FHIR Server FHIR Server Version n/a

Resource StructureDefinition/FHIR Server from package hl7.cda.us.ccda#current (484 ms)

Package
hl7.cda.us.ccda
Type
StructureDefinition
FHIR Version
Source
http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda/StructureDefinition-AssessmentScaleObservation.html
Url
http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation
Version
3.0.0
Status
draft
Date
2024-07-23T20:00:48+00:00
Name
AssessmentScaleObservation
Title
Assessment Scale Observation
Experimental
False
Realm
Authority
hl7
Description
An assessment scale is a collection of observations that together can yield a calculated or non-calculated summary evaluation of a one or more conditions. Examples include the Braden Scale (assesses pressure ulcer risk), APACHE Score (estimates mortality in critically ill patients), Mini-Mental Status Exam (assesses cognitive function), APGAR Score (assesses the health of a newborn), Glasgow Coma Scale (assesses coma and impaired consciousness), and WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education - a clinic-based screening and referral system developed for pediatric settings). When an Assessment Scale Observation is contained in a Problem Observation, a Social History Observation or a Procedure instance that is Social Determinant of Health focused, that Assessment scale **MAY** contain assessment scale observations that represent question and answer pairs from SDOH screening instruments that are represented in LOINC. Note that guidance on the use of LOINC in assessment scales already exists in Assessment Scale Observation constraints and Assessment Scale Supporting Observations constraints.
Type
http://hl7.org/cda/stds/core/StructureDefinition/Observation
Kind
logical
Resources that use this resource

StructureDefinition
DisabilityStatusObservation
Disability Status Observation
FunctionalStatusObservation
Functional Status Observation
FunctionalStatusSection
Functional Status Section
HealthConcernAct
Health Concern Act
MentalStatusObservation
Mental Status Observation
MentalStatusSection
Mental Status Section
PlannedProcedure
Planned Procedure
ProblemObservation
Problem Observation
ProcedureActivityProcedure
Procedure Activity Procedure
RiskConcernAct
Risk Concern Act
SensoryStatus
Sensory Status
SocialHistoryObservation
Social History Observation
Resources that this resource uses

StructureDefinition
http://hl7.org/cda/stds/core/StructureDefinition/Observation
Observation (CDA Class)
AssessmentScaleSupportingObservation
Assessment Scale Supporting Observation
http://terminology.hl7.org/ValueSet/v3-ObservationType
ObservationType
Narrative

Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition AssessmentScaleObservation
Description & Constraints
Observation
1..1
Observation
XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
Slices for templateId
1..*
Slice: Unordered, Open by value:root, value:extension
templateId:assessment-scale-obs
1..1
@root
1..1
oid, uuid, ruid
Required Pattern: 2.16.840.1.113883.10.20.22.4.69
@extension
1..1
Required Pattern: 2022-06-01
@classCode
1..1
Fixed Value: OBS
@moodCode
1..1
Fixed Value: EVN
1..*
code
1..1
Binding: ObservationType (example)
Additional Bindings
Purpose
Documentation
http://cts.nlm.nih.gov/fhir/ValueAet/2.16.840.1.113762.1.4.1247.206
Preferred
For Social Determinant of Health Assessments
derivationExpr
0..1
Such derivation expression can contain a text calculation of how the components total up to the summed score
text
0..1
SHOULD reference the portion of section narrative text corresponding to this entry
reference
0..1
TEL
value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
statusCode
1..1
@code
1..1
Fixed Value: completed
effectiveTime
1..1
IVL_TS
Represents 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)
value
1..1
ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ
(USCDI) Functional Status, Mental/Cognitive Status, Alcohol Use, Substance Use, Physical Activity, SDOH Assessment
interpretationCode
0..*
translation
0..*
author
0..*
Author
Slices for entryRelationship
0..*
EntryRelationship
Slice: Unordered, Open by profile:observation, value:typeCode
entryRelationship:supportingObs
0..*
EntryRelationship
entryRelationship
@typeCode
1..1
Fixed Value: COMP
observation
1..1
AssessmentScaleSupportingObservation
Base for all types and resources
referenceRange
0..*
InfrastructureRoot
The 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)
observationRange
1..1
ObservationRange
should-text: SHOULD contain text
should-text-ref-value: SHOULD contain text/reference/@value
text
0..1
The 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)
reference
0..1
TEL
value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
Documentation for this format
Source

{
  "resourceType" : "StructureDefinition",
  "id" : "AssessmentScaleObservation",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition AssessmentScaleObservation</b></p><a name=\"AssessmentScaleObservation\"> </a><a name=\"hcAssessmentScaleObservation\"> </a><a name=\"AssessmentScaleObservation-en-US\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-text-ref-value )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">Observation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">XML Namespace: </span>urn:hl7-org:v3<br/>Elements defined in Ancestors:<a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ANY.html\" title=\"If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.\">@nullFlavor</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-InfrastructureRoot.html\" title=\"When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question\">realmCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-InfrastructureRoot.html\" title=\"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.\">typeId</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-InfrastructureRoot.html\" title=\"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\">templateId</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">@classCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">@moodCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">@negationInd</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">id</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">code</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">derivationExpr</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">text</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">statusCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">effectiveTime</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">priorityCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">repeatNumber</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">languageCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">value</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">interpretationCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">methodCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\" title=\"Drawn from concept domain ActSite\">targetSiteCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">subject</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">specimen</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">performer</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">author</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">informant</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">participant</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">entryRelationship</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">reference</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">precondition</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">sdtcPrecondition2</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\" title=\"Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.\">referenceRange</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">sdtcInFulfillmentOf1</a><br/><span style=\"opacity: 0.5\">Base for all types and resources</span><br/><span style=\"font-weight:bold\">Instance of this type are validated by templateId</span><br/><span style=\"font-weight:bold\" title=\"The root class that contains instances of this class\">Logical Container: </span><a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html\">ClinicalDocument (CDA Class)</a><br/><span style=\"font-weight:bold\">should-text-ref-value: </span>SHOULD contain text/reference/@value</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.templateId\">Slices for templateId</a><a name=\"Observation.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:root, value:extension</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.templateId:assessment-scale-obs\" title=\"Slice assessment-scale-obs\">templateId:assessment-scale-obs</a><a name=\"Observation.templateId.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.templateId:assessment-scale-obs.root\">@root</a><a name=\"Observation.templateId.root\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-oid.html\" title=\"string\">oid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-uuid.html\" title=\"string\">uuid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ruid.html\" title=\"string\">ruid</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.10.20.22.4.69</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.templateId:assessment-scale-obs.extension\">@extension</a><a name=\"Observation.templateId.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-st-simple.html\" title=\"string\">st</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2022-06-01</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.classCode\">@classCode</a><a name=\"Observation.classCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">OBS</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.moodCode\">@moodCode</a><a name=\"Observation.moodCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">EVN</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.id\">id</a><a name=\"Observation.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://terminology.hl7.org/5.5.0/ValueSet-v3-ObservationType.html\" title=\"http://terminology.hl7.org/ValueSet/v3-ObservationType\">ObservationType</a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#example\" title=\"Instances are not expected or even encouraged to draw from the specified value set.  The value set merely provides examples of the types of concepts intended to be included.\">example</a>)<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Additional Bindings</b></td><td style=\"font-size: 11px\">Purpose</td><td style=\"font-size: 11px\">Documentation</td></tr><tr><td style=\"font-size: 11px\"><a href=\"http://cts.nlm.nih.gov/fhir/ValueAet/2.16.840.1.113762.1.4.1247.206\">http://cts.nlm.nih.gov/fhir/ValueAet/2.16.840.1.113762.1.4.1247.206</a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R5/valueset-additional-binding-purpose.html#additional-binding-purpose-preferred\" title=\"This is the value set that is recommended (documentation should explain why)\">Preferred</a></td><td style=\"font-size: 11px\"><div>For Social Determinant of Health Assessments</div></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.derivationExpr\">derivationExpr</a><a name=\"Observation.derivationExpr\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ST.html\">ST</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Such derivation expression can contain a text calculation of how the components total up to the summed score</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.text\">text</a><a name=\"Observation.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ED.html\">ED</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">SHOULD reference the portion of section narrative text corresponding to this entry</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.text.reference\">reference</a><a name=\"Observation.text.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( value-starts-octothorpe )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-TEL.html\">TEL</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">value-starts-octothorpe: </span>If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.statusCode\">statusCode</a><a name=\"Observation.statusCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CS.html\">CS</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.statusCode.code\">@code</a><a name=\"Observation.statusCode.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">completed</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.effectiveTime\">effectiveTime</a><a name=\"Observation.effectiveTime\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-IVL-TS.html\">IVL_TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Represents 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)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.value\">value</a><a name=\"Observation.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ANY.html\">ANY</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-BL.html\">BL</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ED.html\">ED</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ST.html\">ST</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CD.html\">CD</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CV.html\">CV</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html\">CE</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CO.html\">CO</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-SC.html\">SC</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html\">II</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-TEL.html\">TEL</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-AD.html\">AD</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EN.html\">EN</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-INT.html\">INT</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-REAL.html\">REAL</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-PQ.html\">PQ</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-MO.html\">MO</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-TS.html\">TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-IVL-PQ.html\">IVL_PQ</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-IVL-TS.html\">IVL_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-PIVL-TS.html\">PIVL_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EIVL-TS.html\">EIVL_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-SXPR-TS.html\">SXPR_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-RTO-PQ-PQ.html\">RTO_PQ_PQ</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">(USCDI) Functional Status, Mental/Cognitive Status, Alcohol Use, Substance Use, Physical Activity, SDOH Assessment</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.interpretationCode\">interpretationCode</a><a name=\"Observation.interpretationCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.interpretationCode.translation\">translation</a><a name=\"Observation.interpretationCode.translation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.author\">author</a><a name=\"Observation.author\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Author.html\">Author</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.entryRelationship\">Slices for entryRelationship</a><a name=\"Observation.entryRelationship\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:observation, value:typeCode</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.entryRelationship:supportingObs\" title=\"Slice supportingObs\">entryRelationship:supportingObs</a><a name=\"Observation.entryRelationship.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">entryRelationship<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.entryRelationship:supportingObs.typeCode\">@typeCode</a><a name=\"Observation.entryRelationship.typeCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">COMP</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.entryRelationship:supportingObs.observation\">observation</a><a name=\"Observation.entryRelationship.observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-AssessmentScaleSupportingObservation.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Observation\">AssessmentScaleSupportingObservation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.referenceRange\">referenceRange</a><a name=\"Observation.referenceRange\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-InfrastructureRoot.html\">InfrastructureRoot</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The 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)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.referenceRange.observationRange\">observationRange</a><a name=\"Observation.referenceRange.observationRange\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-text, should-text-ref-value )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ObservationRange.html\">ObservationRange</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">should-text: </span>SHOULD contain text<br/><span style=\"font-weight:bold\">should-text-ref-value: </span>SHOULD contain text/reference/@value</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.referenceRange.observationRange.text\">text</a><a name=\"Observation.referenceRange.observationRange.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ED.html\">ED</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The 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)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AssessmentScaleObservation-definitions.html#Observation.referenceRange.observationRange.text.reference\">reference</a><a name=\"Observation.referenceRange.observationRange.text.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( value-starts-octothorpe )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-TEL.html\">TEL</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">value-starts-octothorpe: </span>If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
      "_valueBoolean" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "not-applicable"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
      "valueUri" : "urn:hl7-org:v3"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
      "valueString" : "observation"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
      "valueUri" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
      "valueUri" : "cda"
    }
  ],
  "url" : "http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:hl7ii:2.16.840.1.113883.10.20.22.4.69:2022-06-01"
    }
  ],
  "version" : "3.0.0",
  "name" : "AssessmentScaleObservation",
  "title" : "Assessment Scale Observation",
  "status" : "draft",
  "date" : "2024-07-23T20:00:48+00:00",
  "publisher" : "Health Level Seven",
  "contact" : [
    {
      "name" : "HL7 International - Structured Documents",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/structure"
        }
      ]
    }
  ],
  "description" : "An assessment scale is a collection of observations that together can yield a calculated or non-calculated summary evaluation of a one or more conditions. Examples include the Braden Scale (assesses pressure ulcer risk), APACHE Score (estimates mortality in critically ill patients), Mini-Mental Status Exam (assesses cognitive function), APGAR Score (assesses the health of a newborn), Glasgow Coma Scale (assesses coma and impaired consciousness), and WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education - a clinic-based screening and referral system developed for pediatric settings).\n\nWhen an Assessment Scale Observation is contained in a Problem Observation, a Social History Observation or a Procedure instance that is Social Determinant of Health focused, that Assessment scale **MAY** contain assessment scale observations that represent question and answer pairs from SDOH screening instruments that are represented in LOINC. Note that guidance on the use of LOINC in assessment scales already exists in Assessment Scale Observation constraints and Assessment Scale Supporting Observations constraints.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "fhirVersion" : "5.0.0",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
  "baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "short" : "Base for all types and resources",
        "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.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "should-text-ref-value",
            "severity" : "warning",
            "human" : "SHOULD contain text/reference/@value",
            "expression" : "text.reference.value.exists()",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation"
          }
        ],
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation.nullFlavor",
        "path" : "Observation.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.realmCode",
        "path" : "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",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.realmCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ]
      },
      {
        "id" : "Observation.typeId",
        "path" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "InfrastructureRoot.typeId",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.typeId.nullFlavor",
        "path" : "Observation.typeId.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.typeId.assigningAuthorityName",
        "path" : "Observation.typeId.assigningAuthorityName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Assigning Authority Name",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.assigningAuthorityName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.typeId.displayable",
        "path" : "Observation.typeId.displayable",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Displayable",
        "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.displayable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.typeId.root",
        "path" : "Observation.typeId.root",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Root",
        "definition" : "Identifies the type as an HL7 Registered model",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.root",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ],
        "fixedString" : "2.16.840.1.113883.1.3"
      },
      {
        "id" : "Observation.typeId.extension",
        "path" : "Observation.typeId.extension",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Extension",
        "definition" : "A character string as a unique identifier within the scope of the identifier root.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.templateId",
        "path" : "Observation.templateId",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "root"
            },
            {
              "type" : "value",
              "path" : "extension"
            }
          ],
          "rules" : "open"
        },
        "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",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.templateId:assessment-scale-obs",
        "path" : "Observation.templateId",
        "sliceName" : "assessment-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",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "InfrastructureRoot.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.templateId:assessment-scale-obs.nullFlavor",
        "path" : "Observation.templateId.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.templateId:assessment-scale-obs.assigningAuthorityName",
        "path" : "Observation.templateId.assigningAuthorityName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Assigning Authority Name",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.assigningAuthorityName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.templateId:assessment-scale-obs.displayable",
        "path" : "Observation.templateId.displayable",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Displayable",
        "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.displayable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.templateId:assessment-scale-obs.root",
        "path" : "Observation.templateId.root",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Root",
        "definition" : "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.root",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ],
        "patternString" : "2.16.840.1.113883.10.20.22.4.69"
      },
      {
        "id" : "Observation.templateId:assessment-scale-obs.extension",
        "path" : "Observation.templateId.extension",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Extension",
        "definition" : "A character string as a unique identifier within the scope of the identifier root.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ],
        "patternString" : "2022-06-01"
      },
      {
        "id" : "Observation.classCode",
        "path" : "Observation.classCode",
        "representation" : [
          "xmlAttr"
        ],
        "comment" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4515-14434).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.classCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "OBS",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation"
        }
      },
      {
        "id" : "Observation.moodCode",
        "path" : "Observation.moodCode",
        "representation" : [
          "xmlAttr"
        ],
        "comment" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4515-14435).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.moodCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "EVN",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0"
        }
      },
      {
        "id" : "Observation.negationInd",
        "path" : "Observation.negationInd",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.negationInd",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.id",
        "path" : "Observation.id",
        "comment" : "SHALL contain at least one [1..*] id (CONF:4515-14438).",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "Observation.id",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "representation" : [
          "typeAttr"
        ],
        "comment" : "SHALL contain exactly one [1..1] code, which SHALL be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) DYNAMIC (CONF:4515-14439).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.code",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationType",
          "additional" : [
            {
              "purpose" : "preferred",
              "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueAet/2.16.840.1.113762.1.4.1247.206",
              "documentation" : "If the Assessment Scale Observation is a Social Determinant of Health Assessment, the observation code **SHOULD** be selected from ValueSet [Social Determinant of Health Assessments and Questions](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.206/expansion).",
              "shortDoco" : "For Social Determinant of Health Assessments"
            }
          ]
        }
      },
      {
        "id" : "Observation.derivationExpr",
        "path" : "Observation.derivationExpr",
        "short" : "Such derivation expression can contain a text calculation of how the components total up to the summed score",
        "comment" : "MAY contain zero or one [0..1] derivationExpr (CONF:4515-14637).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.derivationExpr",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ST"
          }
        ]
      },
      {
        "id" : "Observation.text",
        "path" : "Observation.text",
        "representation" : [
          "typeAttr"
        ],
        "short" : "SHOULD reference the portion of section narrative text corresponding to this entry",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.text.nullFlavor",
        "path" : "Observation.text.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.text.compression",
        "path" : "Observation.text.compression",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Compression",
        "definition" : "Indicates whether the raw byte data is compressed, and what compression algorithm was used.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.compression",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm"
        }
      },
      {
        "id" : "Observation.text.integrityCheck",
        "path" : "Observation.text.integrityCheck",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Integrity Check",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.integrityCheck",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "base64Binary",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bin"
            ]
          }
        ]
      },
      {
        "id" : "Observation.text.integrityCheckAlgorithm",
        "path" : "Observation.text.integrityCheckAlgorithm",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Integrity Check Algorithm",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.integrityCheckAlgorithm",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0"
        }
      },
      {
        "id" : "Observation.text.language",
        "path" : "Observation.text.language",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Language",
        "definition" : "For character based information the language property specifies the human language of the text.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.text.mediaType",
        "path" : "Observation.text.mediaType",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Media Type",
        "definition" : "Identifies the type of the encapsulated data and identifies a method to interpret or render the data.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.mediaType",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-MediaType"
        }
      },
      {
        "id" : "Observation.text.representation",
        "path" : "Observation.text.representation",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.representation",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding"
        }
      },
      {
        "id" : "Observation.text.xmlText",
        "path" : "Observation.text.xmlText",
        "representation" : [
          "xmlText"
        ],
        "short" : "Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.",
        "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.)",
        "comment" : "This element is represented in XML as textual content. The actual name \"xmlText\" will not appear in a CDA instance.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.xmlText",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.text.reference",
        "path" : "Observation.text.reference",
        "label" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.reference",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
          }
        ],
        "constraint" : [
          {
            "key" : "value-starts-octothorpe",
            "severity" : "error",
            "human" : "If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative",
            "expression" : "value.exists() implies value.startsWith('#')",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation"
          }
        ]
      },
      {
        "id" : "Observation.text.thumbnail",
        "path" : "Observation.text.thumbnail",
        "label" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.thumbnail",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.statusCode",
        "path" : "Observation.statusCode",
        "comment" : "SHALL contain exactly one [1..1] statusCode (CONF:4515-14444).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.statusCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActStatus"
        }
      },
      {
        "id" : "Observation.statusCode.nullFlavor",
        "path" : "Observation.statusCode.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.statusCode.code",
        "path" : "Observation.statusCode.code",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "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.",
        "comment" : "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).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CD.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "completed"
      },
      {
        "id" : "Observation.statusCode.codeSystem",
        "path" : "Observation.statusCode.codeSystem",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System",
        "definition" : "Specifies the code system that defines the code.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.codeSystem",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.codeSystemName",
        "path" : "Observation.statusCode.codeSystemName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Name",
        "definition" : "The common name of the coding system.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.codeSystemName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.codeSystemVersion",
        "path" : "Observation.statusCode.codeSystemVersion",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Version",
        "definition" : "If applicable, a version descriptor defined specifically for the given code system.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.codeSystemVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.displayName",
        "path" : "Observation.statusCode.displayName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Display Name",
        "definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.displayName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.sdtcValueSet",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "valueSet"
          }
        ],
        "path" : "Observation.statusCode.sdtcValueSet",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.valueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.sdtcValueSetVersion",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "valueSetVersion"
          }
        ],
        "path" : "Observation.statusCode.sdtcValueSetVersion",
        "representation" : [
          "xmlAttr"
        ],
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.sdtcValueSetVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.originalText",
        "path" : "Observation.statusCode.originalText",
        "label" : "Original Text",
        "definition" : "The text or phrase used as the basis for the coding.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.originalText",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.qualifier",
        "path" : "Observation.statusCode.qualifier",
        "label" : "Qualifier",
        "definition" : "Specifies additional codes that increase the specificity of the the primary code.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.qualifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CR"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.translation",
        "path" : "Observation.statusCode.translation",
        "representation" : [
          "typeAttr"
        ],
        "label" : "Translation",
        "definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.translation",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime",
        "path" : "Observation.effectiveTime",
        "short" : "Represents 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)",
        "comment" : "SHALL contain exactly one [1..1] effectiveTime (CONF:4515-14445).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.effectiveTime",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id" : "Observation.priorityCode",
        "path" : "Observation.priorityCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.priorityCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPriority"
        }
      },
      {
        "id" : "Observation.repeatNumber",
        "path" : "Observation.repeatNumber",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.repeatNumber",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT"
          }
        ]
      },
      {
        "id" : "Observation.languageCode",
        "path" : "Observation.languageCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.languageCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/ValueSet/all-languages"
        }
      },
      {
        "id" : "Observation.value",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
            "valueBoolean" : true
          }
        ],
        "path" : "Observation.value",
        "representation" : [
          "typeAttr"
        ],
        "short" : "(USCDI) Functional Status, Mental/Cognitive Status, Alcohol Use, Substance Use, Physical Activity, SDOH Assessment",
        "comment" : "SHALL contain exactly one [1..1] value (CONF:4515-14450).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.value",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ANY"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/BL"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ST"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CV"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CO"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/SC"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/AD"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EN"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/INT"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/REAL"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PQ"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/MO"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ"
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode",
        "path" : "Observation.interpretationCode",
        "comment" : "MAY contain zero or more [0..*] interpretationCode (CONF:4515-14459).",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.interpretationCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation"
        }
      },
      {
        "id" : "Observation.interpretationCode.nullFlavor",
        "path" : "Observation.interpretationCode.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.interpretationCode.code",
        "path" : "Observation.interpretationCode.code",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode.codeSystem",
        "path" : "Observation.interpretationCode.codeSystem",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System",
        "definition" : "Specifies the code system that defines the code.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystem",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode.codeSystemName",
        "path" : "Observation.interpretationCode.codeSystemName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Name",
        "definition" : "The common name of the coding system.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystemName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode.codeSystemVersion",
        "path" : "Observation.interpretationCode.codeSystemVersion",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Version",
        "definition" : "If applicable, a version descriptor defined specifically for the given code system.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystemVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode.displayName",
        "path" : "Observation.interpretationCode.displayName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Display Name",
        "definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.displayName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode.sdtcValueSet",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "valueSet"
          }
        ],
        "path" : "Observation.interpretationCode.sdtcValueSet",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.valueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid"
            ]
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode.sdtcValueSetVersion",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "valueSetVersion"
          }
        ],
        "path" : "Observation.interpretationCode.sdtcValueSetVersion",
        "representation" : [
          "xmlAttr"
        ],
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.sdtcValueSetVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode.originalText",
        "path" : "Observation.interpretationCode.originalText",
        "label" : "Original Text",
        "definition" : "The text or phrase used as the basis for the coding.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.originalText",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode.qualifier",
        "path" : "Observation.interpretationCode.qualifier",
        "label" : "Qualifier",
        "definition" : "Specifies additional codes that increase the specificity of the the primary code.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.qualifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CR"
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode.translation",
        "path" : "Observation.interpretationCode.translation",
        "representation" : [
          "typeAttr"
        ],
        "label" : "Translation",
        "definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
        "comment" : "The interpretationCode, if present, MAY contain zero or more [0..*] translation (CONF:4515-14888).",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "CD.translation",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.methodCode",
        "path" : "Observation.methodCode",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.methodCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationMethod"
        }
      },
      {
        "id" : "Observation.targetSiteCode",
        "path" : "Observation.targetSiteCode",
        "definition" : "Drawn from concept domain ActSite",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.targetSiteCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.subject",
        "path" : "Observation.subject",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.subject",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
          }
        ]
      },
      {
        "id" : "Observation.specimen",
        "path" : "Observation.specimen",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.specimen",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Specimen"
          }
        ]
      },
      {
        "id" : "Observation.performer",
        "path" : "Observation.performer",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.performer",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Performer2"
          }
        ]
      },
      {
        "id" : "Observation.author",
        "path" : "Observation.author",
        "comment" : "MAY contain zero or more [0..*] author (CONF:4515-14460).",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Author"
          }
        ]
      },
      {
        "id" : "Observation.informant",
        "path" : "Observation.informant",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.informant",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
          }
        ]
      },
      {
        "id" : "Observation.participant",
        "path" : "Observation.participant",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.participant",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
          }
        ]
      },
      {
        "id" : "Observation.entryRelationship",
        "path" : "Observation.entryRelationship",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "profile",
              "path" : "observation"
            },
            {
              "type" : "value",
              "path" : "typeCode"
            }
          ],
          "rules" : "open"
        },
        "comment" : "SHOULD contain zero or more [0..*] entryRelationship (CONF:4515-14451) such that it",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.entryRelationship",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
          }
        ]
      },
      {
        "id" : "Observation.entryRelationship:supportingObs",
        "path" : "Observation.entryRelationship",
        "sliceName" : "supportingObs",
        "short" : "entryRelationship",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.entryRelationship",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
          }
        ]
      },
      {
        "id" : "Observation.entryRelationship:supportingObs.nullFlavor",
        "path" : "Observation.entryRelationship.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.entryRelationship:supportingObs.realmCode",
        "path" : "Observation.entryRelationship.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",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.realmCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ]
      },
      {
        "id" : "Observation.entryRelationship:supportingObs.typeId",
        "path" : "Observation.entryRelationship.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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "InfrastructureRoot.typeId",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.entryRelationship:supportingObs.typeId.nullFlavor",
        "path" : "Observation.entryRelationship.typeId.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.entryRelationship:supportingObs.typeId.assigningAuthorityName",
        "path" : "Observation.entryRelationship.typeId.assigningAuthorityName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Assigning Authority Name",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.assigningAuthorityName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.entryRelationship:supportingObs.typeId.displayable",
        "path" : "Observation.entryRelationship.typeId.displayable",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Displayable",
        "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.displayable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.entryRelationship:supportingObs.typeId.root",
        "path" : "Observation.entryRelationship.typeId.root",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Root",
        "definition" : "Identifies the type as an HL7 Registered model",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.root",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
    }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.nullFlavor",
        "path" : "Observation.referenceRange.observationRange.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.realmCode",
        "path" : "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",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.realmCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.typeId",
        "path" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "InfrastructureRoot.typeId",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.typeId.nullFlavor",
        "path" : "Observation.referenceRange.observationRange.typeId.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.typeId.assigningAuthorityName",
        "path" : "Observation.referenceRange.observationRange.typeId.assigningAuthorityName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Assigning Authority Name",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.assigningAuthorityName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.typeId.displayable",
        "path" : "Observation.referenceRange.observationRange.typeId.displayable",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Displayable",
        "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.displayable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.typeId.root",
        "path" : "Observation.referenceRange.observationRange.typeId.root",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Root",
        "definition" : "Identifies the type as an HL7 Registered model",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.root",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ],
        "fixedString" : "2.16.840.1.113883.1.3"
      },
      {
        "id" : "Observation.referenceRange.observationRange.typeId.extension",
        "path" : "Observation.referenceRange.observationRange.typeId.extension",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Extension",
        "definition" : "A character string as a unique identifier within the scope of the identifier root.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.templateId",
        "path" : "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",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.classCode",
        "path" : "Observation.referenceRange.observationRange.classCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ObservationRange.classCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "defaultValueCode" : "OBS",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.moodCode",
        "path" : "Observation.referenceRange.observationRange.moodCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ObservationRange.moodCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "EVN.CRT",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActMoodPredicate"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.code",
        "path" : "Observation.referenceRange.observationRange.code",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ObservationRange.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.text",
        "path" : "Observation.referenceRange.observationRange.text",
        "short" : "The 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)",
        "comment" : "This observationRange SHOULD contain zero or one [0..1] text (CONF:4515-16801).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ObservationRange.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.text.nullFlavor",
        "path" : "Observation.referenceRange.observationRange.text.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.text.compression",
        "path" : "Observation.referenceRange.observationRange.text.compression",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Compression",
        "definition" : "Indicates whether the raw byte data is compressed, and what compression algorithm was used.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.compression",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.text.integrityCheck",
        "path" : "Observation.referenceRange.observationRange.text.integrityCheck",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Integrity Check",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.integrityCheck",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "base64Binary",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bin"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.text.integrityCheckAlgorithm",
        "path" : "Observation.referenceRange.observationRange.text.integrityCheckAlgorithm",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Integrity Check Algorithm",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.integrityCheckAlgorithm",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.text.language",
        "path" : "Observation.referenceRange.observationRange.text.language",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Language",
        "definition" : "For character based information the language property specifies the human language of the text.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.text.mediaType",
        "path" : "Observation.referenceRange.observationRange.text.mediaType",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Media Type",
        "definition" : "Identifies the type of the encapsulated data and identifies a method to interpret or render the data.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.mediaType",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-MediaType"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.text.representation",
        "path" : "Observation.referenceRange.observationRange.text.representation",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.representation",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.text.xmlText",
        "path" : "Observation.referenceRange.observationRange.text.xmlText",
        "representation" : [
          "xmlText"
        ],
        "short" : "Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.",
        "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.)",
        "comment" : "This element is represented in XML as textual content. The actual name \"xmlText\" will not appear in a CDA instance.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.xmlText",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.text.reference",
        "path" : "Observation.referenceRange.observationRange.text.reference",
        "label" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.reference",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
          }
        ],
        "constraint" : [
          {
            "key" : "value-starts-octothorpe",
            "severity" : "error",
            "human" : "If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative",
            "expression" : "value.exists() implies value.startsWith('#')",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.text.thumbnail",
        "path" : "Observation.referenceRange.observationRange.text.thumbnail",
        "label" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.thumbnail",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.value",
        "path" : "Observation.referenceRange.observationRange.value",
        "representation" : [
          "typeAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ObservationRange.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/BL"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ST"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CV"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CO"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/SC"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/AD"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EN"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/INT"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/REAL"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PQ"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/MO"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"
          },
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.interpretationCode",
        "path" : "Observation.referenceRange.observationRange.interpretationCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ObservationRange.interpretationCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "precondition1"
          }
        ],
        "path" : "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).",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "ObservationRange.sdtcPrecondition1",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.nullFlavor",
        "path" : "Observation.referenceRange.observationRange.sdtcPrecondition1.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.realmCode",
        "path" : "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",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.realmCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeId",
        "path" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "InfrastructureRoot.typeId",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.nullFlavor",
        "path" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.assigningAuthorityName",
        "path" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.assigningAuthorityName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Assigning Authority Name",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.assigningAuthorityName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.displayable",
        "path" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.displayable",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Displayable",
        "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.displayable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.root",
        "path" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.root",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Root",
        "definition" : "Identifies the type as an HL7 Registered model",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.root",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ],
        "fixedString" : "2.16.840.1.113883.1.3"
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.extension",
        "path" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.extension",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Extension",
        "definition" : "A character string as a unique identifier within the scope of the identifier root.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.templateId",
        "path" : "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",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeCode",
        "path" : "Observation.referenceRange.observationRange.sdtcPrecondition1.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ObservationRange.sdtcPrecondition1.typeCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "PRCN",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.conjunctionCode",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          }
        ],
        "path" : "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).\n\nAll AND criteria must be true.\n\nIf OR and AND criteria occur together, one criterion out of the OR-group must be true and all AND criteria must be true also.\n\nIf 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.\n\nIn 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).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ObservationRange.sdtcPrecondition1.conjunctionCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction|2.0.0"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange.sdtcPrecondition1.criterion1",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          }
        ],
        "path" : "Observation.referenceRange.observationRange.sdtcPrecondition1.criterion1",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ObservationRange.sdtcPrecondition1.criterion1",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Criterion"
          }
        ]
      },
      {
        "id" : "Observation.sdtcInFulfillmentOf1",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "inFulfillmentOf1"
          }
        ],
        "path" : "Observation.sdtcInFulfillmentOf1",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.sdtcInFulfillmentOf1",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "constraint" : [
          {
            "key" : "should-text-ref-value",
            "severity" : "warning",
            "human" : "SHOULD contain text/reference/@value",
            "expression" : "text.reference.value.exists()",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation"
          }
        ]
      },
      {
        "id" : "Observation.templateId",
        "path" : "Observation.templateId",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "root"
            },
            {
              "type" : "value",
              "path" : "extension"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Observation.templateId:assessment-scale-obs",
        "path" : "Observation.templateId",
        "sliceName" : "assessment-scale-obs",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.templateId:assessment-scale-obs.root",
        "path" : "Observation.templateId.root",
        "min" : 1,
        "patternString" : "2.16.840.1.113883.10.20.22.4.69"
      },
      {
        "id" : "Observation.templateId:assessment-scale-obs.extension",
        "path" : "Observation.templateId.extension",
        "min" : 1,
        "patternString" : "2022-06-01"
      },
      {
        "id" : "Observation.classCode",
        "path" : "Observation.classCode",
        "comment" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4515-14434).",
        "fixedCode" : "OBS"
      },
      {
        "id" : "Observation.moodCode",
        "path" : "Observation.moodCode",
        "comment" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4515-14435).",
        "fixedCode" : "EVN"
      },
      {
        "id" : "Observation.id",
        "path" : "Observation.id",
        "comment" : "SHALL contain at least one [1..*] id (CONF:4515-14438).",
        "min" : 1
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "comment" : "SHALL contain exactly one [1..1] code, which SHALL be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) DYNAMIC (CONF:4515-14439).",
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationType",
          "additional" : [
            {
              "purpose" : "preferred",
              "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueAet/2.16.840.1.113762.1.4.1247.206",
              "documentation" : "If the Assessment Scale Observation is a Social Determinant of Health Assessment, the observation code **SHOULD** be selected from ValueSet [Social Determinant of Health Assessments and Questions](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.206/expansion).",
              "shortDoco" : "For Social Determinant of Health Assessments"
            }
          ]
        }
      },
      {
        "id" : "Observation.derivationExpr",
        "path" : "Observation.derivationExpr",
        "short" : "Such derivation expression can contain a text calculation of how the components total up to the summed score",
        "comment" : "MAY contain zero or one [0..1] derivationExpr (CONF:4515-14637)."
      },
      {
        "id" : "Observation.text",
        "path" : "Observation.text",
        "short" : "SHOULD reference the portion of section narrative text corresponding to this entry"
      },
      {
        "id" : "Observation.text.reference",
        "path" : "Observation.text.reference",
        "constraint" : [
          {
            "key" : "value-starts-octothorpe",
            "severity" : "error",
            "human" : "If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative",
            "expression" : "value.exists() implies value.startsWith('#')",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation"
          }
        ]
      },
      {
        "id" : "Observation.statusCode",
        "path" : "Observation.statusCode",
        "comment" : "SHALL contain exactly one [1..1] statusCode (CONF:4515-14444).",
        "min" : 1
      },
      {
        "id" : "Observation.statusCode.code",
        "path" : "Observation.statusCode.code",
        "comment" : "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).",
        "min" : 1,
        "fixedCode" : "completed"
      },
      {
        "id" : "Observation.effectiveTime",
        "path" : "Observation.effectiveTime",
        "short" : "Represents 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)",
        "comment" : "SHALL contain exactly one [1..1] effectiveTime (CONF:4515-14445).",
        "min" : 1
      },
      {
        "id" : "Observation.value",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
            "valueBoolean" : true
          }
        ],
        "path" : "Observation.value",
        "short" : "(USCDI) Functional Status, Mental/Cognitive Status, Alcohol Use, Substance Use, Physical Activity, SDOH Assessment",
        "comment" : "SHALL contain exactly one [1..1] value (CONF:4515-14450).",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.interpretationCode",
        "path" : "Observation.interpretationCode",
        "comment" : "MAY contain zero or more [0..*] interpretationCode (CONF:4515-14459)."
      },
      {
        "id" : "Observation.interpretationCode.translation",
        "path" : "Observation.interpretationCode.translation",
        "comment" : "The interpretationCode, if present, MAY contain zero or more [0..*] translation (CONF:4515-14888)."
      },
      {
        "id" : "Observation.author",
        "path" : "Observation.author",
        "comment" : "MAY contain zero or more [0..*] author (CONF:4515-14460)."
      },
      {
        "id" : "Observation.entryRelationship",
        "path" : "Observation.entryRelationship",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "profile",
              "path" : "observation"
            },
            {
              "type" : "value",
              "path" : "typeCode"
            }
          ],
          "rules" : "open"
        },
        "comment" : "SHOULD contain zero or more [0..*] entryRelationship (CONF:4515-14451) such that it"
      },
      {
        "id" : "Observation.entryRelationship:supportingObs",
        "path" : "Observation.entryRelationship",
        "sliceName" : "supportingObs",
        "short" : "entryRelationship",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Observation.entryRelationship:supportingObs.typeCode",
        "path" : "Observation.entryRelationship.typeCode",
        "comment" : "SHALL contain exactly one [1..1] @typeCode=\"COMP\" has component (CONF:4515-16741).",
        "fixedCode" : "COMP"
      },
      {
        "id" : "Observation.entryRelationship:supportingObs.observation",
        "path" : "Observation.entryRelationship.observation",
        "comment" : "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).",
        "min" : 1,
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
            "profile" : [
              "http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleSupportingObservation"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange",
        "path" : "Observation.referenceRange",
        "short" : "The 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)",
        "comment" : "MAY contain zero or more [0..*] referenceRange (CONF:4515-16799)."
      },
      {
        "id" : "Observation.referenceRange.observationRange",
        "path" : "Observation.referenceRange.observationRange",
        "comment" : "The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:4515-16800).",
        "constraint" : [
          {
            "key" : "should-text",
            "severity" : "warning",
            "human" : "SHOULD contain text",
            "expression" : "text.exists()",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation"
          },
          {
            "key" : "should-text-ref-value",
            "severity" : "warning",
            "human" : "SHOULD contain text/reference/@value",
            "expression" : "text.reference.value.exists()",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.observationRange.text",
        "path" : "Observation.referenceRange.observationRange.text",
        "short" : "The 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)",
        "comment" : "This observationRange SHOULD contain zero or one [0..1] text (CONF:4515-16801)."
      },
      {
        "id" : "Observation.referenceRange.observationRange.text.reference",
        "path" : "Observation.referenceRange.observationRange.text.reference",
        "constraint" : [
          {
            "key" : "value-starts-octothorpe",
            "severity" : "error",
            "human" : "If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative",
            "expression" : "value.exists() implies value.startsWith('#')",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation"
          }
        ]
      }
    ]
  }
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.