typehttp://hl7.org/fhir/cda/StructureDefinition/CDCodeableConcept
Must Supporttrue
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

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

Alternate NamesName
Comments

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.

9. Observation.text
Definition

The text element if present points to the text describing the problem being recorded; including any dates, comments, et cetera. The contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.

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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/EDNarrative
Must Supporttrue
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Alternate Namesnarrative, html, xhtml, display
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.

10. 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.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Must Supporttrue
11. Observation.text.reference.value
Definition

When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1

Control1..1
Typeuri
XML RepresentationIn the XML format, this property is represented as an attribute.
12. Observation.statusCode
Definition

A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the shall always have code='completed'.

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Must Supporttrue
13. 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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuecompleted
14. Observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
15. Observation.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
16. Observation.statusCode.codeSystemVersion
Definition

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

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
17. 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
XML RepresentationIn the XML format, this property is represented as an attribute.
18. Observation.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
19. Observation.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
20. Observation.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
21. Observation.effectiveTime
Definition

The effectiveTime, also referred to as the "biologically relevant time" is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of penicillin allergy that developed five years ago, the effectiveTime is five years ago. The effectiveTime of the Allergy - Intolerance  Observation may give an indication of whether or not the underlying allergy/intolerance is resolved.  The <low> and <high> values should be no more precise than known, but as precise as possible.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Must Supporttrue
22. Observation.effectiveTime.low
Definition

The effectiveTime/low (a.k.a. "onset date".html) asserts when the allergy/intolerance became biologically active.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Must Supporttrue
23. Observation.effectiveTime.high
Definition

The effectiveTime/high (a.k.a. "resolution date".html) asserts when the allergy/intolerance became biologically resolved. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK".If this condition is known to be resolved, then the effectiveTime/high would be present.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
24. Observation.participant
Definition

The substance that causes the allergy or intolerance should be specified in the <participant> structure.  This is the preferred way an allergy is supposed to be expressed. However it is recognized that in some contexts a controlled vocabulary is used for describing the allergy to a substance; or for asserting known absence or unavailability of information.  In this case the <participant> structure shall be omitted. The agent responsible for an allergy or adverse reaction is not always a manufactured material (for example, food allergies.html), nor is it necessarily consumed. The following constraints reflect limitations in the base CDA R2 specification, and should be used to represent any type of responsible agent, i.e., use playingEntity classCode = "MMAT" for all agents, manufactured or not.IF the observation/value element is present and valued with a code derived form the  2.16.840.1.113883.11.22.9 Absent or Unknown Allergies value set THEN the  observation/participant element used to describe the agent SHALL be omitted.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
25. Observation.participant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueCSM
26. Observation.participant.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Must Supporttrue
27. Observation.participant.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueROL
Fixed ValueMANU
28. Observation.participant.participantRole.playingEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
Must Supporttrue
29. Observation.participant.participantRole.playingEntity.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueENT
Fixed ValueMMAT
30. Observation.participant.participantRole.playingEntity.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINSTANCE
Fixed ValueINSTANCE
31. Observation.participant.participantRole.playingEntity.code
Definition

Code for the substance causing the allergy or intolerance.

Control1..1
BindingThe codes SHOULD be taken from Adverse Reaction Agents Adverse Reaction Agent
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Must Supporttrue
32. Observation.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ profile
33. Observation.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
34. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
35. Observation.entryRelationship:entryRelationship-1
SliceNameentryRelationship-1
Definition

The contained entry describes the reactions that are manifestations (typeCode='MFST'.html) of the reported allergy or intolerance.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSAdverseReactionMFST)
Must Supporttrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
entryRelationship-1: contains IPS Reaction Manifestation 2.16.840.1.113883.10.22.4.6 (2016-11-15.html) (: null)
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
36. Observation.entryRelationship:entryRelationship-1.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueMFST
37. Observation.entryRelationship:entryRelationship-1.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
38. Observation.entryRelationship:entryRelationship-1.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
39. Observation.entryRelationship:entryRelationship-2
SliceNameentryRelationship-2
Definition

Criticality The contained entry describes the gravity of the potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction in that individual.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSCriticalityObservation)
Must Supporttrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
entryRelationship-2: contains IPS Criticality Observation 2.16.840.1.113883.10.22.4.18 (2017-03-27.html) (: null)
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
40. Observation.entryRelationship:entryRelationship-2.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
41. Observation.entryRelationship:entryRelationship-2.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
42. Observation.entryRelationship:entryRelationship-2.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
43. Observation.entryRelationship:entryRelationship-3
SliceNameentryRelationship-3
Definition

Certainty or Verification Status The contained entry describes the certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSCertaintyObservationAllergy)
Must Supporttrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
entryRelationship-3: contains IPS Allergy Certainty Observation 2.16.840.1.113883.10.22.10 (2018-02-07.html) (: null)
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
44. Observation.entryRelationship:entryRelationship-3.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
45. Observation.entryRelationship:entryRelationship-3.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
46. Observation.entryRelationship:entryRelationship-3.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
47. Observation.entryRelationship:entryRelationship-4
SliceNameentryRelationship-4
Definition

**Status of the Allergy or Intolerance ** The contained entry describes the current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on ...

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSAllergyStatusObservation)
Must Supporttrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
entryRelationship-4: contains IPS Allergy Status Observation 2.16.840.1.113883.10.22.4.21 (2017-05-24.html) (: null)
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
48. Observation.entryRelationship:entryRelationship-4.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
49. Observation.entryRelationship:entryRelationship-4.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuefalse
50. Observation.entryRelationship:entryRelationship-4.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue

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

1. Observation
Definition

Base definition for all types defined in FHIR type system.

Control0..*
Must Supporttrue
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:v3.
2. Observation.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueOBS
3. Observation.moodCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
4. Observation.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
5. Observation.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
6. Observation.typeId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
7. 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

Control0..*
Typehttp://hl7.org/fhir/cda/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 @ root,
8. Observation.templateId:primary
SliceNameprimary
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/fhir/cda/StructureDefinition/II
Must Supporttrue
9. Observation.templateId:primary.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 NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
10. Observation.templateId:primary.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
XML RepresentationIn the XML format, this property is represented as an attribute.
11. Observation.templateId:primary.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
XML RepresentationIn the XML format, this property is represented as an attribute.
12. Observation.templateId:primary.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
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Value2.16.840.1.113883.10.22.4.1
13. Observation.templateId:primary.extension
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
14. Observation.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Must Supporttrue
15. Observation.code
Definition

This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance.html).

Control1..1
BindingThe codes SHALL be taken from Allergy or Intolerance Type Allergy or Intolerance Typ
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Must Supporttrue
XML RepresentationThe type of this property is determined using the xsi:type attribute.
16. Observation.derivationExpr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
17. Observation.text
Definition

The text element if present points to the text describing the problem being recorded; including any dates, comments, et cetera. The contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
Must Supporttrue
XML RepresentationThe type of this property is determined using the xsi:type attribute.
18. 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 NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
19. Observation.text.charset
Definition

For character-based encoding types, this property specifies the character set and character encoding used. The charset shall be identified by an Internet Assigned Numbers Authority (IANA) Charset Registration [] in accordance with RFC 2978 [].

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
20. 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
XML RepresentationIn the XML format, this property is represented as an attribute.
21. 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
XML RepresentationIn the XML format, this property is represented as an attribute.
22. 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
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
23. Observation.text.language
Definition

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

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
24. Observation.text.mediaType
Definition

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

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
25. Observation.text.representation
Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
26. Observation.text.data[x]
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.)

Control0..1
TypeChoice of: string, base64Binary
[x] NoteSee Choice of Data Types for further information about how to use [x]
XML RepresentationIn the XML format, this property is represented as unadorned text.
27. 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.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Must Supporttrue
28. Observation.text.reference.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 NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
29. Observation.text.reference.value
Definition

When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1

Control1..1
Typeuri
XML RepresentationIn the XML format, this property is represented as an attribute.
30. Observation.text.reference.useablePeriod
Definition

Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.

Control0..*
TypeChoice of: http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
Default Typehttp://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
XML RepresentationThe type of this property is determined using the xsi:type attribute.
31. Observation.text.reference.use
Definition

One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.

Control0..*
BindingThe codes SHALL be taken from AddressUse
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
32. 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/fhir/cda/StructureDefinition/ED
33. Observation.statusCode
Definition

A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the shall always have code='completed'.

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Must Supporttrue
34. 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 NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
35. 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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuecompleted
36. Observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
37. Observation.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
38. Observation.statusCode.codeSystemVersion
Definition

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

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
39. 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
XML RepresentationIn the XML format, this property is represented as an attribute.
40. 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
XML RepresentationIn 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 name valueSet.
41. 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
XML RepresentationIn 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 name valueSetVersion.
42. Observation.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
43. Observation.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
44. Observation.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
45. Observation.effectiveTime
Definition

The effectiveTime, also referred to as the "biologically relevant time" is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of penicillin allergy that developed five years ago, the effectiveTime is five years ago. The effectiveTime of the Allergy - Intolerance  Observation may give an indication of whether or not the underlying allergy/intolerance is resolved.  The <low> and <high> values should be no more precise than known, but as precise as possible.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Must Supporttrue
46. Observation.effectiveTime.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 NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
47. Observation.effectiveTime.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..1
TypedateTime
XML RepresentationIn the XML format, this property is represented as an attribute.
48. Observation.effectiveTime.inclusive
Definition

Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
49. Observation.effectiveTime.operator
Definition

A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
50. Observation.effectiveTime.low
Definition

The effectiveTime/low (a.k.a. "onset date".html) asserts when the allergy/intolerance became biologically active.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Must Supporttrue
51. Observation.effectiveTime.high
Definition

The effectiveTime/high (a.k.a. "resolution date".html) asserts when the allergy/intolerance became biologically resolved. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK".If this condition is known to be resolved, then the effectiveTime/high would be present.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
52. Observation.effectiveTime.width
Definition

The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
53. Observation.effectiveTime.center
Definition

The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
54. Observation.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
55. Observation.repeatNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-INT
56. Observation.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
57. Observation.value
Control0..*
TypeChoice of: http://hl7.org/fhir/cda/StructureDefinition/BL, http://hl7.org/fhir/cda/StructureDefinition/ED, http://hl7.org/fhir/cda/StructureDefinition/ST, http://hl7.org/fhir/cda/StructureDefinition/CD, http://hl7.org/fhir/cda/StructureDefinition/CV, http://hl7.org/fhir/cda/StructureDefinition/CE, http://hl7.org/fhir/cda/StructureDefinition/SC, http://hl7.org/fhir/cda/StructureDefinition/II, http://hl7.org/fhir/cda/StructureDefinition/TEL, http://hl7.org/fhir/cda/StructureDefinition/AD, http://hl7.org/fhir/cda/StructureDefinition/EN, http://hl7.org/fhir/cda/StructureDefinition/INT, http://hl7.org/fhir/cda/StructureDefinition/REAL, http://hl7.org/fhir/cda/StructureDefinition/PQ, http://hl7.org/fhir/cda/StructureDefinition/MO, http://hl7.org/fhir/cda/StructureDefinition/TS, http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ, http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS, http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ
XML RepresentationThe type of this property is determined using the xsi:type attribute.
58. Observation.interpretationCode
Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
59. Observation.methodCode
Control0..*
BindingThe codes SHALL be taken from ObservationMethod; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
60. Observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
61. Observation.subject
Control0..1
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
62. Observation.subject.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typeid
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
63. Observation.subject.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Observation.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
64. Observation.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueSBJ
Fixed ValueSBJ
65. Observation.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
66. Observation.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
67. Observation.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
68. Observation.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
69. Observation.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
70. Observation.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
71. Observation.informant
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
72. Observation.informant.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typeid
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
73. Observation.informant.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Observation.informant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
74. Observation.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINF
Fixed ValueINF
75. Observation.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
76. Observation.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
77. Observation.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
78. Observation.participant
Definition

The substance that causes the allergy or intolerance should be specified in the <participant> structure.  This is the preferred way an allergy is supposed to be expressed. However it is recognized that in some contexts a controlled vocabulary is used for describing the allergy to a substance; or for asserting known absence or unavailability of information.  In this case the <participant> structure shall be omitted. The agent responsible for an allergy or adverse reaction is not always a manufactured material (for example, food allergies.html), nor is it necessarily consumed. The following constraints reflect limitations in the base CDA R2 specification, and should be used to represent any type of responsible agent, i.e., use playingEntity classCode = "MMAT" for all agents, manufactured or not.IF the observation/value element is present and valued with a code derived form the  2.16.840.1.113883.11.22.9 Absent or Unknown Allergies value set THEN the  observation/participant element used to describe the agent SHALL be omitted.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
79. Observation.participant.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 NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
80. Observation.participant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueCSM
81. Observation.participant.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueOP
82. Observation.participant.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/fhir/cda/StructureDefinition/CS
83. Observation.participant.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/fhir/cda/StructureDefinition/II
84. Observation.participant.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/fhir/cda/StructureDefinition/II
85. Observation.participant.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name functionCode.
86. Observation.participant.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
87. Observation.participant.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
88. Observation.participant.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Must Supporttrue
89. Observation.participant.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueROL
Fixed ValueMANU
90. Observation.participant.participantRole.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/fhir/cda/StructureDefinition/II
91. Observation.participant.participantRole.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
92. Observation.participant.participantRole.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name identifiedBy.
93. Observation.participant.participantRole.code
Control0..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
94. Observation.participant.participantRole.addr
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
95. Observation.participant.participantRole.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
96. Observation.participant.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Device
97. Observation.participant.participantRole.playingEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
Must Supporttrue
98. Observation.participant.participantRole.playingEntity.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueENT
Fixed ValueMMAT
99. Observation.participant.participantRole.playingEntity.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINSTANCE
Fixed ValueINSTANCE
100. Observation.participant.participantRole.playingEntity.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/fhir/cda/StructureDefinition/II
101. Observation.participant.participantRole.playingEntity.code
Definition

Code for the substance causing the allergy or intolerance.

Control1..1
BindingThe codes SHOULD be taken from Adverse Reaction Agents Adverse Reaction Agent
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Must Supporttrue
102. Observation.participant.participantRole.playingEntity.quantity
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
103. Observation.participant.participantRole.playingEntity.name
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/EN
104. Observation.participant.participantRole.playingEntity.desc
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
105. Observation.participant.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Entity
106. Observation.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ profile
107. Observation.entryRelationship.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typeid
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
108. Observation.entryRelationship.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
109. Observation.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
110. Observation.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
111. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
112. Observation.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
113. Observation.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
114. Observation.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
115. Observation.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
116. Observation.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
117. Observation.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
118. Observation.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
119. Observation.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
120. Observation.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
121. Observation.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
122. Observation.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
123. Observation.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
124. Observation.entryRelationship:entryRelationship-1
SliceNameentryRelationship-1
Definition

The contained entry describes the reactions that are manifestations (typeCode='MFST'.html) of the reported allergy or intolerance.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSAdverseReactionMFST)
Must Supporttrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
entryRelationship-1: contains IPS Reaction Manifestation 2.16.840.1.113883.10.22.4.6 (2016-11-15.html) (: )
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
125. Observation.entryRelationship:entryRelationship-1.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typeid
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
126. Observation.entryRelationship:entryRelationship-1.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
127. Observation.entryRelationship:entryRelationship-1.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueMFST
128. Observation.entryRelationship:entryRelationship-1.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
129. Observation.entryRelationship:entryRelationship-1.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
130. Observation.entryRelationship:entryRelationship-1.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
131. Observation.entryRelationship:entryRelationship-1.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
132. Observation.entryRelationship:entryRelationship-1.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
133. Observation.entryRelationship:entryRelationship-1.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
134. Observation.entryRelationship:entryRelationship-1.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
135. Observation.entryRelationship:entryRelationship-1.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
136. Observation.entryRelationship:entryRelationship-1.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
137. Observation.entryRelationship:entryRelationship-1.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
138. Observation.entryRelationship:entryRelationship-1.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
139. Observation.entryRelationship:entryRelationship-1.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
140. Observation.entryRelationship:entryRelationship-1.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
141. Observation.entryRelationship:entryRelationship-1.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
142. Observation.entryRelationship:entryRelationship-2
SliceNameentryRelationship-2
Definition

Criticality The contained entry describes the gravity of the potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction in that individual.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSCriticalityObservation)
Must Supporttrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
entryRelationship-2: contains IPS Criticality Observation 2.16.840.1.113883.10.22.4.18 (2017-03-27.html) (: )
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
143. Observation.entryRelationship:entryRelationship-2.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typeid
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
144. Observation.entryRelationship:entryRelationship-2.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
145. Observation.entryRelationship:entryRelationship-2.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
146. Observation.entryRelationship:entryRelationship-2.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
147. Observation.entryRelationship:entryRelationship-2.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
148. Observation.entryRelationship:entryRelationship-2.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
149. Observation.entryRelationship:entryRelationship-2.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
150. Observation.entryRelationship:entryRelationship-2.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
151. Observation.entryRelationship:entryRelationship-2.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
152. Observation.entryRelationship:entryRelationship-2.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
153. Observation.entryRelationship:entryRelationship-2.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
154. Observation.entryRelationship:entryRelationship-2.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
155. Observation.entryRelationship:entryRelationship-2.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
156. Observation.entryRelationship:entryRelationship-2.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
157. Observation.entryRelationship:entryRelationship-2.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
158. Observation.entryRelationship:entryRelationship-2.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
159. Observation.entryRelationship:entryRelationship-2.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
160. Observation.entryRelationship:entryRelationship-3
SliceNameentryRelationship-3
Definition

Certainty or Verification Status The contained entry describes the certainty associated with a propensity, or potential risk, of a reaction to the identified substance.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSCertaintyObservationAllergy)
Must Supporttrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
entryRelationship-3: contains IPS Allergy Certainty Observation 2.16.840.1.113883.10.22.10 (2018-02-07.html) (: )
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
161. Observation.entryRelationship:entryRelationship-3.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typeid
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
162. Observation.entryRelationship:entryRelationship-3.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
163. Observation.entryRelationship:entryRelationship-3.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
164. Observation.entryRelationship:entryRelationship-3.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
165. Observation.entryRelationship:entryRelationship-3.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
166. Observation.entryRelationship:entryRelationship-3.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
167. Observation.entryRelationship:entryRelationship-3.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
168. Observation.entryRelationship:entryRelationship-3.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
169. Observation.entryRelationship:entryRelationship-3.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
170. Observation.entryRelationship:entryRelationship-3.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
171. Observation.entryRelationship:entryRelationship-3.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
172. Observation.entryRelationship:entryRelationship-3.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
173. Observation.entryRelationship:entryRelationship-3.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
174. Observation.entryRelationship:entryRelationship-3.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
175. Observation.entryRelationship:entryRelationship-3.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
176. Observation.entryRelationship:entryRelationship-3.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
177. Observation.entryRelationship:entryRelationship-3.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
178. Observation.entryRelationship:entryRelationship-4
SliceNameentryRelationship-4
Definition

**Status of the Allergy or Intolerance ** The contained entry describes the current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on ...

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSAllergyStatusObservation)
Must Supporttrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
entryRelationship-4: contains IPS Allergy Status Observation 2.16.840.1.113883.10.22.4.21 (2017-05-24.html) (: )
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
179. Observation.entryRelationship:entryRelationship-4.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typeid
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
180. Observation.entryRelationship:entryRelationship-4.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
181. Observation.entryRelationship:entryRelationship-4.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
182. Observation.entryRelationship:entryRelationship-4.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuefalse
183. Observation.entryRelationship:entryRelationship-4.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
184. Observation.entryRelationship:entryRelationship-4.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
185. Observation.entryRelationship:entryRelationship-4.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
186. Observation.entryRelationship:entryRelationship-4.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
187. Observation.entryRelationship:entryRelationship-4.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
188. Observation.entryRelationship:entryRelationship-4.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
189. Observation.entryRelationship:entryRelationship-4.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
190. Observation.entryRelationship:entryRelationship-4.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
191. Observation.entryRelationship:entryRelationship-4.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
192. Observation.entryRelationship:entryRelationship-4.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
193. Observation.entryRelationship:entryRelationship-4.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
194. Observation.entryRelationship:entryRelationship-4.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
195. Observation.entryRelationship:entryRelationship-4.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
196. Observation.reference
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
197. Observation.reference.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typeid
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
198. Observation.reference.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Observation.reference.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
199. Observation.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
200. Observation.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
201. Observation.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
202. Observation.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
203. Observation.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
204. Observation.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
205. Observation.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition
206. Observation.referenceRange
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
207. Observation.referenceRange.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typeid
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
208. Observation.referenceRange.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Observation.referenceRange.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
209. Observation.referenceRange.typeCode
Control1..1
BindingThe codes SHALL be taken from ActRelationshipPertains
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueREFV
Fixed ValueREFV
210. Observation.referenceRange.observationRange
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationRange