Item | DT | Card | Conf | Description | Label |
---|
cda:observation
| | | | | Outction |
@classCode
| cs | 1 … 1 | F | OBS | CONF1219 |
| SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31219). |
@moodCode
| cs | 1 … 1 | F | EVN | CONF1220 |
| SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31220). |
cda:templateId
| II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:1098-31221) such that it | CONF1221 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.144 | CONF1222 |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.144" (CONF:1098-31222). |
cda:id
| II | 1 … * | | SHALL contain at least one [1..*] id (CONF:1098-31223). | CONF1223 |
cda:code
| CD | 1 … 1 | M | SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32746). | CONF2746 |
@codeSystem
| CONF | 1 … 1 | F | 2.16.840.1.113883.6.1 |
cda:value
| | 0 … 1 | R | SHOULD contain zero or one [0..1] value (CONF:1098-32747). | CONF2747 |
cda:author
| | 0 … * | R | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31553). Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) | CONF1553 |
Choice | 1 … | | Elements to choose from: |
cda:entryRelationship
| | 0 … * | R | The following entryRelationship represents the relationship between an Outcome Observation and a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. Contains 2.16.840.1.113883.10.20.22.4.122 Entry Reference (2015‑08‑13) | CONF1224 |
where [@typeCode='GEVL'] | |
@typeCode
| cs | 1 … 1 | F | GEVL | CONF1225 |
| SHALL contain exactly one [1..1] @typeCode="GEVL" Evaluates goal (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31225). |
| Constraint | This entryReference template *SHALL* reference an instance of a Goal Observation template |
cda:entryRelationship
| | 0 … 1 | R | The following entryRelationship represents the relationship between an Outcome Observation and a Progress Toward Goal Observation (Outcome Observation SUPPORTS Progress Toward Goal Observation). In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal. Contains 2.16.840.1.113883.10.20.22.4.110 Progress Toward Goal Observation (2015‑08‑13) | CONF1427 |
@typeCode
| cs | 1 … 1 | F | SPRT | CONF1428 |
| SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31428). |
@inversionInd
| bl | 1 … 1 | F | true | CONF1429 |
| SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1098-31429). |
cda:entryRelationship
| | 0 … * | | Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry. Contains 2.16.840.1.113883.10.20.22.4.122 Entry Reference (2015‑08‑13) | CONF1688 |
where [@typeCode='RSON'] | |
@typeCode
| cs | 1 … 1 | F | RSON | CONF1689 |
| SHALL contain exactly one [1..1] @typeCode="RSON" Has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31689). |
| Constraint | This entryReference template *SHALL* reference an instance of a Intervention Act template |
cda:reference
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.115 External Document Reference (2014‑06‑09) | CONF2763 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF2764 |
| The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32764). |