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Template Family history section 2007‑04‑01

Id2.16.840.1.113883.10.20.1.4Effective Date2007‑04‑01
Statuspending Under pre-publication reviewVersion Label
NameFamilyHistorySectionDisplay NameFamily history section
Description

3.6 Family History

The template identifier for the family history section is 2.16.840.1.113883.10.20.1.4.

This section contains data defining the patient’s genetic relatives in terms of possible or relevant health risk factors that have a potential impact on the patient’s healthcare risk profile.

CONF-184: CCD SHOULD contain exactly one and SHALL NOT contain more than one Family history section (templateId 2.16.840.1.113883.10.20.1.4). The Family history section SHALL contain a narrative block, and SHOULD contain clinical statements. Clinical statements SHOULD include one or more family history observations (templateId 2.16.840.1.113883.10.20.1.22), which MAY be contained within family history organizers (templateId 2.16.840.1.113883.10.20.1.23).

3.6.1 Section conformance

CONF-185: The family history section SHALL contain Section / code.
CONF-186: The value for “Section / code” SHALL be “10157-6” “History of family member diseases” 2.16.840.1.113883.6.1 LOINC STATIC.
CONF-187: The family history section SHALL contain Section / title.
CONF-188: Section / titleSHOULD be valued with a case-insensitive language-insensitive text string containing “family history”.
CONF-189: The family history section SHALL NOT contain Section / subject.

3.6.2 Clinical statement conformance

The following figure shows a subset of the CDA Clinical Statement model containing those classes being constrained or extended and are referred to in the conformance statements that follow. Figure 8. CDA R2 clinical statement model for family history

3.6.2.1 Family history representation

The template identifier for a family history observation is 2.16.840.1.113883.10.20.1.22.
The template identifier for a family history organizer is 2.16.840.1.113883.10.20.1.23.
The template identifier for a family history cause of death observation is 2.16.840.1.113883.10.20.1.42.

Family history observations may be contained within a family history organizer in order to group those observations related to a particular family member.

3.6.2.1.1 Family history observation

CONF-190: A family history observation (templateId 2.16.840.1.113883.10.20.1.22) SHALL be represented with Observation.
CONF-191: The value for “Observation / @moodCode” in a family history observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC.
CONF-192: A family history observation SHALL contain at least one Observation / id.
CONF-193: A family history observation SHALL include exactly one Observation / statusCode.
CONF-194: The value for “Observation / statusCode” in a family history observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC.
CONF-195: A family history observation SHOULD include Observation / effectiveTime. (See also section 3.6.2.4 Representation of age).
CONF-196: A family history cause of death observation (templateId 2.16.840.1.113883.10.20.1.42) SHALL conform to the constraints and is a kind of family history observation (templateId 2.16.840.1.113883.10.20.1.22).
CONF-197: A family history cause of death observation SHALL contain one or more entryRelationship / @typeCode.
CONF-198: The value for at least one “entryRelationship / @typeCode” in a family history cause of death observation SHALL be “CAUS” “is etiology for” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC, with a target family history observation of death.
CONF-199: A family history observation SHALL contain one or more sources of information, as defined in section 5.2 Source.

3.6.2.1.2 Family history organizer

CONF-200: A family history organizer (templateId 2.16.840.1.113883.10.20.1.23) SHALL be represented with Organizer.
CONF-201: The value for “Organizer / @classCode” in a family history organizer SHALL be “CLUSTER” 2.16.840.1.113883.5.6 ActClass STATIC.
CONF-202: The value for “Organizer / @moodCode” in a family history organizer SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC.
CONF-203: A family history organizer SHALL contain exactly one Organizer / statusCode.
CONF-204: The value for “Organizer / statusCode” in a family history organizer SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC.
CONF-205: A family history organizer SHALL contain one or more Organizer / component.
CONF-206: The target of a family history organizer Organizer / component relationship SHOULD be a family history observation, but MAY be some other clinical statement.

3.6.2.2 Representation of “status” values

The template identifier for a problem status observation is 2.16.840.1.113883.10.20.1.50.

The representation of “status” values in the family history section is the same as the representation in the problems section.

CONF-207: A family history observation act MAY contain exactly one problem status observation (templateId 2.16.840.1.113883.10.20.1.50) (see section 3.5.2.2 Representation of “status” values).

3.6.2.3 Family history participants

CONF-208: A family history organizer SHALL contain exactly one subject participant, representing the family member who is the subject of the family history observations.
CONF-209: A family history observation not contained within a family history organizer SHALL contain exactly one subject participant, representing the family member who is the subject of the observation .
CONF-210: Where the subject of an observation is explicit in a family history observation code (e.g. SNOMED CT concept 417001009 “Family history of tuberous sclerosis”), the subject participant SHALL be equivalent to or further specialize the code.
CONF-211: Where the subject of an observation is not explicit in a family history observation code (e.g. SNOMED CT concept 44054006 “Diabetes Mellitus type 2”), the subject participant SHALL be used to assert the affected relative.
CONF-212: A subject participant SHALL contain exactly one RelatedSubject, representing the relationship of the subject to the patient.
CONF-213: The value for “RelatedSubject / @classCode” SHALL be “PRS” “Personal relationship” 2.16.840.1.113883.5.110 RoleClass STATIC.
CONF-214: RelatedSubject SHALL contain exactly one RelatedSubject / code.
CONF-215: The value for “RelatedSubject / code” SHOULD be selected from ValueSet 2.16.840.1.113883.1.11.19579 FamilyHistoryRelatedSubjectCode DYNAMIC or 2.16.840.1.113883.1.11.20.21 FamilyHistoryPersonCode DYNAMIC.
CONF-216: Representation of a pedigree graph SHALL be done using RelatedSubject / code values (e.g. “great grandfather”) to designate a hierarchical family tree.
CONF-217: RelatedSubject SHOULD contain exactly one RelatedSubject / subject.
CONF-218: RelatedSubject / subject SHOULD contain exactly one RelatedSubject / subject / administrativeGenderCode.

3.6.3 Extensions

The family history section extends the CDA R2 model with the addition of Subject / id, SubjectPerson / deceasedInd, and SubjectPerson / deceasedTime. See section 7.4 Extensions to CDA R2 for more details.

ContextParent nodes of template element with id 2.16.840.1.113883.10.20.1.4
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 1 template, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.777.4.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.1Containmentpending CCD v1.0 Templates Root2007‑04‑01
Uses as NameVersion
2.16.840.1.113883.10.20.1.22Includepending Family history observationDYNAMIC
2.16.840.1.113883.10.20.1.23Includepending Family history organizerDYNAMIC
2.16.840.1.113883.10.20.1.40Containmentpending CommentDYNAMIC
2.16.840.1.113883.10.20.1.42Includepending Cause of death observationDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
ItemDTCardConfDescriptionLabel
hl7:section
Famidotstion
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.20215 ActClassDocumentSection (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20267 ActMoodEventOccurrence (DYNAMIC)
hl7:templateId
II1 … 1Famidotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.1.4
hl7:id
II0 … 1Famidotstion
hl7:code
CE1 … 1MCONF‑185 / CONF‑186
@code
CONF1 … 1F10157-6
@codeSystem
1 … 1F2.16.840.1.113883.6.1
hl7:title
ST1 … 1MCONF‑187 / CONF‑188
 Schematron assertrolered error 
 testcontains(lower-case(.),'family history') 
 MessageCONF-188: Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “family history”. 
hl7:text
SD.TEXT1 … 1RCONF‑184
hl7:confidentialityCode
CE0 … 1Famidotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 x_BasicConfidentialityKind (DYNAMIC)
hl7:languageCode
CS0 … 1Famidotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:subject
NPCONF‑189
hl7:entry
1 … *RCONF‑184
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
@contextConductionInd
bl0 … 1 
Choice1 … 1Elements to choose from:
Included from 2.16.840.1.113883.10.20.1.22 Family history observation (DYNAMIC)
hl7:observation
CONF‑190
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑191
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-199: A family history observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
 Schematron assertroleyellow hint 
 testancestor::hl7:organizer[hl7:templateId/@root='2.16.840.1.113883.10.20.1.23'] or hl7:subject 
 MessageCONF-209: A family history observation not contained within a family history organizer SHALL contain exactly one subject participant, representing the family member who is the subject of the observation. Note that this constraint is satisfied if the subject participant is directly asserted for the family history observation and/or if the subject participant propagates to the family history observation from a containing element. 
hl7:templateId
II1 … 1CONF‑190
@root
uid1 … 1F2.16.840.1.113883.10.20.1.22
hl7:id
II1 … *MCONF‑192
hl7:code
CD1 … 1RCONF‑190
 CONF
shall be drawn from concept domain "ObservationType"
hl7:derivationExpr
ST0 … 1CONF‑190
hl7:text
ED0 … 1CONF‑190
hl7:statusCode
CS1 … 1MCONF‑193 / CONF‑194
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1RCONF‑190
hl7:priorityCode
CE0 … 1CONF‑190
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1CONF‑190
hl7:languageCode
CS0 … 1CONF‑190
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … *CONF‑190
hl7:interpretationCode
CE0 … *CONF‑190
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *CONF‑190
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *CONF‑190
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1RCONF‑209
@typeCode
cs0 … 1FSBJ
@contextControlCode
cs0 … 1FOP
hl7:awarenessCode
CE0 … 1CONF‑209
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:relatedSubject
1 … 1CONF‑212
@classCode
cs1 … 1FPRSCONF‑213
hl7:code
CE1 … 1MCONF‑214 / CONF‑215 / CONF‑216
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19579 FamilyMember (DYNAMIC)
or
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.21 FamilyHistoryPersonCode (DYNAMIC)
hl7:addr
AD0 … *CONF‑212
hl7:telecom
TEL0 … *CONF‑212
hl7:subject
1 … 1

7.4.2 Deceased Indicator and Time

Observations about members of the patient's family are recorded in the Family history section. The subject of the observation is the family member. In order to record information about whether this family member is deceased and when, the deceasedInd and deceacedTime extensions have been defined.

CONF-540: A subjectMAY include a deceasedInd element from the urn:hl7-org:sdtc namespace to indicate whether the person is deceased.
CONF-541: The deceasedInd element SHALL be of the Boolean (BL) data type.
CONF-542: The deceasedInd element SHALL appear immediately following the birthTime element.
CONF-543: A subject MAY include a deceasedTime element from the urn:hl7-org:sdtc namespace to indicate when the person died.
CONF-544: The deceasedTime element SHALL be of the Time Stamp (TS) data type.
CONF-545: The deceasedTime element SHALL appear immediately following the deceasedInd element.

CONF‑217
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.20049 EntityClassPerson (DYNAMIC)
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN0 … *CONF‑217
hl7:administrativeGenderCode
CE1 … 1RCONF‑218
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
hl7:birthTime
TS0 … 1CONF‑217
sdtc:deceasedInd
BL0 … 1CONF‑540 / CONF‑541 / CONF‑542
sdtc:deceasedTime
TS0 … 1CONF‑543 / CONF‑544 / CONF‑545
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑199
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)CONF‑207
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑207
hl7:seperatableInd
BL0 … 1CONF‑207
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.38 Age observation (DYNAMIC)CONF‑224
@typeCode
cs1 … 1FSUBJCONF‑224
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑224
hl7:seperatableInd
BL0 … 1CONF‑224
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑199
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑199
hl7:seperatableInd
BL0 … 1CONF‑199
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑199
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *CONF‑190
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1CONF‑190
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1CONF‑190
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1CONF‑190
hl7:value
0 … 1CONF‑190
hl7:interpretationCode
CE0 … 1CONF‑190
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Included from 2.16.840.1.113883.10.20.1.42 Cause of death observation (DYNAMIC)
hl7:observation
CONF‑190 / CONF‑196
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑191
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-199: A family history observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
 Schematron assertroleyellow hint 
 testancestor::hl7:organizer[hl7:templateId/@root='2.16.840.1.113883.10.20.1.23'] or hl7:subject 
 MessageCONF-209: A family history observation not contained within a family history organizer SHALL contain exactly one subject participant, representing the family member who is the subject of the observation. Note that this constraint is satisfied if the subject participant is directly asserted for the family history observation and/or if the subject participant propagates to the family history observation from a containing element. 
hl7:templateId
II1 … 1CONF‑190 / CONF‑196
@root
uid1 … 1F2.16.840.1.113883.10.20.1.42
hl7:id
II1 … *MCONF‑192
hl7:code
CD1 … 1RCONF‑190 / CONF‑196
 CONF
shall be drawn from concept domain "ObservationType"
hl7:derivationExpr
ST0 … 1CONF‑190 / CONF‑196
hl7:text
ED0 … 1CONF‑190 / CONF‑196
hl7:statusCode
CS1 … 1MCONF‑193 / CONF‑194
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1RCONF‑190 / CONF‑196
hl7:priorityCode
CE0 … 1CONF‑190 / CONF‑196
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1CONF‑190 / CONF‑196
hl7:languageCode
CS0 … 1CONF‑190 / CONF‑196
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … *CONF‑190 / CONF‑196
hl7:interpretationCode
CE0 … *CONF‑190 / CONF‑196
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *CONF‑190 / CONF‑196
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *CONF‑190 / CONF‑196
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1RCONF‑209
@typeCode
cs0 … 1FSBJ
@contextControlCode
cs0 … 1FOP
hl7:awarenessCode
CE0 … 1CONF‑209
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:relatedSubject
1 … 1CONF‑212
@classCode
cs1 … 1FPRSCONF‑213
hl7:code
CE1 … 1MCONF‑214 / CONF‑215 / CONF‑216
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19579 FamilyMember (DYNAMIC)
or
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.21 FamilyHistoryPersonCode (DYNAMIC)
hl7:addr
AD0 … *CONF‑212
hl7:telecom
TEL0 … *CONF‑212
hl7:subject
1 … 1

7.4.2 Deceased Indicator and Time

Observations about members of the patient's family are recorded in the Family history section. The subject of the observation is the family member. In order to record information about whether this family member is deceased and when, the deceasedInd and deceacedTime extensions have been defined.

CONF-540: A subjectMAY include a deceasedInd element from the urn:hl7-org:sdtc namespace to indicate whether the person is deceased.
CONF-541: The deceasedInd element SHALL be of the Boolean (BL) data type.
CONF-542: The deceasedInd element SHALL appear immediately following the birthTime element.
CONF-543: A subject MAY include a deceasedTime element from the urn:hl7-org:sdtc namespace to indicate when the person died.
CONF-544: The deceasedTime element SHALL be of the Time Stamp (TS) data type.
CONF-545: The deceasedTime element SHALL appear immediately following the deceasedInd element.

CONF‑217
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.20049 EntityClassPerson (DYNAMIC)
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN0 … *CONF‑217
hl7:administrativeGenderCode
CE1 … 1RCONF‑218
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
hl7:birthTime
TS0 … 1CONF‑217
sdtc:deceasedInd
BL0 … 1CONF‑540 / CONF‑541 / CONF‑542
sdtc:deceasedTime
TS0 … 1CONF‑543 / CONF‑544 / CONF‑545
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑199
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)CONF‑207
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑207
hl7:seperatableInd
BL0 … 1CONF‑207
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.38 Age observation (DYNAMIC)CONF‑224
@typeCode
cs1 … 1FSUBJCONF‑224
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑224
hl7:seperatableInd
BL0 … 1CONF‑224
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑199
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑199
hl7:seperatableInd
BL0 … 1CONF‑199
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:entryRelationship
0 … *CONF‑197
@typeCode
cs1 … 1FCAUSCONF‑198
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑197
hl7:seperatableInd
BL0 … 1CONF‑197
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑199
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *CONF‑190 / CONF‑196
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1CONF‑190 / CONF‑196
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1CONF‑190 / CONF‑196
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1CONF‑190 / CONF‑196
hl7:value
0 … 1CONF‑190 / CONF‑196
hl7:interpretationCode
CE0 … 1CONF‑190 / CONF‑196
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Included from 2.16.840.1.113883.10.20.1.23 Family history organizer (DYNAMIC)
hl7:organizer
Famidotsizer
@classCode
cs1 … 1FCLUSTERCONF‑201
@moodCode
cs0 … 1FEVNCONF‑202
hl7:templateId
II1 … 1Famidotsizer
@root
uid1 … 1F2.16.840.1.113883.10.20.1.23
hl7:id
II0 … *Famidotsizer
hl7:code
CD0 … 1Famidotsizer
 CONF
shall be drawn from concept domain "ActCode"
hl7:statusCode
CS1 … 1MCONF‑203 / CONF‑204
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS0 … 1Famidotsizer
hl7:subject
0 … 1RCONF‑208
@typeCode
cs0 … 1FSBJ
@contextControlCode
cs0 … 1FOP
hl7:awarenessCode
CE0 … 1CONF‑208
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:relatedSubject
1 … 1CONF‑212
@classCode
cs1 … 1FPRSCONF‑213
hl7:code
CE1 … 1MCONF‑214 / CONF‑215 / CONF‑216
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19579 FamilyMember (DYNAMIC)
or
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.21 FamilyHistoryPersonCode (DYNAMIC)
hl7:addr
AD0 … *CONF‑212
hl7:telecom
TEL0 … *CONF‑212
hl7:subject
1 … 1

7.4.2 Deceased Indicator and Time

Observations about members of the patient's family are recorded in the Family history section. The subject of the observation is the family member. In order to record information about whether this family member is deceased and when, the deceasedInd and deceacedTime extensions have been defined.

CONF-540: A subjectMAY include a deceasedInd element from the urn:hl7-org:sdtc namespace to indicate whether the person is deceased.
CONF-541: The deceasedInd element SHALL be of the Boolean (BL) data type.
CONF-542: The deceasedInd element SHALL appear immediately following the birthTime element.
CONF-543: A subject MAY include a deceasedTime element from the urn:hl7-org:sdtc namespace to indicate when the person died.
CONF-544: The deceasedTime element SHALL be of the Time Stamp (TS) data type.
CONF-545: The deceasedTime element SHALL appear immediately following the deceasedInd element.

CONF‑217
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.20049 EntityClassPerson (DYNAMIC)
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN0 … *CONF‑217
hl7:administrativeGenderCode
CE1 … 1RCONF‑218
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
hl7:birthTime
TS0 … 1CONF‑217
sdtc:deceasedInd
BL0 … 1CONF‑540 / CONF‑541 / CONF‑542
sdtc:deceasedTime
TS0 … 1CONF‑543 / CONF‑544 / CONF‑545
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:component
1 … *MCONF‑136
@typeCode
cs0 … 1FCOMP
@contextConductionInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑136
hl7:seperatableInd
BL0 … 1CONF‑136
Choice1 … 1Elements to choose from:
Included from 2.16.840.1.113883.10.20.1.22 Family history observation (DYNAMIC)
hl7:observation
CONF‑190
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑191
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-199: A family history observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
 Schematron assertroleyellow hint 
 testancestor::hl7:organizer[hl7:templateId/@root='2.16.840.1.113883.10.20.1.23'] or hl7:subject 
 MessageCONF-209: A family history observation not contained within a family history organizer SHALL contain exactly one subject participant, representing the family member who is the subject of the observation. Note that this constraint is satisfied if the subject participant is directly asserted for the family history observation and/or if the subject participant propagates to the family history observation from a containing element. 
hl7:templateId
II1 … 1CONF‑190
@root
uid1 … 1F2.16.840.1.113883.10.20.1.22
hl7:id
II1 … *MCONF‑192
hl7:code
CD1 … 1RCONF‑190
 CONF
shall be drawn from concept domain "ObservationType"
hl7:derivationExpr
ST0 … 1CONF‑190
hl7:text
ED0 … 1CONF‑190
hl7:statusCode
CS1 … 1MCONF‑193 / CONF‑194
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1RCONF‑190
hl7:priorityCode
CE0 … 1CONF‑190
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1CONF‑190
hl7:languageCode
CS0 … 1CONF‑190
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … *CONF‑190
hl7:interpretationCode
CE0 … *CONF‑190
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *CONF‑190
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *CONF‑190
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1RCONF‑209
@typeCode
cs0 … 1FSBJ
@contextControlCode
cs0 … 1FOP
hl7:awarenessCode
CE0 … 1CONF‑209
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:relatedSubject
1 … 1CONF‑212
@classCode
cs1 … 1FPRSCONF‑213
hl7:code
CE1 … 1MCONF‑214 / CONF‑215 / CONF‑216
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19579 FamilyMember (DYNAMIC)
or
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.21 FamilyHistoryPersonCode (DYNAMIC)
hl7:addr
AD0 … *CONF‑212
hl7:telecom
TEL0 … *CONF‑212
hl7:subject
1 … 1

7.4.2 Deceased Indicator and Time

Observations about members of the patient's family are recorded in the Family history section. The subject of the observation is the family member. In order to record information about whether this family member is deceased and when, the deceasedInd and deceacedTime extensions have been defined.

CONF-540: A subjectMAY include a deceasedInd element from the urn:hl7-org:sdtc namespace to indicate whether the person is deceased.
CONF-541: The deceasedInd element SHALL be of the Boolean (BL) data type.
CONF-542: The deceasedInd element SHALL appear immediately following the birthTime element.
CONF-543: A subject MAY include a deceasedTime element from the urn:hl7-org:sdtc namespace to indicate when the person died.
CONF-544: The deceasedTime element SHALL be of the Time Stamp (TS) data type.
CONF-545: The deceasedTime element SHALL appear immediately following the deceasedInd element.

CONF‑217
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.20049 EntityClassPerson (DYNAMIC)
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN0 … *CONF‑217
hl7:administrativeGenderCode
CE1 … 1RCONF‑218
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
hl7:birthTime
TS0 … 1CONF‑217
sdtc:deceasedInd
BL0 … 1CONF‑540 / CONF‑541 / CONF‑542
sdtc:deceasedTime
TS0 … 1CONF‑543 / CONF‑544 / CONF‑545
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑199
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)CONF‑207
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑207
hl7:seperatableInd
BL0 … 1CONF‑207
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.38 Age observation (DYNAMIC)CONF‑224
@typeCode
cs1 … 1FSUBJCONF‑224
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑224
hl7:seperatableInd
BL0 … 1CONF‑224
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑199
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑199
hl7:seperatableInd
BL0 … 1CONF‑199
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑199
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *CONF‑190
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1CONF‑190
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1CONF‑190
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1CONF‑190
hl7:value
0 … 1CONF‑190
hl7:interpretationCode
CE0 … 1CONF‑190
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Included from 2.16.840.1.113883.10.20.1.42 Cause of death observation (DYNAMIC)
hl7:observation
CONF‑190 / CONF‑196
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑191
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-199: A family history observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
 Schematron assertroleyellow hint 
 testancestor::hl7:organizer[hl7:templateId/@root='2.16.840.1.113883.10.20.1.23'] or hl7:subject 
 MessageCONF-209: A family history observation not contained within a family history organizer SHALL contain exactly one subject participant, representing the family member who is the subject of the observation. Note that this constraint is satisfied if the subject participant is directly asserted for the family history observation and/or if the subject participant propagates to the family history observation from a containing element. 
hl7:templateId
II1 … 1CONF‑190 / CONF‑196
@root
uid1 … 1F2.16.840.1.113883.10.20.1.42
hl7:id
II1 … *MCONF‑192
hl7:code
CD1 … 1RCONF‑190 / CONF‑196
 CONF
shall be drawn from concept domain "ObservationType"
hl7:derivationExpr
ST0 … 1CONF‑190 / CONF‑196
hl7:text
ED0 … 1CONF‑190 / CONF‑196
hl7:statusCode
CS1 … 1MCONF‑193 / CONF‑194
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1RCONF‑190 / CONF‑196
hl7:priorityCode
CE0 … 1CONF‑190 / CONF‑196
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1CONF‑190 / CONF‑196
hl7:languageCode
CS0 … 1CONF‑190 / CONF‑196
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … *CONF‑190 / CONF‑196
hl7:interpretationCode
CE0 … *CONF‑190 / CONF‑196
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *CONF‑190 / CONF‑196
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *CONF‑190 / CONF‑196
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1RCONF‑209
@typeCode
cs0 … 1FSBJ
@contextControlCode
cs0 … 1FOP
hl7:awarenessCode
CE0 … 1CONF‑209
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:relatedSubject
1 … 1CONF‑212
@classCode
cs1 … 1FPRSCONF‑213
hl7:code
CE1 … 1MCONF‑214 / CONF‑215 / CONF‑216
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19579 FamilyMember (DYNAMIC)
or
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.21 FamilyHistoryPersonCode (DYNAMIC)
hl7:addr
AD0 … *CONF‑212
hl7:telecom
TEL0 … *CONF‑212
hl7:subject
1 … 1

7.4.2 Deceased Indicator and Time

Observations about members of the patient's family are recorded in the Family history section. The subject of the observation is the family member. In order to record information about whether this family member is deceased and when, the deceasedInd and deceacedTime extensions have been defined.

CONF-540: A subjectMAY include a deceasedInd element from the urn:hl7-org:sdtc namespace to indicate whether the person is deceased.
CONF-541: The deceasedInd element SHALL be of the Boolean (BL) data type.
CONF-542: The deceasedInd element SHALL appear immediately following the birthTime element.
CONF-543: A subject MAY include a deceasedTime element from the urn:hl7-org:sdtc namespace to indicate when the person died.
CONF-544: The deceasedTime element SHALL be of the Time Stamp (TS) data type.
CONF-545: The deceasedTime element SHALL appear immediately following the deceasedInd element.

CONF‑217
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.20049 EntityClassPerson (DYNAMIC)
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN0 … *CONF‑217
hl7:administrativeGenderCode
CE1 … 1RCONF‑218
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
hl7:birthTime
TS0 … 1CONF‑217
sdtc:deceasedInd
BL0 … 1CONF‑540 / CONF‑541 / CONF‑542
sdtc:deceasedTime
TS0 … 1CONF‑543 / CONF‑544 / CONF‑545
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑199
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)CONF‑207
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑207
hl7:seperatableInd
BL0 … 1CONF‑207
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.38 Age observation (DYNAMIC)CONF‑224
@typeCode
cs1 … 1FSUBJCONF‑224
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑224
hl7:seperatableInd
BL0 … 1CONF‑224
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑199
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑199
hl7:seperatableInd
BL0 … 1CONF‑199
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:entryRelationship
0 … *CONF‑197
@typeCode
cs1 … 1FCAUSCONF‑198
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑197
hl7:seperatableInd
BL0 … 1CONF‑197
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑199
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *CONF‑190 / CONF‑196
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1CONF‑190 / CONF‑196
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1CONF‑190 / CONF‑196
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1CONF‑190 / CONF‑196
hl7:value
0 … 1CONF‑190 / CONF‑196
hl7:interpretationCode
CE0 … 1CONF‑190 / CONF‑196
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:component
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.13 CCD Clinical Statement (DYNAMIC)Famidotsizer
@typeCode
cs0 … 1FCOMP
@contextConductionInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1Famidotsizer
hl7:seperatableInd
BL0 … 1Famidotsizer
hl7:entry
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
@contextConductionInd
bl0 … 1