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  <Author>Grahame</Author>
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  <Created>2012-03-19T11:12:07Z</Created>
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    <Cell><Data ss:Type="String">Measurements and simple assertions</Data></Cell>
    <Cell><Data ss:Type="String">Measurements and simple assertions made about a patient, device or other subject</Data></Cell>
    <Cell><Data ss:Type="String">Vital Signs, Measurement, Results, Tests</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">Observations are a key aspect of healthcare.  This resource is used to capture those that do not require more sophisticated mechanisms.</Data></Cell>
    <Cell><Data ss:Type="String">Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as Lab reports, etc</Data></Cell>
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    <Cell ss:StyleID="s71"><Data ss:Type="String">Observation[isNormalAct() and subsumesCode(&quot;ActClass#OBS&quot;, classCode) and moodCode=&quot;EVN&quot; and domainMember(&quot;SimpleObservationType&quot;, code)]</Data></Cell>
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    <Cell><Data ss:Type="String">Type of observation (code / type)</Data></Cell>
    <Cell><Data ss:Type="String">Describes what was observed. Sometimes this is called the observation &quot;code&quot;</Data></Cell>
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    <Cell ss:StyleID="s76"><Data ss:Type="String">OBX-3-observation identifier</Data></Cell>
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    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
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    <Cell><Data ss:Type="String">Quantity|CodeableConcept|Attachment|Ratio|Period|SampledData|string</Data></Cell>
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    <Cell><Data ss:Type="String">Actual result</Data></Cell>
    <Cell><Data ss:Type="String">The information determined as a result of making the observation, if the information has a simple value</Data></Cell>
    <Cell ss:Index="11" ss:StyleID="s71"><Data ss:Type="String">An observation exists to have a value, though it may not if it is in error, or it represents a group of observations</Data></Cell>
    <Cell><Data ss:Type="String">Normally, an observation will have either a value or a set of related observations. A few observations (e.g. apgar store) may have both a value and related observations (for apgar, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.name. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.name defines a coded value. The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (The name format is &quot;'value' + the type name&quot; with a capital on the first letter of the type).</Data></Cell>
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    <Cell><Data ss:Type="String">High, low, normal, etc.</Data></Cell>
    <Cell><Data ss:Type="String">The assessment made based on the result of the observation.</Data></Cell>
    <Cell ss:Index="11" ss:StyleID="s71"><Data ss:Type="String">For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.</Data></Cell>
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    <Cell><Data ss:Type="String">May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result.</Data></Cell>
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    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="165">
    <Cell><Data ss:Type="String">Observation.applies[x]</Data></Cell>
    <Cell><Data ss:Type="String">0..1</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">dateTime | Period</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Physiologically Relevant time/time-period for observation</Data></Cell>
    <Cell><Data ss:Type="String">The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the &quot;physiologically relevant time&quot;. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself</Data></Cell>
    <Cell ss:Index="11" ss:StyleID="s71"><Data ss:Type="String">Knowing when an observation was deemed true is important to its relevance as well as determining trends</Data></Cell>
    <Cell><Data ss:Type="String">At least a date should be present unless this observation is a historical report</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">effectiveTime</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">./effectiveTime[type='IVL_TS' or type='TS']</Data></Cell>
    <Cell ss:StyleID="s77"><Data ss:Type="String">OBX-14-date/time of the observation, and/or OBX-19 after v2.4  (depends on who observation made)</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:Index="18" ss:StyleID="s70"/>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="30">
    <Cell><Data ss:Type="String">Observation.issued</Data></Cell>
    <Cell><Data ss:Type="String">0..1</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">instant</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Date/Time this was made available</Data></Cell>
    <Cell ss:Index="11" ss:StyleID="s71"/>
    <Cell><Data ss:Type="String">Updated when the result is updated</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">participation[typeCode=AUT].time</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:StyleID="s71"><Data ss:Type="String">OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:Index="18" ss:StyleID="s70"/>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="105">
    <Cell><Data ss:Type="String">Observation.status</Data></Cell>
    <Cell><Data ss:Type="String">1..1</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">code</Data></Cell>
    <Cell><Data ss:Type="String">ObservationStatus</Data></Cell>
    <Cell><Data ss:Type="String">registered | preliminary | final | amended +</Data></Cell>
    <Cell><Data ss:Type="String">The status of the result value</Data></Cell>
    <Cell ss:Index="11"><Data ss:Type="String">Need to track the status of individual results - some results are finalised before the whole report is finalised</Data></Cell>
    <Cell ss:Index="13" ss:StyleID="s71"><Data ss:Type="String">status&#10;&#10;Amended &amp; Final are differentiated by whether it is the subject of a ControlAct event with a type of &quot;revise&quot;</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:StyleID="s76"><Data ss:Type="String">OBX-11-observation result status</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:Index="18" ss:StyleID="s70"/>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="135">
    <Cell><Data ss:Type="String">Observation.reliability</Data></Cell>
    <Cell><Data ss:Type="String">1..1</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">code</Data></Cell>
    <Cell><Data ss:Type="String">ObservationReliability</Data></Cell>
    <Cell><Data ss:Type="String">ok | ongoing | early | questionable | calibrating | error + </Data></Cell>
    <Cell><Data ss:Type="String">An estimate of the degree to which quality issues have impacted on the value reported</Data></Cell>
    <Cell ss:Index="11"><Data ss:Type="String">Not all results are completely reliable, and some are still reported anyway.</Data></Cell>
    <Cell><Data ss:Type="String">Note that in most contexts, unreliable results are not recorded, deleted, or otherwise excluded, but it's not always possible to exclude them from the record. Interpreters of a result, whether human or machine, SHALL always either be aware of the status, or prevented from using the observation without being unaware that the reliability is not &quot;ok&quot;</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">uncertaintyCode</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:StyleID="s71"><Data ss:Type="String">Maybe OBX.8/OBX.9</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:Index="18" ss:StyleID="s70"/>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="75">
    <Cell><Data ss:Type="String">Observation.bodySite</Data></Cell>
    <Cell><Data ss:Type="String">0..1</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">CodeableConcept</Data></Cell>
    <Cell ss:StyleID="s78"><Data ss:Type="String">BodySite</Data></Cell>
    <Cell><Data ss:Type="String">Observed body part</Data></Cell>
    <Cell><Data ss:Type="String">Indicates where on the subject's body the observation was made.</Data></Cell>
    <Cell ss:Index="11" ss:StyleID="s71"><Data ss:Type="String">Knowing where the observation is made is important for tracking if multiple sites are possible.</Data></Cell>
    <Cell><Data ss:Type="String">Only used if not implicit in code found in Observation.name</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">targetSiteCode</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">unique(./targetSiteCode)</Data></Cell>
    <Cell ss:StyleID="s76"><Data ss:Type="String">OBX-20-observation site</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell><Data ss:Type="String">Is this in the 80%?</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="105">
    <Cell><Data ss:Type="String">Observation.method</Data></Cell>
    <Cell><Data ss:Type="String">0..1</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">CodeableConcept</Data></Cell>
    <Cell ss:StyleID="s70"><Data ss:Type="String">ObservationMethod</Data></Cell>
    <Cell><Data ss:Type="String">How it was done</Data></Cell>
    <Cell><Data ss:Type="String">Indicates the mechanism used to perform the observation</Data></Cell>
    <Cell ss:Index="11" ss:StyleID="s71"><Data ss:Type="String">In some cases, method can impact results and is thus for determining whether results can be compared or determining significance of results</Data></Cell>
    <Cell><Data ss:Type="String">Only used if not implicit in code for Observation.name</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">methodCode</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">unique(./methodCode)</Data></Cell>
    <Cell ss:StyleID="s76"><Data ss:Type="String">OBX-17-observation method</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell><Data ss:Type="String">Is this in the 80%?</Data></Cell>
    <Cell ss:StyleID="s70"/>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="45">
    <Cell><Data ss:Type="String">Observation.identifier</Data></Cell>
    <Cell><Data ss:Type="String">0..1</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Identifier</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Unique Id for this particular observation</Data></Cell>
    <Cell><Data ss:Type="String">A unique identifier for the simple observation</Data></Cell>
    <Cell ss:Index="11" ss:StyleID="s71"><Data ss:Type="String">Allows observations to be distinguished and referenced</Data></Cell>
    <Cell ss:Index="13" ss:StyleID="s71"><Data ss:Type="String">id</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">unique(./id[displayable=&quot;true&quot; and scope=&quot;OBJ&quot;])</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">OBX.21</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:Index="18" ss:StyleID="s70"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">Y</Data></Cell>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="165">
    <Cell><Data ss:Type="String">Observation.subject</Data></Cell>
    <Cell><Data ss:Type="String">0..1</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Resource(Patient|Group|Device|Location)</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Who and/or what this is about</Data></Cell>
    <Cell><Data ss:Type="String">The thing the observation is being made about</Data></Cell>
    <Cell ss:Index="11" ss:StyleID="s71"><Data ss:Type="String">Observations have no value if you don't know who or what they're about.</Data></Cell>
    <Cell><Data ss:Type="String">The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">participation[typeCode=SBJ]</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">unique(./participation[isHighest(priorityCode) and typeCode=&quot;SBJ&quot; and isNormalParticipation()]/role&#10;or ./participation[isHighest(priorityCode) and typeCode=&quot;SBJ&quot; and isNormalParticipation()]/role/entity)</Data></Cell>
    <Cell ss:StyleID="s76"><Data ss:Type="String">PID-3-patient ID list</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:Index="18" ss:StyleID="s70"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="135">
    <Cell><Data ss:Type="String">Observation.specimen</Data></Cell>
    <Cell><Data ss:Type="String">0..1</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Resource(Specimen)</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Specimen used for this observation</Data></Cell>
    <Cell><Data ss:Type="String">The specimen that was used when this observation was made </Data></Cell>
    <Cell ss:Index="11" ss:StyleID="s71"/>
    <Cell><Data ss:Type="String">Observations are not made on specimens themselves; they are made on a subject, but usually by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources are often used in contexts that track the specimen explicity (e.g. Diagnostic Report)</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">participation[typeCode=SPC].specimen</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:StyleID="s76"/>
    <Cell ss:StyleID="s71"/>
    <Cell ss:Index="18" ss:StyleID="s70"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"/>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="165">
    <Cell><Data ss:Type="String">Observation.performer</Data></Cell>
    <Cell><Data ss:Type="String">0..*</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Resource(Practitioner|Device|Organization)</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Who did the observation</Data></Cell>
    <Cell><Data ss:Type="String">Who was responsible for asserting the observed value as &quot;true&quot;</Data></Cell>
    <Cell ss:Index="11" ss:StyleID="s71"><Data ss:Type="String">May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.</Data></Cell>
    <Cell><Data ss:Type="String">This would only be &quot;Device&quot; if the device is responsible for the measurement, not to capture the device used by a human to make the measurement.  (The latter could be captured as an extension.)</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">participation[typeCode=PRF]</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">unique(./participation[isHighest(priorityCode) and typeCode=&quot;PRF&quot; and isNormalParticipation()]/role&#10;or&#10;./participation[isHighest(priorityCode) and typeCode=&quot;PRF&quot; and isNormalParticipation()]/role/entity]</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">OBX.15 / (Practitioner)  OBX-16-responsible observer,  PRT-5-participation person:PRT-4-participation='RO' / &#10;(Device)  OBX-18-equipment instance identifier , PRT-10-participation device:PRT-4-participation='EQUIP' / (Organization)  OBX-23-performing organization name,  PRT-8-participation organization:PRT-4-participation='PO'&#10;</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:Index="18" ss:StyleID="s70"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y (with qualifiers)</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="180">
    <Cell><Data ss:Type="String">!Observation.normalValue[x]</Data></Cell>
    <Cell><Data ss:Type="String">0..1</Data></Cell>
    <Cell ss:StyleID="s70"><Data ss:Type="Number">2</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Range|string</Data></Cell>
    <Cell ss:StyleID="s70"/>
    <Cell><Data ss:Type="String">Expected value range - guide for interpretation</Data></Cell>
    <Cell ss:Index="12"><Data ss:Type="String">This </Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN,  interpretationCode=ObservationInterpretationNormality:N].value&#10;</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">./outboundRelationship[typeCode=&quot;REFV&quot; and isNormalActRelationship()]/target[subsumesCode(&quot;ActClass#OBS&quot;, classCode) and moodCode=&quot;EVN&quot; and isCriterionInd=&quot;true&quot; and isNormalAct() and interpretationCode=&quot;ObservationInterpretationNormality#N&quot;]&#10;</Data></Cell>
    <Cell ss:StyleID="s71"><Data ss:Type="String">OBX.7</Data></Cell>
    <Cell ss:StyleID="s71"/>
    <Cell ss:Index="18" ss:StyleID="s70"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">y</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">Caregiver Characteristics or Assessment Scale Observation</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">Caregiver Characteristics or Assessment Scale Observation</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"><Data ss:Type="String">Wound Length, Width &amp; Depth</Data></Cell>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="165">
    <Cell><Data ss:Type="String">Observation.referenceRange</Data></Cell>
    <Cell><Data ss:Type="String">0..*</Data></Cell>
    <Cell ss:StyleID="Default"/>
    <Cell ss:Index="5" ss:StyleID="Default"><Data ss:Type="String">400;120</Data></Cell>
    <Cell ss:StyleID="Default"/>
    <Cell ss:StyleID="Default"/>
    <Cell><Data ss:Type="String">Provides guide for interpretation</Data></Cell>
    <Cell><Data ss:Type="String">Guidance on how to interpret the value by comparison to a normal or recommended range</Data></Cell>
    <Cell ss:Index="11" ss:StyleID="s71"><Data ss:Type="String">Knowing what values are considered &quot;normal&quot; can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts</Data></Cell>
    <Cell><Data ss:Type="String">Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties</Data></Cell>
    <Cell><Data ss:Type="String">outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]</Data></Cell>
    <Cell><Data ss:Type="String">./outboundRelationship[typeCode=&quot;REFV&quot; and isNormalActRelationship()]/target[subsumesCode(&quot;ActClass#OBS&quot;, classCode) and moodCode=&quot;EVN&quot; and isCriterionInd=&quot;true&quot; and isNormalAct()]</Data></Cell>
    <Cell ss:Index="16" ss:StyleID="Default"/>
    <Cell ss:Index="18" ss:StyleID="s70"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s74"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
    <Cell ss:StyleID="s64"/>
   </Row>
   <Row ss:AutoFitHeight="0" ss:Height="75">
    <Cell><Data ss:Type="String">Observation.referenceRange.low</Data></Cell>
    <Cell><Data ss:Type="String">0..1</Data></Cell>
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    <Cell><Data ss:Type="String">The value of the low bound of the reference range. If this is omitted, the low bound of the reference range is assumed to be meaningless. E.g. &lt;2.3</Data></Cell>
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    <Cell><Data ss:Type="String">Normally, an observation will have either a value or a set of related observations. A few observations (e.g. apgar store) may have both a value and related observations (for apgar, the observations from which the measure is derived)</Data></Cell>
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   <Column ss:AutoFitWidth="0" ss:Width="382.5"/>
   <Column ss:AutoFitWidth="0" ss:Width="121.5"/>
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    <Cell><Data ss:Type="String">Name</Data></Cell>
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    <Cell><Data ss:Type="String">name</Data></Cell>
    <Cell><Data ss:Type="String">The name of the observation type</Data></Cell>
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   <Row ss:AutoFitHeight="0">
    <Cell><Data ss:Type="String">value-quantity</Data></Cell>
    <Cell><Data ss:Type="String">The value of the observation, if the value is a Quantity, or a SampledData (just search on the bounds of the values in sampled data)</Data></Cell>
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   <Row ss:AutoFitHeight="0">
    <Cell><Data ss:Type="String">value-string</Data></Cell>
    <Cell><Data ss:Type="String">The value of the observation, if the value is a string, and also searches in CodeableConcept.text</Data></Cell>
    <Cell><Data ss:Type="String">string</Data></Cell>
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    <Cell><Data ss:Type="String">status</Data></Cell>
    <Cell><Data ss:Type="String">The status of the observation</Data></Cell>
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    <Cell><Data ss:Type="String">reliability</Data></Cell>
    <Cell><Data ss:Type="String">The reliability of the observation</Data></Cell>
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    <Cell><Data ss:Type="String">subject</Data></Cell>
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    <Cell><Data ss:Type="String">performer</Data></Cell>
    <Cell><Data ss:Type="String">Who and/or what performed the observation</Data></Cell>
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    <Cell><Data ss:Type="String">related</Data></Cell>
    <Cell><Data ss:Type="String">Related Observations - search on related-type and related-target together</Data></Cell>
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    <Cell><Data ss:Type="String">The target observation is a component of this observation (e.g. Systolic and Diastolic Blood Pressure)</Data></Cell>
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    <Cell><Data ss:Type="String">This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group</Data></Cell>
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    <Cell><Data ss:Type="String">The value of the target observation qualifies (refines) the semantics of the source observation (e.g. a lipaemia measure target from a plasma measure)</Data></Cell>
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    <Cell><Data ss:Type="String">The value of the target observation interferes (degardes quality, or prevents valid observation) with the semantics of the source observation (e.g. a hemolysis measure target from a plasma potassium measure which has no value)</Data></Cell>
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