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: IPSProblemEntry - Detailed Descriptions

Draft as of 2021-08-04

Definitions for the 2.16.840.1.113883.10.22.4.8--20210804085252 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 Value2.16.840.1.113883.10.22.4.8
7. Observation.id
Must Supporttrue
8. Observation.code
Definition

This element describes the type of condition this observation is referring to.

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

The 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
Control0..?
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 heart attack that occurred five years ago, the effectiveTime is five years ago.

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 condition became biologically active.

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

The effectiveTime/high (a.k.a. "resolution date".html) asserts when the condition e 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.value
Definition

The <value> is the condition that was found. It may a coded or an un-coded string, but its type is always coded. The coded form shall be used also to indicate known absent conditions or the nonavailability of information about them.

Control10..1*
BindingThe codes SHOULD be taken from Absent or Unknown ProblemsFor codes, see (unbound) Absent or Unknown Problem
Must Supporttrue
XML RepresentationThe type of this property is determined using the xsi:type attribute.
18. Observation.value.type
Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace http://www.w3.org/2001/XMLSchema-instance.
Fixed ValueCD
19. Observation.value.originalText
Definition

The <originalText> element within the <code> element described above is used as follows: the <value> contains a <reference> to the <originalText> in order to link the coded value to the problem narrative text (minus any dates, comments, et cetera.html). The <reference> 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..*
Must Supporttrue
20. Observation.value.originalText.reference
Definition

The URI given in the value attribute of the element points to an element in the narrative content that contains the complete text describing the medication. In a CDA document, the URI given in the value attribute of the element points to an element in the narrative content that contains the complete text describing the medication.

Control0..1
Must Supporttrue
21. Observation.value.qualifier
Control0..*
22. Observation.value.translation
Definition

The translation element may be used to transmit a set of other concept descriptors, using for example ICD-10 or other international or jurisdictional code systems.

Control0..*
23. 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
24. Observation.entryRelationship:entryRelationship-1
SliceNameentryRelationship-1
Definition

Severity The contained entry describes a subjective assessment of the severity of the condition as evaluated by the clinician.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(EntrySeverity)
Must Supporttrue
InvariantsDefined on this element
entryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.html) (: null)
25. Observation.entryRelationship:entryRelationship-1.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
26. Observation.entryRelationship:entryRelationship-1.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
27. Observation.entryRelationship:entryRelationship-2
SliceNameentryRelationship-2
Definition

** Certainty or Verification Status ** The contained entry describes the certainty associated with a condition.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSCertaintyObservation)
Must Supporttrue
InvariantsDefined on this element
entryRelationship-2: contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.html) (: null)
28. Observation.entryRelationship:entryRelationship-2.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
29. Observation.entryRelationship:entryRelationship-2.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
30. Observation.entryRelationship:entryRelationship-3
SliceNameentryRelationship-3
Definition

Status of the Problem   The contained entry describes the current status of the condition, for example, whether it is active, in remission, resolved, and so on ...

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSProblemStatusObservation)
Must Supporttrue
InvariantsDefined on this element
entryRelationship-3: contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.html) (: null)
31. Observation.entryRelationship:entryRelationship-3.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
32. Observation.entryRelationship:entryRelationship-3.inversionInd
Control0..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
Control0..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 Value2.16.840.1.113883.10.22.4.8
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 the type of condition this observation is referring to.

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

Control1..1
BindingThe codes SHALL be taken from Problem TypeFor example codes, see LOINCCodes

Problem 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 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.

Control0..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 heart attack that occurred five years ago, the effectiveTime is five years ago.

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 condition 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 condition e 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.value
Definition

The <value> is the condition that was found. It may a coded or an un-coded string, but its type is always coded. The coded form shall be used also to indicate known absent conditions or the nonavailability of information about them.

Control1..1
BindingThe codes SHOULD be taken from Absent or Unknown Problems Absent or Unknown Problem
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
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
XML RepresentationThe type of this property is determined using the xsi:type attribute.
25. 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
26. Observation.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
27. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
28. Observation.entryRelationship:entryRelationship-1
SliceNameentryRelationship-1
Definition

Severity The contained entry describes a subjective assessment of the severity of the condition as evaluated by the clinician.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(EntrySeverity)
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 Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.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)
29. Observation.entryRelationship:entryRelationship-1.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
30. Observation.entryRelationship:entryRelationship-1.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
31. Observation.entryRelationship:entryRelationship-1.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
32. Observation.entryRelationship:entryRelationship-2
SliceNameentryRelationship-2
Definition

** Certainty or Verification Status ** The contained entry describes the certainty associated with a condition.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSCertaintyObservation)
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 Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.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)
33. Observation.entryRelationship:entryRelationship-2.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
34. Observation.entryRelationship:entryRelationship-2.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
35. Observation.entryRelationship:entryRelationship-2.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
36. Observation.entryRelationship:entryRelationship-3
SliceNameentryRelationship-3
Definition

Status of the Problem   The contained entry describes the current status of the condition, for example, whether it is active, in remission, resolved, and so on ...

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSProblemStatusObservation)
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 Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.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)
37. Observation.entryRelationship:entryRelationship-3.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
38. Observation.entryRelationship:entryRelationship-3.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuefalse
39. Observation.entryRelationship:entryRelationship-3.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
Control0..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 Value2.16.840.1.113883.10.22.4.8
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 the type of condition this observation is referring to.

Control1..1
BindingThe codes SHALL be taken from Problem Type Problem 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 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.

Control0..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 heart attack that occurred five years ago, the effectiveTime is five years ago.

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 condition 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 condition e 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
Definition

The <value> is the condition that was found. It may a coded or an un-coded string, but its type is always coded. The coded form shall be used also to indicate known absent conditions or the nonavailability of information about them.

Control1..1
BindingThe codes SHOULD be taken from Absent or Unknown Problems Absent or Unknown Problem
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
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
XML RepresentationThe type of this property is determined using the xsi:type attribute.
58. Observation.value.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
59. Observation.value.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.value.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
60. Observation.interpretationCode
Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
61. 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
62. Observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
63. 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()))
64. 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
65. 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
66. 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
67. 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
68. 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
69. Observation.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
70. Observation.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
71. Observation.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
72. Observation.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
73. 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()))
74. 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
75. 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
76. 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
77. 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
78. Observation.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
79. Observation.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
80. Observation.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
81. 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
82. 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
83. 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
84. Observation.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
85. Observation.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
86. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
87. Observation.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
88. Observation.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
89. Observation.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
90. Observation.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
91. Observation.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
92. Observation.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
93. Observation.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
94. Observation.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
95. Observation.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
96. Observation.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
97. Observation.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
98. Observation.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
99. Observation.entryRelationship:entryRelationship-1
SliceNameentryRelationship-1
Definition

Severity The contained entry describes a subjective assessment of the severity of the condition as evaluated by the clinician.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(EntrySeverity)
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 Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07.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)
100. 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
101. 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
102. Observation.entryRelationship:entryRelationship-1.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
103. Observation.entryRelationship:entryRelationship-1.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
104. Observation.entryRelationship:entryRelationship-1.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
105. Observation.entryRelationship:entryRelationship-1.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
106. Observation.entryRelationship:entryRelationship-1.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
107. Observation.entryRelationship:entryRelationship-1.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
108. Observation.entryRelationship:entryRelationship-1.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
109. Observation.entryRelationship:entryRelationship-1.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
110. Observation.entryRelationship:entryRelationship-1.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
111. Observation.entryRelationship:entryRelationship-1.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
112. Observation.entryRelationship:entryRelationship-1.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
113. Observation.entryRelationship:entryRelationship-1.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
114. Observation.entryRelationship:entryRelationship-1.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
115. Observation.entryRelationship:entryRelationship-1.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
116. Observation.entryRelationship:entryRelationship-1.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
117. Observation.entryRelationship:entryRelationship-2
SliceNameentryRelationship-2
Definition

** Certainty or Verification Status ** The contained entry describes the certainty associated with a condition.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSCertaintyObservation)
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 Certainty Observation 2.16.840.1.113883.10.22.4.19 (2017-03-29.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)
118. 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
119. 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
120. Observation.entryRelationship:entryRelationship-2.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
121. Observation.entryRelationship:entryRelationship-2.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
122. Observation.entryRelationship:entryRelationship-2.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
123. Observation.entryRelationship:entryRelationship-2.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
124. Observation.entryRelationship:entryRelationship-2.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
125. Observation.entryRelationship:entryRelationship-2.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
126. Observation.entryRelationship:entryRelationship-2.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
127. Observation.entryRelationship:entryRelationship-2.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
128. Observation.entryRelationship:entryRelationship-2.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
129. Observation.entryRelationship:entryRelationship-2.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
130. Observation.entryRelationship:entryRelationship-2.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
131. Observation.entryRelationship:entryRelationship-2.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
132. Observation.entryRelationship:entryRelationship-2.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
133. Observation.entryRelationship:entryRelationship-2.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
134. Observation.entryRelationship:entryRelationship-2.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
135. Observation.entryRelationship:entryRelationship-3
SliceNameentryRelationship-3
Definition

Status of the Problem   The contained entry describes the current status of the condition, for example, whether it is active, in remission, resolved, and so on ...

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(IPSProblemStatusObservation)
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 Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29.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)
136. 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
137. 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
138. Observation.entryRelationship:entryRelationship-3.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
139. Observation.entryRelationship:entryRelationship-3.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed Valuefalse
140. Observation.entryRelationship:entryRelationship-3.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
141. Observation.entryRelationship:entryRelationship-3.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
142. Observation.entryRelationship:entryRelationship-3.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
143. Observation.entryRelationship:entryRelationship-3.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
144. Observation.entryRelationship:entryRelationship-3.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
145. Observation.entryRelationship:entryRelationship-3.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
146. Observation.entryRelationship:entryRelationship-3.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
147. Observation.entryRelationship:entryRelationship-3.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
148. Observation.entryRelationship:entryRelationship-3.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
149. Observation.entryRelationship:entryRelationship-3.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
150. Observation.entryRelationship:entryRelationship-3.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
151. Observation.entryRelationship:entryRelationship-3.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
152. Observation.entryRelationship:entryRelationship-3.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
153. 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()))
154. 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
155. 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
156. Observation.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
157. Observation.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
158. Observation.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
159. Observation.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
160. Observation.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
161. Observation.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
162. Observation.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition
163. 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()))
164. 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
165. 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
166. 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
167. Observation.referenceRange.observationRange
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationRange