| Package | hl7.cda.us.ccdar2dot2 |
| Type | StructureDefinition |
| Id | 2.16.840.1.113883.10.20.6.2.9 |
| FHIR Version | R4 |
| Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.6.2.9.html |
| URL | http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.9 |
| Version | 2.2 |
| Status | active |
| Date | 2022-05-13T15:50:12+00:00 |
| Name | PurposeofReferenceObservation |
| Title | Purpose of Reference Observation |
| Realm | us |
| Authority | hl7 |
| Description | A Purpose of Reference Observation describes the purpose of the DICOM composite object reference. Appropriate codes, such as externally defined DICOM codes, may be used to specify the semantics of the purpose of reference. When this observation is absent, it implies that the reason for the reference is unknown. |
| Type | Observation |
| Kind | resource |
| StructureDefinition | |
| 2.16.840.1.113883.10.20.6.2.8 | SOP Instance Observation |
No resources found
Note: links and images are rebased to the (stated) source
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 1..1 | CDAR2.Observation | ||
  classCode | 1..1 | code | Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
 Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
   templateId:primary | 1..1 | II | ||
  root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.6.2.9 | |
| code | I | 1..1 | CD | 81-19209: For backwards compatibility with the DICOM CMET, the code MAY be drawn from ValueSet 2.16.840.1.113883.11.20.9.28 DICOMPurposeOfReference DYNAMIC (CONF:81-19209). |
 code | 0..1 | string | Required Pattern: ASSERTION | |
| value | 0..1 | CD | The value element is a SHOULD to allow backwards compatibility with the DICOM CMET. Note that the use of ASSERTION for the code differs from the DICOM CMET. This is intentional. The DICOM CMET was created before the Term Info guidelines describing the use of the assertion pattern were released. It was determined that this IG should follow the latest Term Info guidelines. Implementers using both this IG and the DICOM CMET should be aware of this difference and apply appropriate transformations. Binding: VSAC 2.16.840.1.113883.11.20.9.28 (preferred) | |
| Documentation for this format | ||||
FHIR{
"resourceType": "StructureDefinition",
"id": "2.16.840.1.113883.10.20.6.2.9",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.9",
"identifier": [
{
"value": "urn:oid:2.16.840.1.113883.10.20.6.2.9"
}
],
"version": "2.2",
"name": "PurposeofReferenceObservation",
"title": "Purpose of Reference Observation",
"status": "active",
"date": "2022-05-13T15:50:12+00:00",
"publisher": "Health Level Seven",
"contact": [
{
"name": "HL7 International - Structured Documents",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/structure"
}
]
}
],
"description": "A Purpose of Reference Observation describes the purpose of the DICOM composite object reference. Appropriate codes, such as externally defined DICOM codes, may be used to specify the semantics of the purpose of reference. When this observation is absent, it implies that the reason for the reference is unknown.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Observation",
"baseDefinition": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Observation",
"path": "Observation",
"min": 1,
"max": "1",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "Observation.classCode",
"path": "Observation.classCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-9264).",
"min": 1,
"max": "1",
"base": {
"path": "Observation.classCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "OBS",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClassObservation"
}
},
{
"id": "Observation.moodCode",
"path": "Observation.moodCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-9265).",
"min": 1,
"max": "1",
"base": {
"path": "Observation.moodCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "EVN"
},
{
"id": "Observation.negationInd",
"path": "Observation.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Observation.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Observation.realmCode",
"path": "Observation.realmCode",
"min": 0,
"max": "*",
"base": {
"path": "Observation.realmCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
}
]
},
{
"id": "Observation.typeId",
"path": "Observation.typeId",
"min": 0,
"max": "1",
"base": {
"path": "Observation.typeId",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Observation.templateId",
"path": "Observation.templateId",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "root"
}
],
"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": 0,
"max": "*",
"base": {
"path": "Observation.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Observation.templateId:primary",
"path": "Observation.templateId",
"sliceName": "primary",
"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",
"requirements": "SHALL contain exactly one [1..1] templateId (CONF:81-9266) such that it",
"min": 1,
"max": "1",
"base": {
"path": "Observation.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Observation.templateId:primary.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"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id": "Observation.templateId:primary.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"
}
]
},
{
"id": "Observation.templateId:primary.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"
}
]
},
{
"id": "Observation.templateId:primary.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.",
"requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.6.2.9\" (CONF:81-10531).",
"min": 1,
"max": "1",
"base": {
"path": "II.root",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"patternString": "2.16.840.1.113883.10.20.6.2.9"
},
{
"id": "Observation.templateId:primary.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": 0,
"max": "1",
"base": {
"path": "II.extension",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Observation.id",
"path": "Observation.id",
"min": 0,
"max": "*",
"base": {
"path": "Observation.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Observation.code",
"path": "Observation.code",
"representation": [
"typeAttr"
],
"requirements": "SHALL contain exactly one [1..1] code (CONF:81-9267).",
"min": 1,
"max": "1",
"base": {
"path": "Observation.code",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"constraint": [
{
"key": "81-19209",
"severity": "warning",
"human": "For backwards compatibility with the DICOM CMET, the code MAY be drawn from ValueSet 2.16.840.1.113883.11.20.9.28 DICOMPurposeOfReference DYNAMIC (CONF:81-19209)."
}
],
"binding": {
"strength": "extensible",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ObservationType"
}
},
{
"id": "Observation.code.nullFlavor",
"path": "Observation.code.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"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id": "Observation.code.code",
"path": "Observation.code.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.",
"requirements": "This code SHOULD contain zero or one [0..1] @code=\"ASSERTION\" Assertion (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4 STATIC) (CONF:81-19208).",
"min": 0,
"max": "1",
"base": {
"path": "CD.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"patternString": "ASSERTION"
},
{
"id": "Observation.code.codeSystem",
"path": "Observation.code.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"
}
]
},
{
"id": "Observation.code.codeSystemName",
"path": "Observation.code.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"
}
]
},
{
"id": "Observation.code.codeSystemVersion",
"path": "Observation.code.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"
}
]
},
{
"id": "Observation.code.displayName",
"path": "Observation.code.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"
}
]
},
{
"id": "Observation.code.sdtcValueSet",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString": "valueSet"
}
],
"path": "Observation.code.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"
}
]
},
{
"id": "Observation.code.sdtcValueSetVersion",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString": "valueSetVersion"
}
],
"path": "Observation.code.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"
}
]
},
{
"id": "Observation.code.originalText",
"path": "Observation.code.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/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id": "Observation.code.qualifier",
"path": "Observation.code.qualifier",
"label": "Qualifier",
"definition": "Specifies additional codes that increase the specificity of the the primary code.",
"min": 0,
"max": "*",
"base": {
"path": "CD.qualifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CR"
}
]
},
{
"id": "Observation.code.translation",
"path": "Observation.code.translation",
"representation": [
"typeAttr"
],
"label": "Translation",
"definition": "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"min": 0,
"max": "*",
"base": {
"path": "CD.translation",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
]
},
{
"id": "Observation.derivationExpr",
"path": "Observation.derivationExpr",
"min": 0,
"max": "1",
"base": {
"path": "Observation.derivationExpr",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ST"
}
]
},
{
"id": "Observation.text",
"path": "Observation.text",
"representation": [
"typeAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Observation.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id": "Observation.statusCode",
"path": "Observation.statusCode",
"min": 0,
"max": "1",
"base": {
"path": "Observation.statusCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActStatus"
}
},
{
"id": "Observation.effectiveTime",
"path": "Observation.effectiveTime",
"min": 0,
"max": "1",
"base": {
"path": "Observation.effectiveTime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/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/fhir/cda/StructureDefinition/CE"
}
],
"binding": {
"strength": "extensible",
"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/fhir/cda/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/fhir/cda/StructureDefinition/CS"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-HumanLanguage"
}
},
{
"id": "Observation.value",
"path": "Observation.value",
"representation": [
"typeAttr"
],
"short": "The value element is a SHOULD to allow backwards compatibility with the DICOM CMET. Note that the use of ASSERTION for the code differs from the DICOM CMET. This is intentional. The DICOM CMET was created before the Term Info guidelines describing the use of the assertion pattern were released. It was determined that this IG should follow the latest Term Info guidelines. Implementers using both this IG and the DICOM CMET should be aware of this difference and apply appropriate transformations.",
"requirements": "SHOULD contain zero or one [0..1] value with @xsi:type=\"CD\", where the code SHOULD be selected from ValueSet DICOMPurposeOfReference urn:oid:2.16.840.1.113883.11.20.9.28 DYNAMIC (CONF:81-9273).",
"min": 0,
"max": "1",
"base": {
"path": "Observation.value",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"binding": {
"strength": "preferred",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.28"
}
},
{
"id": "Observation.interpretationCode",
"path": "Observation.interpretationCode",
"min": 0,
"max": "*",
"base": {
"path": "Observation.interpretationCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"
}
},
{
"id": "Observation.methodCode",
"path": "Observation.methodCode",
"min": 0,
"max": "*",
"base": {
"path": "Observation.methodCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding": {
"strength": "extensible",
"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/fhir/cda/StructureDefinition/CD"
}
]
},
{
"id": "Observation.subject",
"path": "Observation.subject",
"min": 0,
"max": "1",
"base": {
"path": "Observation.subject",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Element"
}
]
},
{
"id": "Observation.subject.typeCode",
"path": "Observation.subject.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Observation.subject.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"defaultValueCode": "SBJ",
"fixedCode": "SBJ",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"
}
},
{
"id": "Observation.subject.contextControlCode",
"path": "Observation.subject.contextControlCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Observation.subject.contextControlCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"defaultValueCode": "OP",
"fixedCode": "OP",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl"
}
},
{
"id": "Observation.subject.awarenessCode",
"path": "Observation.subject.awarenessCode",
"min": 0,
"max": "1",
"base": {
"path": "Observation.subject.awarenessCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding": {
"strength": "extensible",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-TargetAwareness"
}
},
{
"id": "Observation.subject.relatedSubject",
"path": "Observation.subject.relatedSubject",
"min": 1,
"max": "1",
"base": {
"path": "Observation.subject.relatedSubject",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"
}
]
},
{
"id": "Observation.specimen",
"path": "Observation.specimen",
"min": 0,
"max": "*",
"base": {
"path": "Observation.specimen",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Specimen"
}
]
},
{
"id": "Observation.performer",
"path": "Observation.performer",
"min": 0,
"max": "*",
"base": {
"path": "Observation.performer",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Performer2"
}
]
},
{
"id": "Observation.author",
"path": "Observation.author",
"min": 0,
"max": "*",
"base": {
"path": "Observation.author",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Author"
}
]
},
{
"id": "Observation.informant",
"path": "Observation.informant",
"min": 0,
"max": "*",
"base": {
"path": "Observation.informant",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
]
},
{
"id": "Observation.informant.typeCode",
"path": "Observation.informant.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Observation.informant.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"defaultValueCode": "INF",
"fixedCode": "INF",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"
}
},
{
"id": "Observation.informant.contextControlCode",
"path": "Observation.informant.contextControlCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Observation.informant.contextControlCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"defaultValueCode": "OP",
"fixedCode": "OP",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl"
}
},
{
"id": "Observation.informant.assignedEntity",
"path": "Observation.informant.assignedEntity",
"min": 0,
"max": "1",
"base": {
"path": "Observation.informant.assignedEntity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
}
]
},
{
"id": "Observation.informant.relatedEntity",
"path": "Observation.informant.relatedEntity",
"min": 0,
"max": "1",
"base": {
"path": "Observation.informant.relatedEntity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"
}
]
},
{
"id": "Observation.participant",
"path": "Observation.participant",
"min": 0,
"max": "*",
"base": {
"path": "Observation.participant",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Participant2"
}
]
},
{
"id": "Observation.entryRelationship",
"path": "Observation.entryRelationship",
"min": 0,
"max": "*",
"base": {
"path": "Observation.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "obs-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
}
]
},
{
"id": "Observation.entryRelationship.typeCode",
"path": "Observation.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Observation.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
]
},
{
"id": "Observation.entryRelationship.inversionInd",
"path": "Observation.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Observation.entryRelationship.contextConductionInd",
"path": "Observation.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Observation.entryRelationship.contextConductionInd",
"min": 1,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true
},
{
"id": "Observation.entryRelationship.sequenceNumber",
"path": "Observation.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id": "Observation.entryRelationship.negationInd",
"path": "Observation.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Observation.entryRelationship.seperatableInd",
"path": "Observation.entryRelationship.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Observation.entryRelationship.observation",
"path": "Observation.entryRelationship.observation",
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
}
]
},
{
"id": "Observation.entryRelationship.regionOfInterest",
"path": "Observation.entryRelationship.regionOfInterest",
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Observation.entryRelationship.observationMedia",
"path": "Observation.entryRelationship.observationMedia",
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Observation.entryRelationship.substanceAdministration",
"path": "Observation.entryRelationship.substanceAdministration",
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Observation.entryRelationship.supply",
"path": "Observation.entryRelationship.supply",
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id": "Observation.entryRelationship.procedure",
"path": "Observation.entryRelationship.procedure",
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id": "Observation.entryRelationship.encounter",
"path": "Observation.entryRelationship.encounter",
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id": "Observation.entryRelationship.organizer",
"path": "Observation.entryRelationship.organizer",
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id": "Observation.entryRelationship.act",
"path": "Observation.entryRelationship.act",
"min": 0,
"max": "1",
"base": {
"path": "Observation.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Observation.reference",
"path": "Observation.reference",
"min": 0,
"max": "*",
"base": {
"path": "Observation.reference",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
]
},
{
"id": "Observation.reference.typeCode",
"path": "Observation.reference.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Observation.reference.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
]
},
{
"id": "Observation.reference.seperatableInd",
"path": "Observation.reference.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Observation.reference.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Observation.reference.externalAct",
"path": "Observation.reference.externalAct",
"min": 0,
"max": "1",
"base": {
"path": "Observation.reference.externalAct",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"
}
]
},
{
"id": "Observation.reference.externalObservation",
"path": "Observation.reference.externalObservation",
"min": 0,
"max": "1",
"base": {
"path": "Observation.reference.externalObservation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"
}
]
},
{
"id": "Observation.reference.externalProcedure",
"path": "Observation.reference.externalProcedure",
"min": 0,
"max": "1",
"base": {
"path": "Observation.reference.externalProcedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"
}
]
},
{
"id": "Observation.reference.externalDocument",
"path": "Observation.reference.externalDocument",
"min": 0,
"max": "1",
"base": {
"path": "Observation.reference.externalDocument",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"
}
]
},
{
"id": "Observation.precondition",
"path": "Observation.precondition",
"min": 0,
"max": "*",
"base": {
"path": "Observation.precondition",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Precondition"
}
]
},
{
"id": "Observation.referenceRange",
"path": "Observation.referenceRange",
"min": 0,
"max": "*",
"base": {
"path": "Observation.referenceRange",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
]
},
{
"id": "Observation.referenceRange.typeCode",
"path": "Observation.referenceRange.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Observation.referenceRange.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"defaultValueCode": "REFV",
"fixedCode": "REFV",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActRelationshipPertains"
}
},
{
"id": "Observation.referenceRange.observationRange",
"path": "Observation.referenceRange.observationRange",
"min": 1,
"max": "1",
"base": {
"path": "Observation.referenceRange.observationRange",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationRange"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Observation",
"path": "Observation"
},
{
"id": "Observation.classCode",
"path": "Observation.classCode",
"requirements": "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-9264).",
"min": 1,
"max": "1",
"patternCode": "OBS"
},
{
"id": "Observation.moodCode",
"path": "Observation.moodCode",
"requirements": "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-9265).",
"min": 1,
"max": "1",
"patternCode": "EVN"
},
{
"id": "Observation.templateId",
"path": "Observation.templateId",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "root"
}
],
"rules": "open"
}
},
{
"id": "Observation.templateId:primary",
"path": "Observation.templateId",
"sliceName": "primary",
"requirements": "SHALL contain exactly one [1..1] templateId (CONF:81-9266) such that it",
"min": 1,
"max": "1"
},
{
"id": "Observation.templateId:primary.root",
"path": "Observation.templateId.root",
"requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.6.2.9\" (CONF:81-10531).",
"min": 1,
"max": "1",
"patternString": "2.16.840.1.113883.10.20.6.2.9"
},
{
"id": "Observation.code",
"path": "Observation.code",
"requirements": "SHALL contain exactly one [1..1] code (CONF:81-9267).",
"min": 1,
"max": "1",
"constraint": [
{
"key": "81-19209",
"severity": "warning",
"human": "For backwards compatibility with the DICOM CMET, the code MAY be drawn from ValueSet 2.16.840.1.113883.11.20.9.28 DICOMPurposeOfReference DYNAMIC (CONF:81-19209)."
}
]
},
{
"id": "Observation.code.code",
"path": "Observation.code.code",
"requirements": "This code SHOULD contain zero or one [0..1] @code=\"ASSERTION\" Assertion (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4 STATIC) (CONF:81-19208).",
"min": 0,
"max": "1",
"patternString": "ASSERTION"
},
{
"id": "Observation.value",
"path": "Observation.value",
"short": "The value element is a SHOULD to allow backwards compatibility with the DICOM CMET. Note that the use of ASSERTION for the code differs from the DICOM CMET. This is intentional. The DICOM CMET was created before the Term Info guidelines describing the use of the assertion pattern were released. It was determined that this IG should follow the latest Term Info guidelines. Implementers using both this IG and the DICOM CMET should be aware of this difference and apply appropriate transformations.",
"requirements": "SHOULD contain zero or one [0..1] value with @xsi:type=\"CD\", where the code SHOULD be selected from ValueSet DICOMPurposeOfReference urn:oid:2.16.840.1.113883.11.20.9.28 DYNAMIC (CONF:81-9273).",
"min": 0,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"binding": {
"strength": "preferred",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.28"
}
}
]
}
}