OutcomeObservation

Outcome Observation

draftC-CDA Templates4.0.0logical10 key elements

This template represents the outcome of care resulting from the interventions used to treat the patient. 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.

Often thought of as an "actual outcome", the Outcome Observation may be related to goals, progression toward goals, and the associated interventions. For example, an observation outcome of a blood oxygen saturation level of 95% is related to the goal of "Maintain Pulse Ox greater than 92", which in turn is related to the health concern of respiratory insufficiency and the problem of pneumonia. The template makes use of the Entry Reference (templateId:2.16.840.1.113883.10.20.22.4.122) to reference the interventions and goals defined elsewhere in the Care Plan CDA instance.

#### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Optional EntryRelationships: EntryReference, ProgressTowardGoalObservation

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/cda/us/ccda/StructureDefinition/OutcomeObservation
ID
OutcomeObservation
Type
Base Definition
Observation
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
templateId
1+
:outcome-obs1..1
1+
templateId.root
1+
id
1+
entryRelationship
1+
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.
entryRelationship.act
http://hl7.org/cda/stds/core/StructureDefinition/Act
1+
entryRelationship.inversionInd
1+
entryRelationship.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entryRelationship.act
http://hl7.org/cda/stds/core/StructureDefinition/Act
1+
reference.externalDocument
http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument
1+