<!--  An example of how to use a qualifier. This example shows presence of a problem/value/translation, although it could also be used to refine the problem/value  -->
  <!--  The use of qualifiers could also be used on other sections, such as qualifying a procedure  -->
<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/>
  <code displayName="Problem List" codeSystem="2.16.840.1.113883.6.1"
        code="11450-4"/>
  <title>Problem List</title>
  <text>
    <table>
      <thead>
        <tr>
          <th>Name</th>
          <th>Dates</th>
          <th>Location/Qualifier</th>
          <th>Status</th>
        </tr>
      </thead>
      <tbody>
        <tr ID="Problem1">
          <td ID="ProblemDescription1">Below Knee Amputation</td>
          <td>
            <content>Onset: Apr 2 2014</content>
          </td>
          <td>Left</td>
          <td>Active</td>
        </tr>
      </tbody>
    </table>
  </text>
  <entry>
    <act moodCode="EVN" classCode="ACT">
      <templateId root="2.16.840.1.113883.10.20.22.4.3"
                  extension="2015-08-01"/>
      <templateId root="2.16.840.1.113883.10.20.22.4.3"
                  extension="2024-05-01"/>
      <id root="e5fbc288-659f-4aeb-a5e1-eb7cc8fcdfaf"/>
      <code codeSystem="2.16.840.1.113883.5.6" code="CONC"/>
      <!--  While clinicians can track resolved problems, generally active problems will have active concern status and resolved concerns will be completed  -->
      <statusCode code="active"/>
      <effectiveTime>
        <!--  This represents the time that the clinician began tracking the concern. This may frequently be an EHR timestamp -->
        <low value="20140403124536-0500"/>
      </effectiveTime>
      <entryRelationship typeCode="SUBJ">
        <observation moodCode="EVN" classCode="OBS">
          <templateId root="2.16.840.1.113883.10.20.22.4.4"
                      extension="2015-08-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.4"
                      extension="2024-05-01"/>
          <id root="ac416033-3cc1-4485-ab31-36ce7669f55c"/>
          <code xsi:type="CD" displayName="Problem"
                codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="55607006">
            <translation xsi:type="CD" displayName="Problem"
                         codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="75326-9"/>
          </code>
          <text xsi:type="ED">
            <reference value="#Problem1"/>
          </text>
          <statusCode code="completed"/>
          <effectiveTime>
            <!--  This represents the date of biological onset. This can be before the patient vistited the clinician, as illustrated in this example -->
            <low value="20140402"/>
          </effectiveTime>
          <!--  This is a SNOMED code as the primary vocabulary for problem lists. It would be preferable to have a SNOMED code but no direct translation is available here.  -->
          <value xsi:type="CD" nullFlavor="OTH">
            <originalText>
              <reference value="#ProblemDescription1"/>
            </originalText>
            <translation xsi:type="CD"
                         displayName="Below Knee Amputation Status" codeSystemName="ICD-9"
                         codeSystem="2.16.840.1.113883.6.103" code="V49.75"/>
          </value>
          <!--  Recommendation of task force that laterality on problems should be in targetSiteCode rather than on the value or value/translation elements  -->
          <targetSiteCode
                          displayName="Structure of lower extremity from knee to ankle" codeSystem="2.16.840.1.113883.6.96"
                          code="30021000">
            <!--  This is an example of a qualifer which would affect a quality measure (e.g. cms 123 Diabetes Foot Exam)  -->
            <qualifier>
              <name displayName="Laterality"
                    codeSystem="2.16.840.1.113883.6.96" code="272741003"/>
              <value displayName="Left" codeSystem="2.16.840.1.113883.6.96"
                     code="7771000"/>
            </qualifier>
          </targetSiteCode>
        </observation>
      </entryRelationship>
    </act>
  </entry>
</section>