Item | DT | Card | Conf | Description | Label |
---|
cda:observation
| | | | | FuncATED |
@classCode
| cs | 1 … 1 | F | OBS | CONF4282 |
| SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-14282). |
@moodCode
| cs | 1 … 1 | F | EVN | CONF4283 |
| SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-14283). |
@negationInd
| bl | 0 … 1 | | MAY contain zero or one [0..1] @negationInd (CONF:1098-14307). | CONF4307 |
cda:templateId
| II | 1 … 1 | M | C-CDA R1.1 templateId root without an extension | CONF2936 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.68 |
cda:templateId
| II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:1098-14312) such that it | CONF4312 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.68 | CONF4313 |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.68" (CONF:1098-14313). |
@extension
| st | 1 … 1 | F | 2014-06-09 | CONF2601 |
| SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32601). |
cda:id
| II | 1 … * | | SHALL contain at least one [1..*] id (CONF:1098-14284). | CONF4284 |
cda:code
| CD | 1 … 1 | M | SHALL contain exactly one [1..1] code (CONF:1098-14314). | CONF4314 |
@code
| CONF | 1 … 1 | F | 248536006 |
@codeSystem
| 1 … 1 | F | 2.16.840.1.113883.6.96 |
cda:text
| | 0 … 1 | R | SHOULD contain zero or one [0..1] text (CONF:1098-14304). | CONF4304 |
cda:reference
| | 0 … 1 | R | The text, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-15552). | CONF5552 |
@value
| | 0 … 1 | | The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-15553). | CONF5553 |
| Schematron assert | role | error | |
| test | not(@value) or starts-with(@value, '#') | |
| Message | This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) | |
cda:statusCode
| CS | 1 … 1 | M | SHALL contain exactly one [1..1] statusCode (CONF:1098-14286). | CONF4286 |
@code
| CONF | 1 … 1 | F | completed |
cda:effectiveTime
| IVL_TS | 0 … 1 | R | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-14287). | CONF4287 |
cda:low
| | 1 … 1 | R | The effectiveTime, if present, SHALL contain exactly one [1..1] low (CONF:1098-26456).The value of effectiveTime/low represents onset date. | CONF6456 |
cda:high
| | 0 … 1 | R | The effectiveTime, if present, MAY contain zero or one [0..1] high (CONF:1098-26457).If the problem is resolved, record the resolution date in effectiveTime/high. If the problem is known to be resolved but the resolution date is not known, use @nullFlavor="UNK". If the problem is not resolved, do not include the high element. | CONF6457 |
cda:value
| CD | 1 … 1 | M | SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:1098-14291). | CONF4291 |
@nullFlavor
| cs | 0 … 1 | | This value MAY contain zero or one [0..1] @nullFlavor (CONF:1098-14292). | CONF4292 |
| Constraint | If the diagnosis is unknown or the SNOMED code is unknown, @nullFlavor SHOULD be “UNK”. If the diagnosis is known but the code cannot be found in the Value Set, @nullFlavor SHOULD be “OTH” and the known diagnosis code SHOULD be placed in the translation element |
| CONF | |
cda:methodCode
| | 0 … 1 | | MAY contain zero or one [0..1] methodCode (CONF:1098-14316). | CONF4316 |