Consolidated CDA (C-CDA)
4.0.0 - STU4 United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v4.0.0: CCDA 4.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

Logical Model: AssessmentScaleObservation - Detailed Descriptions

Draft as of 2025-06-20

Definitions for the AssessmentScaleObservation logical model.

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

0. Observation
Definition

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


Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstance of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-sdtcCategory: SHOULD contain sdtcCategory (sdtcCategory.exists())
category-survey: If category is present, then there shall be a category with code 'survey'. (sdtcCategory.empty() or sdtcCategory.exists(code = 'survey' and codeSystem = '2.16.840.1.113883.4.642.1.1125'))
2. Observation.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
(required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
4. Observation.realmCode
Definition

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

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

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
8. Observation.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
(required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
10. Observation.typeId.assigningAuthorityName
Definition

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

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

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

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

Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    24. Observation.templateId:assessment-scale-obs.assigningAuthorityName
    Definition

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

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

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

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

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

    Control1..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelRoot
    Pattern Value2.16.840.1.113883.10.20.22.4.69
    30. Observation.templateId:assessment-scale-obs.extension
    Definition

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

    Control1..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExtension
    Pattern Value2022-06-01
    32. Observation.classCode
    Comments

    SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4515-14434).

    Control1..1
    BindingThe codes SHALL be taken from CDAActClassObservation
    (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed ValueOBS
    34. Observation.moodCode
    Comments

    SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4515-14435).

    Control1..1
    BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
    (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed ValueEVN
    36. Observation.negationInd
    Control0..1
    Typeboolean(bl: Boolean)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    38. Observation.id
    Definition

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

    ShortLogical id of this artifact
    Comments

    SHALL contain at least one [1..*] id (CONF:4515-14438).


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

    Control10..*1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
    Is Modifierfalse
    40. Observation.sdtcCategory
    ShortCategory is optional, but if present it SHALL contain a category with code=survey.
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
    XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
    SlicingThis element introduces a set of slices on Observation.sdtcCategory. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ code
    • value @ codeSystem
    • 42. Observation.sdtcCategory:survey
      Slice Namesurvey
      ShortSurvey
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
      XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
      44. Observation.sdtcCategory:survey.nullFlavor
      Definition

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

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      46. Observation.sdtcCategory:survey.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
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode
      Pattern Valuesurvey
      48. Observation.sdtcCategory:survey.codeSystem
      Definition

      Specifies the code system that defines the code.

      Control1..1
      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode System
      Pattern Value2.16.840.1.113883.4.642.1.1125
      50. Observation.sdtcCategory:survey.codeSystemName
      Definition

      The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
      LabelOriginal Text
      62. Observation.sdtcCategory:survey.qualifier
      Definition

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

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
      LabelQualifier
      64. Observation.sdtcCategory:survey.translation
      Definition

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

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      LabelTranslation
      66. Observation.code
      Definition

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

      Shorticon Added:For Social Determinant of Health AssessmentsType of observation (code / type)
      Comments

      SHOULD contain zero or many [0..*] translations.


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

      Control1..1
      This element is affected by the following invariants: obs-7
      BindingThe codes SHALL be taken from For example codes, see Screening and Assessment Survey Codes .http://hl7.org/fhir/ValueSet/observation-codes
      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.13)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept
      Is Modifierfalse
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      Requirements

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

      Alternate NamesName
      Invariantsshould-translation: SHOULD contain translation (translation.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. Observation.code.nullFlavor
      Definition

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

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      70. Observation.code.code
      Definition

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

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

      Specifies the code system that defines the code.

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

      The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

      Control0..*
      BindingThe codes SHOULD be taken from Social Determinants of Health Screening Assessments And Questions .
      (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.206)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      LabelTranslation
      90. Observation.derivationExpr
      ShortSuch derivation expression can contain a text calculation of how the components total up to the summed score
      Comments

      MAY contain zero or one [0..1] derivationExpr (CONF:4515-14637).

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
      92. Observation.text
      Definition

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

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

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

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

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

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      96. 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 CDACompressionAlgorithm
      (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCompression
      98. Observation.text.integrityCheck
      Definition

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

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

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

      Control0..1
      BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
      (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelIntegrity Check Algorithm
      102. Observation.text.language
      Definition

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

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

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

      Control0..1
      BindingFor example codes, see MediaType
      (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelMedia Type
      106. Observation.text.representation
      Control0..1
      BindingThe codes SHALL be taken from CDABinaryDataEncoding
      (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      108. Observation.text.xmlText
      Definition

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

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

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

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

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

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

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

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

      SHALL contain exactly one [1..1] statusCode (CONF:4515-14444).

      Control1..1
      BindingThe codes SHALL be taken from ActStatus
      (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
      116. Observation.statusCode.nullFlavor
      Definition

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

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      118. Observation.statusCode.code
      Definition

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

      Comments

      This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4515-19088).

      Control1..1
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode
      Fixed Valuecompleted
      120. Observation.statusCode.codeSystem
      Definition

      Specifies the code system that defines the code.

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

      The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

      Control0..0
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      LabelTranslation
      138. Observation.effectiveTime
      ShortRepresents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)
      Comments

      SHALL contain exactly one [1..1] effectiveTime (CONF:4515-14445).

      Control1..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
      140. Observation.priorityCode
      Control0..1
      BindingFor example codes, see ActPriority
      (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
      142. Observation.repeatNumber
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
      144. Observation.languageCode
      Control0..1
      BindingThe codes SHALL be taken from AllLanguages
      (required to http://hl7.org/fhir/ValueSet/all-languages)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
      146. Observation.value
      Shorticon Changed:This is intended to hold the overall assessment score. This could be calculated from the contained Assessment Scale Supporting Observations
      Comments

      SHALL contain exactly one [1..1] value (CONF:4515-14450).

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

      MAY contain zero or more [0..*] interpretationCode (CONF:4515-14459).

      Control0..*
      BindingThe codes SHALL be taken from CDAObservationInterpretation
      (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
      150. Observation.interpretationCode.nullFlavor
      Definition

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

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      152. Observation.interpretationCode.code
      Definition

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

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

      Specifies the code system that defines the code.

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

      The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

      Comments

      The interpretationCode, if present, MAY contain zero or more [0..*] translation (CONF:4515-14888).

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      LabelTranslation
      172. Observation.methodCode
      Control0..*
      BindingFor example codes, see ObservationMethod
      (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
      174. Observation.targetSiteCode
      Definition

      Drawn from concept domain ActSite

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
      176. Observation.subject
      Definition

      The patient, or group of patients, location, device, organization, procedure or practitioner this observation is about and into whose or what record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the focus element or the code itself specifies the actual focus of the observation.

      ShortWho and/or what the observation is about
      Comments

      One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. The subject of an Observation may in some cases be a procedure. This supports the regulatory inspection use case where observations are captured during inspections of a procedure that is being performed (independent of any particular patient or whether patient related at all).

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubjectReference(Patient, Group, Device, Location, Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct)
      Is Modifierfalse
      Requirements

      Observations have no value if you don't know who or what they're about.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      178. Observation.specimen
      Definition

      The specimen that was used when this observation was made.

      ShortSpecimen used for this observation
      Comments

      Should only be used if not implicit in code found in Observation.code. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).

      Control0..*1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/SpecimenReference(Specimen, Group)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      obs-9: If Observation.specimen is a reference to Group, the group can only have specimens ((reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen))
      180. Observation.performer
      Definition

      Who was responsible for asserting the observed value as "true".

      ShortWho is responsible for the observation
      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2Reference(Practitioner, PractitionerRole, Organization, CareTeam, Patient, RelatedPerson)
      Is Modifierfalse
      Requirements

      May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      182. Observation.author
      Comments

      MAY contain zero or more [0..*] author (CONF:4515-14460).

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
      184. Observation.informant
      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
      186. Observation.participant
      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
      188. Observation.entryRelationship
      Comments

      SHOULD contain zero or more [0..*] entryRelationship (CONF:4515-14451) such that it

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
      SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • profile @ observation
      • value @ typeCode
      • 190. Observation.entryRelationship:supportingObs
        Slice NamesupportingObs
        ShortentryRelationship
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
        192. Observation.entryRelationship:supportingObs.nullFlavor
        Definition

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

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        194. Observation.entryRelationship:supportingObs.realmCode
        Definition

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

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

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

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        198. Observation.entryRelationship:supportingObs.typeId.nullFlavor
        Definition

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

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        200. Observation.entryRelationship:supportingObs.typeId.assigningAuthorityName
        Definition

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

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

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

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

        Identifies the type as an HL7 Registered model

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

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

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

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

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        210. Observation.entryRelationship:supportingObs.typeCode
        Comments

        SHALL contain exactly one [1..1] @typeCode="COMP" has component (CONF:4515-16741).

        Control1..1
        BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
        (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueCOMP
        212. Observation.entryRelationship:supportingObs.inversionInd
        Definition

        The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

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

        The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

        Control0..1
        Typeboolean(bl: Boolean)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Default Valuetrue
        216. Observation.entryRelationship:supportingObs.negationInd
        Control0..1
        Typeboolean(bl: Boolean)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        218. Observation.entryRelationship:supportingObs.sequenceNumber
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
        220. Observation.entryRelationship:supportingObs.seperatableInd
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
        222. Observation.entryRelationship:supportingObs.act
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
        224. Observation.entryRelationship:supportingObs.encounter
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
        226. Observation.entryRelationship:supportingObs.observation
        Comments

        SHALL contain exactly one [1..1] Assessment Scale Supporting Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.86) (CONF:4515-16742).

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Supporting Observation)
        228. Observation.entryRelationship:supportingObs.observationMedia
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
        230. Observation.entryRelationship:supportingObs.organizer
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
        232. Observation.entryRelationship:supportingObs.procedure
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
        234. Observation.entryRelationship:supportingObs.regionOfInterest
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
        236. Observation.entryRelationship:supportingObs.substanceAdministration
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
        238. Observation.entryRelationship:supportingObs.supply
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
        240. Observation.reference
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
        242. Observation.precondition
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
        244. Observation.sdtcPrecondition2
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
        XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
        246. Observation.referenceRange
        Definition

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


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

        ShortThe referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)Provides guide for interpretation
        Comments

        MAY contain zero or more [0..*] referenceRange (CONF:4515-16799).


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

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

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

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

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

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        250. Observation.referenceRange.realmCode
        Definition

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

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

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

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        254. Observation.referenceRange.typeId.nullFlavor
        Definition

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

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        256. Observation.referenceRange.typeId.assigningAuthorityName
        Definition

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

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

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

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

        Identifies the type as an HL7 Registered model

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

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

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

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

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

        The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:4515-16800).

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
        Invariantsshould-text: SHOULD contain text (text.exists())
        should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
        270. Observation.referenceRange.observationRange.nullFlavor
        Definition

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

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        272. Observation.referenceRange.observationRange.realmCode
        Definition

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

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

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

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        276. Observation.referenceRange.observationRange.typeId.nullFlavor
        Definition

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

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        278. Observation.referenceRange.observationRange.typeId.assigningAuthorityName
        Definition

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

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

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

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

        Identifies the type as an HL7 Registered model

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

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

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

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

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        288. Observation.referenceRange.observationRange.classCode
        Control0..1
        BindingThe codes SHALL be taken from CDAActClassObservation
        (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Default ValueOBS
        290. Observation.referenceRange.observationRange.moodCode
        Control0..1
        BindingThe codes SHALL be taken from ActMoodPredicate
        (required to http://terminology.hl7.org/ValueSet/v3-ActMoodPredicate)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueEVN.CRT
        292. Observation.referenceRange.observationRange.code
        Control0..1
        BindingFor example codes, see v3 Code System ActCode
        (example to http://terminology.hl7.org/ValueSet/v3-ActCode)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        294. Observation.referenceRange.observationRange.text
        ShortThe text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
        Comments

        This observationRange SHOULD contain zero or one [0..1] text (CONF:4515-16801).

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
        296. Observation.referenceRange.observationRange.text.nullFlavor
        Definition

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

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        298. Observation.referenceRange.observationRange.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 CDACompressionAlgorithm
        (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCompression
        300. Observation.referenceRange.observationRange.text.integrityCheck
        Definition

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

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

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

        Control0..1
        BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
        (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelIntegrity Check Algorithm
        304. Observation.referenceRange.observationRange.text.language
        Definition

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

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

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

        Control0..1
        BindingFor example codes, see MediaType
        (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelMedia Type
        308. Observation.referenceRange.observationRange.text.representation
        Control0..1
        BindingThe codes SHALL be taken from CDABinaryDataEncoding
        (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        310. Observation.referenceRange.observationRange.text.xmlText
        Definition

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

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

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

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

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

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

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

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

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

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

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

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        324. Observation.referenceRange.observationRange.sdtcPrecondition1.realmCode
        Definition

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

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

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

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        328. Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.nullFlavor
        Definition

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

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        330. Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.assigningAuthorityName
        Definition

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

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

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

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

        Identifies the type as an HL7 Registered model

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

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

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

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

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

        A code specifying the logical conjunction of the criteria among all the condition-links of Acts (e.g., and, or, exclusive-or).

        All AND criteria must be true.

        If OR and AND criteria occur together, one criterion out of the OR-group must be true and all AND criteria must be true also.

        If XOR criteria occur together with OR and AND criteria, exactly one of the XOR criteria must be true, and at least one of the OR criteria and all AND criteria must be true.

        In other words, the sets of AND, OR, and XOR criteria are in turn combined by a logical AND operator (all AND criteria and at least one OR criterion and exactly one XOR criterion).

        Control1..1
        BindingThe codes SHALL be taken from RelationshipConjunction (2.0.0)
        (required to http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction|2.0.0)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
        XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
        344. Observation.referenceRange.observationRange.sdtcPrecondition1.criterion1
        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion
        XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
        346. Observation.sdtcInFulfillmentOf1
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
        XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.

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

        0. Observation
        Logical ContainerClinicalDocument (CDA Class)
        ValidationInstance of this type are validated by templateId
        XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
        Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
        should-sdtcCategory: SHOULD contain sdtcCategory (sdtcCategory.exists())
        category-survey: If category is present, then there shall be a category with code 'survey'. (sdtcCategory.empty() or sdtcCategory.exists(code = 'survey' and codeSystem = '2.16.840.1.113883.4.642.1.1125'))
        2. Observation.templateId
        Control1..?
        SlicingThis element introduces a set of slices on Observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ root
        • value @ extension
        • 4. Observation.templateId:assessment-scale-obs
          Slice Nameassessment-scale-obs
          Control1..1
          6. Observation.templateId:assessment-scale-obs.root
          Control1..?
          Pattern Value2.16.840.1.113883.10.20.22.4.69
          8. Observation.templateId:assessment-scale-obs.extension
          Control1..?
          Pattern Value2022-06-01
          10. Observation.classCode
          Comments

          SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4515-14434).

          Fixed ValueOBS
          12. Observation.moodCode
          Comments

          SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4515-14435).

          Fixed ValueEVN
          14. Observation.id
          Comments

          SHALL contain at least one [1..*] id (CONF:4515-14438).

          Control1..?
          16. Observation.sdtcCategory
          ShortCategory is optional, but if present it SHALL contain a category with code=survey.
          SlicingThis element introduces a set of slices on Observation.sdtcCategory. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ code
          • value @ codeSystem
          • 18. Observation.sdtcCategory:survey
            Slice Namesurvey
            ShortSurvey
            Control0..1
            20. Observation.sdtcCategory:survey.code
            Control1..?
            Pattern Valuesurvey
            22. Observation.sdtcCategory:survey.codeSystem
            Control1..?
            Pattern Value2.16.840.1.113883.4.642.1.1125
            24. Observation.code
            ShortFor Social Determinant of Health Assessments
            Comments

            SHOULD contain zero or many [0..*] translations.

            BindingThe codes SHALL be taken from Screening and Assessment Survey Codes .
            (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.13)
            Invariantsshould-translation: SHOULD contain translation (translation.exists())
            26. Observation.code.translation
            BindingThe codes SHOULD be taken from Social Determinants of Health Screening Assessments And Questions .
            (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.206)
            28. Observation.derivationExpr
            ShortSuch derivation expression can contain a text calculation of how the components total up to the summed score
            Comments

            MAY contain zero or one [0..1] derivationExpr (CONF:4515-14637).

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

            SHALL contain exactly one [1..1] statusCode (CONF:4515-14444).

            Control1..?
            36. Observation.statusCode.code
            Comments

            This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4515-19088).

            Control1..?
            Fixed Valuecompleted
            38. Observation.effectiveTime
            ShortRepresents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)
            Comments

            SHALL contain exactly one [1..1] effectiveTime (CONF:4515-14445).

            Control1..?
            40. Observation.value
            ShortThis is intended to hold the overall assessment score. This could be calculated from the contained Assessment Scale Supporting Observations
            Comments

            SHALL contain exactly one [1..1] value (CONF:4515-14450).

            Control1..1
            42. Observation.interpretationCode
            Comments

            MAY contain zero or more [0..*] interpretationCode (CONF:4515-14459).

            44. Observation.interpretationCode.translation
            Comments

            The interpretationCode, if present, MAY contain zero or more [0..*] translation (CONF:4515-14888).

            46. Observation.author
            Comments

            MAY contain zero or more [0..*] author (CONF:4515-14460).

            48. Observation.entryRelationship
            Comments

            SHOULD contain zero or more [0..*] entryRelationship (CONF:4515-14451) such that it

            SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • profile @ observation
            • value @ typeCode
            • 50. Observation.entryRelationship:supportingObs
              Slice NamesupportingObs
              ShortentryRelationship
              Control0..*
              52. Observation.entryRelationship:supportingObs.typeCode
              Comments

              SHALL contain exactly one [1..1] @typeCode="COMP" has component (CONF:4515-16741).

              Fixed ValueCOMP
              54. Observation.entryRelationship:supportingObs.observation
              Comments

              SHALL contain exactly one [1..1] Assessment Scale Supporting Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.86) (CONF:4515-16742).

              Control1..?
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Supporting Observation)
              56. Observation.referenceRange
              ShortThe referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)
              Comments

              MAY contain zero or more [0..*] referenceRange (CONF:4515-16799).

              58. Observation.referenceRange.observationRange
              Comments

              The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:4515-16800).

              Invariantsshould-text: SHOULD contain text (text.exists())
              should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
              60. Observation.referenceRange.observationRange.text
              ShortThe text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
              Comments

              This observationRange SHOULD contain zero or one [0..1] text (CONF:4515-16801).

              62. Observation.referenceRange.observationRange.text.reference
              Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))

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

              0. Observation
              Definition

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

              ShortBase for all types and resources
              Control1..1
              Is Modifierfalse
              Logical ContainerClinicalDocument (CDA Class)
              ValidationInstance of this type are validated by templateId
              XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
              Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
              should-sdtcCategory: SHOULD contain sdtcCategory (sdtcCategory.exists())
              category-survey: If category is present, then there shall be a category with code 'survey'. (sdtcCategory.empty() or sdtcCategory.exists(code = 'survey' and codeSystem = '2.16.840.1.113883.4.642.1.1125'))
              2. Observation.nullFlavor
              Definition

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

              Control0..1
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              4. Observation.realmCode
              Definition

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

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

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

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
              InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
              8. Observation.typeId.nullFlavor
              Definition

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

              Control0..1
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              10. Observation.typeId.assigningAuthorityName
              Definition

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

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

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

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

              Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

                Control0..1
                BindingThe codes SHALL be taken from CDANullFlavor
                (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExceptional Value Detail
                24. Observation.templateId:assessment-scale-obs.assigningAuthorityName
                Definition

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

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

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

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

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

                Control1..1
                Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelRoot
                Pattern Value2.16.840.1.113883.10.20.22.4.69
                30. Observation.templateId:assessment-scale-obs.extension
                Definition

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

                Control1..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExtension
                Pattern Value2022-06-01
                32. Observation.classCode
                Comments

                SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4515-14434).

                Control1..1
                BindingThe codes SHALL be taken from CDAActClassObservation
                (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed ValueOBS
                34. Observation.moodCode
                Comments

                SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4515-14435).

                Control1..1
                BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
                (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed ValueEVN
                36. Observation.negationInd
                Control0..1
                Typeboolean(bl: Boolean)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                38. Observation.id
                Comments

                SHALL contain at least one [1..*] id (CONF:4515-14438).

                Control1..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                40. Observation.sdtcCategory
                ShortCategory is optional, but if present it SHALL contain a category with code=survey.
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
                SlicingThis element introduces a set of slices on Observation.sdtcCategory. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ code
                • value @ codeSystem
                • 42. Observation.sdtcCategory:survey
                  Slice Namesurvey
                  ShortSurvey
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
                  44. Observation.sdtcCategory:survey.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  46. Observation.sdtcCategory:survey.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
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelCode
                  Pattern Valuesurvey
                  48. Observation.sdtcCategory:survey.codeSystem
                  Definition

                  Specifies the code system that defines the code.

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelCode System
                  Pattern Value2.16.840.1.113883.4.642.1.1125
                  50. Observation.sdtcCategory:survey.codeSystemName
                  Definition

                  The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                  LabelOriginal Text
                  62. Observation.sdtcCategory:survey.qualifier
                  Definition

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

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                  LabelQualifier
                  64. Observation.sdtcCategory:survey.translation
                  Definition

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

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  LabelTranslation
                  66. Observation.code
                  Shorticon Added:For Social Determinant of Health Assessments
                  Comments

                  icon Changed:

                  SHOULD contain zero or many [0..*] translations.

                  Control1..1
                  BindingThe codes SHALL be taken from Screening and Assessment Survey Codes .
                  (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.13)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  Invariantsshould-translation: SHOULD contain translation (translation.exists())
                  68. Observation.code.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  70. Observation.code.code
                  Definition

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

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

                  Specifies the code system that defines the code.

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

                  The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                  Control0..*
                  BindingThe codes SHOULD be taken from Social Determinants of Health Screening Assessments And Questions .
                  (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.206)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  LabelTranslation
                  90. Observation.derivationExpr
                  ShortSuch derivation expression can contain a text calculation of how the components total up to the summed score
                  Comments

                  MAY contain zero or one [0..1] derivationExpr (CONF:4515-14637).

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

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  96. 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 CDACompressionAlgorithm
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelCompression
                  98. Observation.text.integrityCheck
                  Definition

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

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

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

                  Control0..1
                  BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
                  (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelIntegrity Check Algorithm
                  102. Observation.text.language
                  Definition

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

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

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

                  Control0..1
                  BindingFor example codes, see MediaType
                  (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelMedia Type
                  106. Observation.text.representation
                  Control0..1
                  BindingThe codes SHALL be taken from CDABinaryDataEncoding
                  (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  108. Observation.text.xmlText
                  Definition

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

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

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

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

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

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

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

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

                  SHALL contain exactly one [1..1] statusCode (CONF:4515-14444).

                  Control1..1
                  BindingThe codes SHALL be taken from ActStatus
                  (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                  116. Observation.statusCode.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  118. Observation.statusCode.code
                  Definition

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

                  Comments

                  This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4515-19088).

                  Control1..1
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelCode
                  Fixed Valuecompleted
                  120. Observation.statusCode.codeSystem
                  Definition

                  Specifies the code system that defines the code.

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

                  The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                  Control0..0
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  LabelTranslation
                  138. Observation.effectiveTime
                  ShortRepresents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)
                  Comments

                  SHALL contain exactly one [1..1] effectiveTime (CONF:4515-14445).

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                  140. Observation.priorityCode
                  Control0..1
                  BindingFor example codes, see ActPriority
                  (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                  142. Observation.repeatNumber
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
                  144. Observation.languageCode
                  Control0..1
                  BindingThe codes SHALL be taken from AllLanguages
                  (required to http://hl7.org/fhir/ValueSet/all-languages)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                  146. Observation.value
                  Shorticon Changed:This is intended to hold the overall assessment score. This could be calculated from the contained Assessment Scale Supporting Observations
                  Comments

                  SHALL contain exactly one [1..1] value (CONF:4515-14450).

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

                  MAY contain zero or more [0..*] interpretationCode (CONF:4515-14459).

                  Control0..*
                  BindingThe codes SHALL be taken from CDAObservationInterpretation
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                  150. Observation.interpretationCode.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  152. Observation.interpretationCode.code
                  Definition

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

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

                  Specifies the code system that defines the code.

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

                  The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                  Comments

                  The interpretationCode, if present, MAY contain zero or more [0..*] translation (CONF:4515-14888).

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  LabelTranslation
                  172. Observation.methodCode
                  Control0..*
                  BindingFor example codes, see ObservationMethod
                  (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                  174. Observation.targetSiteCode
                  Definition

                  Drawn from concept domain ActSite

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  176. Observation.subject
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                  178. Observation.specimen
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                  180. Observation.performer
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                  182. Observation.author
                  Comments

                  MAY contain zero or more [0..*] author (CONF:4515-14460).

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                  184. Observation.informant
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                  186. Observation.participant
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                  188. Observation.entryRelationship
                  Comments

                  SHOULD contain zero or more [0..*] entryRelationship (CONF:4515-14451) such that it

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                  SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • profile @ observation
                  • value @ typeCode
                  • 190. Observation.entryRelationship:supportingObs
                    Slice NamesupportingObs
                    ShortentryRelationship
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                    192. Observation.entryRelationship:supportingObs.nullFlavor
                    Definition

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    194. Observation.entryRelationship:supportingObs.realmCode
                    Definition

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

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

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

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                    198. Observation.entryRelationship:supportingObs.typeId.nullFlavor
                    Definition

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    200. Observation.entryRelationship:supportingObs.typeId.assigningAuthorityName
                    Definition

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

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

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

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

                    Identifies the type as an HL7 Registered model

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

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

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

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

                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    210. Observation.entryRelationship:supportingObs.typeCode
                    Comments

                    SHALL contain exactly one [1..1] @typeCode="COMP" has component (CONF:4515-16741).

                    Control1..1
                    BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                    (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Fixed ValueCOMP
                    212. Observation.entryRelationship:supportingObs.inversionInd
                    Definition

                    The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

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

                    The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

                    Control0..1
                    Typeboolean(bl: Boolean)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Default Valuetrue
                    216. Observation.entryRelationship:supportingObs.negationInd
                    Control0..1
                    Typeboolean(bl: Boolean)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    218. Observation.entryRelationship:supportingObs.sequenceNumber
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                    220. Observation.entryRelationship:supportingObs.seperatableInd
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                    222. Observation.entryRelationship:supportingObs.act
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                    224. Observation.entryRelationship:supportingObs.encounter
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                    226. Observation.entryRelationship:supportingObs.observation
                    Comments

                    SHALL contain exactly one [1..1] Assessment Scale Supporting Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.86) (CONF:4515-16742).

                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Supporting Observation)
                    228. Observation.entryRelationship:supportingObs.observationMedia
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                    230. Observation.entryRelationship:supportingObs.organizer
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                    232. Observation.entryRelationship:supportingObs.procedure
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                    234. Observation.entryRelationship:supportingObs.regionOfInterest
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                    236. Observation.entryRelationship:supportingObs.substanceAdministration
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                    238. Observation.entryRelationship:supportingObs.supply
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                    240. Observation.reference
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                    242. Observation.precondition
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                    244. Observation.sdtcPrecondition2
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
                    XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
                    246. Observation.referenceRange
                    Definition

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

                    ShortThe referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)
                    Comments

                    MAY contain zero or more [0..*] referenceRange (CONF:4515-16799).

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

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    250. Observation.referenceRange.realmCode
                    Definition

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

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

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

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                    254. Observation.referenceRange.typeId.nullFlavor
                    Definition

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    256. Observation.referenceRange.typeId.assigningAuthorityName
                    Definition

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

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

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

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

                    Identifies the type as an HL7 Registered model

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

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

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

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

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

                    The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:4515-16800).

                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
                    Invariantsshould-text: SHOULD contain text (text.exists())
                    should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                    270. Observation.referenceRange.observationRange.nullFlavor
                    Definition

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    272. Observation.referenceRange.observationRange.realmCode
                    Definition

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

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

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

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                    276. Observation.referenceRange.observationRange.typeId.nullFlavor
                    Definition

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    278. Observation.referenceRange.observationRange.typeId.assigningAuthorityName
                    Definition

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

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

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

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

                    Identifies the type as an HL7 Registered model

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

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

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

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

                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    288. Observation.referenceRange.observationRange.classCode
                    Control0..1
                    BindingThe codes SHALL be taken from CDAActClassObservation
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Default ValueOBS
                    290. Observation.referenceRange.observationRange.moodCode
                    Control0..1
                    BindingThe codes SHALL be taken from ActMoodPredicate
                    (required to http://terminology.hl7.org/ValueSet/v3-ActMoodPredicate)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Fixed ValueEVN.CRT
                    292. Observation.referenceRange.observationRange.code
                    Control0..1
                    BindingFor example codes, see v3 Code System ActCode
                    (example to http://terminology.hl7.org/ValueSet/v3-ActCode)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    294. Observation.referenceRange.observationRange.text
                    ShortThe text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
                    Comments

                    This observationRange SHOULD contain zero or one [0..1] text (CONF:4515-16801).

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                    296. Observation.referenceRange.observationRange.text.nullFlavor
                    Definition

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    298. Observation.referenceRange.observationRange.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 CDACompressionAlgorithm
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelCompression
                    300. Observation.referenceRange.observationRange.text.integrityCheck
                    Definition

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

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

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

                    Control0..1
                    BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
                    (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelIntegrity Check Algorithm
                    304. Observation.referenceRange.observationRange.text.language
                    Definition

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

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

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

                    Control0..1
                    BindingFor example codes, see MediaType
                    (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelMedia Type
                    308. Observation.referenceRange.observationRange.text.representation
                    Control0..1
                    BindingThe codes SHALL be taken from CDABinaryDataEncoding
                    (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    310. Observation.referenceRange.observationRange.text.xmlText
                    Definition

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

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

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

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

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

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

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

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

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

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

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    324. Observation.referenceRange.observationRange.sdtcPrecondition1.realmCode
                    Definition

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

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

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

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                    328. Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.nullFlavor
                    Definition

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    330. Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.assigningAuthorityName
                    Definition

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

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

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

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

                    Identifies the type as an HL7 Registered model

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

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

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

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

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

                    A code specifying the logical conjunction of the criteria among all the condition-links of Acts (e.g., and, or, exclusive-or).

                    All AND criteria must be true.

                    If OR and AND criteria occur together, one criterion out of the OR-group must be true and all AND criteria must be true also.

                    If XOR criteria occur together with OR and AND criteria, exactly one of the XOR criteria must be true, and at least one of the OR criteria and all AND criteria must be true.

                    In other words, the sets of AND, OR, and XOR criteria are in turn combined by a logical AND operator (all AND criteria and at least one OR criterion and exactly one XOR criterion).

                    Control1..1
                    BindingThe codes SHALL be taken from RelationshipConjunction (2.0.0)
                    (required to http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction|2.0.0)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                    XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
                    344. Observation.referenceRange.observationRange.sdtcPrecondition1.criterion1
                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion
                    XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
                    346. Observation.sdtcInFulfillmentOf1
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                    XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.