Id2.16.840.1.113883.10.20.1.41Effective Date2007‑04‑01
Statuspending Under pre-publication reviewVersion Label
NameEpisodeObservationDisplay NameEpisode observation
Description

3.5.2.3 Episode observations

The template identifier for an episode observation is 2.16.840.1.113883.10.20.1.41.

Episode observations are used to distinguish among multiple occurrences of a problem or social history item. An episode observation is used to indicate that a problem act represents a new episode, distinct from other episodes of a similar concern.

NOTE: The HL7 actRelationshipType “ELNK” (episodeLink) is used to indicate that linked observations are part of the SAME episode, whereas the ASTM CCR <Episodes> element is used to differentiate DIFFERENT episodes of the same condition.

CONF-168: A problem act MAY contain exactly one episode observation.
CONF-169: An episode observation (templateId 2.16.840.1.113883.10.20.1.41) SHALL be represented with Observation.
CONF-170: The value for “Observation / @classCode” in an episode observation SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC.
CONF-171: The value for “Observation / @moodCode” in an episode observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC.
CONF-172: An episode observation SHALL include exactly one Observation / statusCode.
CONF-173: The value for “Observation / statusCode” in an episode observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC.
CONF-174: The value for “Observation / Code” in an episode observation SHOULD be “ASSERTION” 2.16.840.1.113883.5.4 ActCode STATIC.
CONF-175: “Observation / value” in an episode observation SHOULD be the following SNOMED CT expression: 

 <value xsi:type="CD" code="404684003" codeSystem="2.16.840.1.113883.6.96" displayName="Clinical finding"> <qualifier> <name code="246456000" displayName="Episodicity"/> <value code="288527008" displayName="New episode"/> </qualifier> </value>
CONF-176: An episode observation SHALL be the source of exactly one entryRelationship whose value for “entryRelationship / @typeCode” is “SUBJ” “Has subject” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC . This is used to link the episode observation to the target problem act or social history observation.
CONF-177: An episode observation MAY be the source of one or more entryRelationship whose value for “entryRelationship / @typeCode” is “SAS” “Starts after start” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. The target of the entryRelationship SHALL be a problem act or social history observation. This is used to represent the temporal sequence of episodes.

3.5.2.4 Patient awareness of a problem

The template identifier for patient awareness is templateId 2.16.840.1.113883.10.20.1.48.

ContextParent nodes of template element with id 2.16.840.1.113883.10.20.1.41
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 22 templates, 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
2.16.840.1.113883.3.1937.777.4.10.50linkpending Procedure activity (act)2007‑04‑01
2.16.840.1.113883.3.1937.777.4.10.51linkpending Procedure activity (observation)2007‑04‑01
2.16.840.1.113883.3.1937.777.4.10.52linkpending Procedure activity (procedure)2007‑04‑01
2.16.840.1.113883.10.20.1linkpending CCD v1.0 Templates Root2007‑04‑01
2.16.840.1.113883.10.20.1.2linkpending Alerts section2007‑04‑01
2.16.840.1.113883.10.20.1.5linkpending Functional status section2007‑04‑01
2.16.840.1.113883.10.20.1.6linkpending Immunization section2007‑04‑01
2.16.840.1.113883.10.20.1.7linkpending Medical equipment section2007‑04‑01
2.16.840.1.113883.10.20.1.8linkpending Medication section2007‑04‑01
2.16.840.1.113883.10.20.1.11linkpending Problem section2007‑04‑01
2.16.840.1.113883.10.20.1.12linkpending Procedures section2007‑04‑01
2.16.840.1.113883.10.20.1.14linkpending Results section2007‑04‑01
2.16.840.1.113883.10.20.1.15linkpending Social history section2007‑04‑01
2.16.840.1.113883.10.20.1.16linkpending Vital signs section2007‑04‑01
2.16.840.1.113883.10.20.1.18linkpending Alert observation2007‑04‑01
2.16.840.1.113883.10.20.1.24linkpending Medication activity2007‑04‑01
2.16.840.1.113883.10.20.1.27linkpending Problem act2007‑04‑01
2.16.840.1.113883.10.20.1.32linkpending Result organizer2007‑04‑01
2.16.840.1.113883.10.20.1.33Containmentpending Social history observation2007‑04‑01
2.16.840.1.113883.10.20.1.35linkpending Vital signs organizer2007‑04‑01
2.16.840.1.113883.10.20.1.41linkpending Episode observation2007‑04‑01
2.16.840.1.113883.10.20.1.54linkpending Reaction observation2007‑04‑01
Uses as NameVersion
2.16.840.1.113883.3.1937.777.4.10.3Containmentpending CCD Subject (Body)DYNAMIC
2.16.840.1.113883.10.20.1.27Includepending Problem actDYNAMIC
2.16.840.1.113883.10.20.1.33Includepending Social history observationDYNAMIC
2.16.840.1.113883.10.20.1.40Containmentpending CommentDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
ItemDTCardConfDescriptionLabel
hl7:observation
CONF‑169
@classCode
cs0 … 1 CONF‑170
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑171
@negationInd
bl0 … 1 
hl7:templateId
II1 … 1CONF‑169
@root
uid1 … 1F2.16.840.1.113883.10.20.1.41
hl7:id
II0 … *CONF‑169
hl7:code
CD1 … 1MCONF‑174 / CONF‑175
@code
CONF1 … 1FASSERTION
@codeSystem
1 … 1F2.16.840.1.113883.5.4
hl7:derivationExpr
ST0 … 1CONF‑169
hl7:text
ED0 … 1CONF‑169
hl7:statusCode
CS1 … 1MCONF‑172 / CONF‑173
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS0 … 1CONF‑169
hl7:priorityCode
CE0 … 1CONF‑169
 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‑169
hl7:languageCode
CS0 … 1CONF‑169
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
CD1 … 1MCONF‑175
@code
CONF1 … 1F404684003
@codeSystem
1 … 1F2.16.840.1.113883.6.96
@displayName
1 … 1FClinical finding
hl7:qualifier
MCONF‑175
hl7:name
MCONF‑175
@code
CONF1 … 1F246456000
@displayName
1 … 1FEpisodicity
hl7:value
MCONF‑175
@code
CONF1 … 1F288527008
@displayName
1 … 1FNew episode
hl7:interpretationCode
CE0 … *CONF‑169
 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‑169
 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‑169
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)CONF‑169
hl7:entryRelationship
0 … *CONF‑177
@typeCode
cs1 … 1R
 CONF
@typeCode shall be "SAS"
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑177
hl7:seperatableInd
BL0 … 1CONF‑177
Choice1 … 1Elements to choose from:
Included from 2.16.840.1.113883.10.20.1.27 Problem act (DYNAMIC)
hl7:act
ProbdotsmAct
@classCode
cs1 … 1FACTCONF‑146
@moodCode
cs1 … 1FEVNCONF‑147
@negationInd
bl0 … 1 
hl7:templateId
II1 … 1ProbdotsmAct
@root
uid1 … 1F2.16.840.1.113883.10.20.1.27
hl7:id
II1 … *MCONF‑148
hl7:code
CD1 … 1RCONF‑149
@nullFlavor
cs1 … 1FNA
hl7:text
ED0 … 1ProbdotsmAct
hl7:statusCode
CS0 … 1ProbdotsmAct
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
IVL_TS0 … 1CONF‑150
hl7:priorityCode
CE0 … 1ProbdotsmAct
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:languageCode
CS0 … 1ProbdotsmAct
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)ProbdotsmAct
hl7:participant
0 … 1Contains 2.16.840.1.113883.10.20.1.48 Patient awareness (DYNAMIC)CONF‑178 / CONF‑179 / CONF‑180
Choice1 … *Elements to choose from:
hl7:entryRelationship
CONF‑151
@typeCode
cs1 … 1FSUBJCONF‑152
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑151
hl7:seperatableInd
BL0 … 1CONF‑151
Choice1 … 1Elements to choose from:
Included from 2.16.840.1.113883.10.20.1.28 Problem observation (DYNAMIC)
hl7:observation
Probdotstion
@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‑155
@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-161: A problem observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
 Schematron assertrolered error 
 test(not(hl7:entryRelationship[hl7:observation/hl7:templateId/@root='2.16.840.1.113883.10.20.1.44']) or ancestor::hl7:section[hl7:templateId/@root='2.16.840.1.113883.10.20.1.5']) and (not(ancestor::hl7:section[hl7:templateId/@root='2.16.840.1.113883.10.20.1.5']) or hl7:entryRelationship[hl7:observation/hl7:templateId/@root='2.16.840.1.113883.10.20.1.44']) 
 MessageCONF-136: A problem observation in the functional status section SHALL contain exactly one status of functional status observation. 
hl7:templateId
II1 … 1Probdotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.1.28
hl7:id
II0 … *Probdotstion
hl7:code
CD1 … 1R

CONF-129: The value for “Observation / code” in a problem observation or result observation in the functional status section MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.6 FunctionalStatusTypeCode STATIC 20061017.
CONF-159: The value for “Observation / code” in a problem observation MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.14 ProblemTypeCode STATIC 20061017.

CONF‑128
hl7:derivationExpr
ST0 … 1Probdotstion
hl7:text
ED0 … 1Probdotstion
hl7:statusCode
CS1 … 1MCONF‑156 / CONF‑157
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1RProbdotstion
hl7:priorityCode
CE0 … 1Probdotstion
 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 … 1Probdotstion
hl7:languageCode
CS0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … *Probdotstion
hl7:interpretationCode
CE0 … *Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *Probdotstion
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)Probdotstion
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑161
hl7:participant
0 … 1Contains 2.16.840.1.113883.10.20.1.48 Patient awareness (DYNAMIC)CONF‑178 / CONF‑179 / CONF‑180
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.44 Status of functional status observation (DYNAMIC)CONF‑136
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑136
hl7:seperatableInd
BL0 … 1CONF‑136
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.38 Age observation (DYNAMIC)CONF‑160
@typeCode
cs1 … 1FSUBJCONF‑160
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑160
hl7:seperatableInd
BL0 … 1CONF‑160
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)CONF‑162
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑162
hl7:seperatableInd
BL0 … 1CONF‑162
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.51 Problem healthstatus observation (DYNAMIC)CONF‑165
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑165
hl7:seperatableInd
BL0 … 1CONF‑165
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‑161
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑161
hl7:seperatableInd
BL0 … 1CONF‑161
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‑161
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *Probdotstion
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1Probdotstion
@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 … 1Probdotstion
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1Probdotstion
hl7:value
0 … 1Probdotstion
hl7:interpretationCode
CE0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Included from 2.16.840.1.113883.10.20.1.18 Alert observation (DYNAMIC)
hl7:observation
CONF‑262
@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‑263
@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-269: A alert observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
hl7:templateId
II1 … 1CONF‑262
@root
uid1 … 1F2.16.840.1.113883.10.20.1.18
hl7:id
II0 … *CONF‑262
hl7:code
CD1 … 1RCONF‑262
 CONF
shall be drawn from concept domain "ObservationType"
hl7:derivationExpr
ST0 … 1CONF‑262
hl7:text
ED0 … 1CONF‑262
hl7:statusCode
CS1 … 1MCONF‑264 / CONF‑265
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS0 … 1CONF‑266
hl7:priorityCode
CE0 … 1CONF‑262
 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‑262
hl7:languageCode
CS0 … 1CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … 1CONF‑267 / CONF‑268
hl7:interpretationCode
CE0 … *CONF‑262
 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‑262
 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‑262
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)CONF‑262
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑269
hl7:participant
1 … *CONF‑273
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.10901 ParticipationType (DYNAMIC)
@contextControlCode
cs0 … 1FOP
hl7:time
IVL_TS0 … 1CONF‑273
hl7:awarenessCode
CE0 … 1CONF‑273
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:participantRole
1 … 1CONF‑274
@classCode
cs1 … 1FMANUCONF‑276
hl7:id
II0 … *CONF‑274
hl7:code
CE0 … 1CONF‑274
 CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
AD0 … *CONF‑274
hl7:telecom
TEL0 … *CONF‑274
hl7:playingEntity
1 … 1CONF‑274
@classCode
cs1 … 1FMMATCONF‑277
@determinerCode
cs0 … 1FINSTANCE
hl7:code
CE1 … 1CONF‑278 / CONF‑279
 CONF
@codeSystem shall be "2.16.840.1.113883.6.88"
or
@codeSystem shall be "2.16.840.1.113883.6.59"
hl7:quantity
PQ0 … *CONF‑274
hl7:name
PN0 … *CONF‑274
hl7:desc
ED0 … 1CONF‑274
hl7:scopingEntity
0 … 1CONF‑274
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.10882 EntityClass (DYNAMIC)
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *CONF‑274
hl7:code
CE0 … 1CONF‑274
 CONF
shall be drawn from concept domain "EntityCode"
hl7:desc
ED0 … 1CONF‑274
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.39 Alert status observation (DYNAMIC)CONF‑270
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑270
hl7:seperatableInd
BL0 … 1CONF‑270
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.54 Reaction observation (DYNAMIC)CONF‑280
@typeCode
cs1 … 1FMFSTCONF‑281
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑280
hl7:seperatableInd
BL0 … 1CONF‑280
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‑269
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑269
hl7:seperatableInd
BL0 … 1CONF‑269
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‑269
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *CONF‑262
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1CONF‑262
@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‑262
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1CONF‑262
hl7:value
0 … 1CONF‑262
hl7:interpretationCode
CE0 … 1CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:entryRelationship
 … 1Contains 2.16.840.1.113883.10.20.1.41 Episode observation (DYNAMIC)CONF‑168
@typeCode
cs1 … 1FSUBJCONF‑176
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 CONF‑176
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑168
hl7:seperatableInd
BL0 … 1CONF‑168
hl7:entryRelationship
Contains 2.16.840.1.113883.3.1937.777.4.10.13 CCD Clinical Statement (DYNAMIC)CONF‑151
@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‑151
hl7:seperatableInd
BL0 … 1CONF‑151
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
Included from 2.16.840.1.113883.10.20.1.33 Social history observation (DYNAMIC)
hl7:observation
CONF‑237
@classCode
cs0 … 1 CONF‑238
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑239
@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-245: A social history observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
hl7:templateId
II1 … 1CONF‑237
@root
uid1 … 1F2.16.840.1.113883.10.20.1.33
hl7:id
II1 … *CONF‑240
hl7:code
CD1 … 1RCONF‑243
 CONF
@codeSystem shall be "2.16.840.1.113883.6.1"
or
@codeSystem shall be "2.16.840.1.113883.6.96"
or
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.18 SocialHistoryTypeCode (2006‑10‑17)
hl7:derivationExpr
ST0 … 1CONF‑237
hl7:text
ED0 … 1CONF‑237
hl7:statusCode
CS1 … 1MCONF‑241 / CONF‑242
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS0 … 1CONF‑237
hl7:priorityCode
CE0 … 1CONF‑237
 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‑237
hl7:languageCode
CS0 … 1CONF‑237
 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‑244
hl7:interpretationCode
CE0 … *CONF‑237
 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‑237
 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‑237
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)CONF‑237
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑245
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.56 Social history status observation (DYNAMIC)CONF‑246
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑246
hl7:seperatableInd
BL0 … 1CONF‑246
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.41 Episode observation (DYNAMIC)CONF‑249
@typeCode
cs1 … 1FSUBJCONF‑176
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 CONF‑176
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑249
hl7:seperatableInd
BL0 … 1CONF‑249
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‑245
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑245
hl7:seperatableInd
BL0 … 1CONF‑245
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‑245
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *CONF‑237
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1CONF‑237
@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‑237
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1CONF‑237
hl7:value
0 … 1CONF‑237
hl7:interpretationCode
CE0 … 1CONF‑237
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
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:referenceRange
0 … *CONF‑169
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1CONF‑169
@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‑169
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1CONF‑169
hl7:value
0 … 1CONF‑169
hl7:interpretationCode
CE0 … 1CONF‑169
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)