International Patient Summary (IPS)
1.1.0-ballot - CI Build

International Patient Summary (IPS), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 1.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-IPS/ and changes regularly. See the Directory of published versions

Logical Model: IPSProblemConcernEntry - XML Profile

Draft as of 2021-08-04

XML representation of the 2.16.840.1.113883.10.22.4.7--20210804084927 logical model.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="2.16.840.1.113883.10.22.4.7--20210804084927"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/4.0/StructureDefinition/StructureDefinition"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition 2.16.840.1.113883.10.22.4.7--20210804084927</b></p><a name="2.16.840.1.113883.10.22.4.7--20210804084927"> </a><a name="hc2.16.840.1.113883.10.22.4.7--20210804084927"> </a><a name="2.16.840.1.113883.10.22.4.7--20210804084927-en-US"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act">Act</a><a name="Act"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">Act</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">XML Namespace: </span>urn:hl7-org:v3<br/>Elements defined in Ancestors:<a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ANY.html" title="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.">@nullFlavor</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-InfrastructureRoot.html" title="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question">realmCode</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-InfrastructureRoot.html" title="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.">typeId</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-InfrastructureRoot.html" title="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question">templateId</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">@classCode</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">@moodCode</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">@negationInd</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">id</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">code</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">text</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">statusCode</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">effectiveTime</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">priorityCode</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">languageCode</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">subject</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">specimen</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">performer</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">author</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">informant</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">participant</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">entryRelationship</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">reference</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">precondition</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">sdtcPrecondition2</a>, <a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Act.html">sdtcInFulfillmentOf1</a><br/><span style="opacity: 0.5">Base for all types and resources</span><br/><span style="font-weight:bold">Instance of this type are validated by templateId</span><br/><span style="font-weight:bold" title="The root class that contains instances of this class">Logical Container: </span><a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html">ClinicalDocument (CDA Class)</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.templateId">Slices for templateId</a><a name="Act.templateId"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="font-style: italic">1</span><span style="font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:root, value:extension</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.templateId:primary" title="Slice primary">templateId:primary</a><a name="Act.templateId.2"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.templateId:primary.root">@root</a><a name="Act.templateId.root"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">2.16.840.1.113883.10.22.4.7</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.classCode">@classCode</a><a name="Act.classCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">ACT</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.moodCode">@moodCode</a><a name="Act.moodCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">EVN</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.id">id</a><a name="Act.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.code">code</a><a name="Act.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CD.html">CD</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.code.code">@code</a><a name="Act.code.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">CONC</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.code.codeSystem">@codeSystem</a><a name="Act.code.codeSystem"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">2.16.840.1.113883.5.6</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.statusCode" title="So long as the underlying conditions are of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is “**active**”. 

Only when the underlying conditions are no longer of concern is the statusCode set to                         “**completed**”.">statusCode</a><a name="Act.statusCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CS.html">CS</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="http://terminology.hl7.org/6.0.2/ValueSet-v3-xActStatusActiveComplete.html" title="http://terminology.hl7.org/ValueSet/v3-xActStatusActiveComplete">x_ActStatusActiveComplete</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>): x_ActStatusActiveComplete<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.effectiveTime">effectiveTime</a><a name="Act.effectiveTime"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-IVL-TS.html">IVL_TS</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.effectiveTime.low" title="This element asserts when the concern became active. This equates to the time the concern was authored in the patient's chart and the author started tracking this concern.">low</a><a name="Act.effectiveTime.low"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-IVXB-TS.html">IVXB_TS</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.effectiveTime.high" title="This element asserts when the clinician deemed there is no longer any need to track the underlying conditions.If the statusCode is completed this element is required">high</a><a name="Act.effectiveTime.high"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-IVXB-TS.html">IVXB_TS</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.entryRelationship">Slices for entryRelationship</a><a name="Act.entryRelationship"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="font-style: italic">1</span><span style="font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-EntryRelationship.html">EntryRelationship</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:profile</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.entryRelationship:entryRelationship-1" title="Slice entryRelationship-1">entryRelationship:entryRelationship-1</a><a name="Act.entryRelationship.2"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( entryRelationship-1 )">C</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-EntryRelationship.html">EntryRelationship</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">entryRelationship-1: </span>contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.entryRelationship:entryRelationship-1.typeCode">@typeCode</a><a name="Act.entryRelationship.typeCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">SUBJ</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.entryRelationship:entryRelationship-1.inversionInd">@inversionInd</a><a name="Act.entryRelationship.inversionInd"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">false</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0243.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> Slices for observation<a name="Act.entryRelationship.observation"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content/Rules for all slices</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02424.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927-definitions.html#Act.entryRelationship:entryRelationship-1.observation:entryRelationship-1" title="Slice entryRelationship-1">observation:entryRelationship-1</a><a name="Act.entryRelationship.observation.2"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.22.4.8--20240804110603.html" title="http://hl7.org/cda/stds/core/StructureDefinition/Observation">IPSProblemEntry</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Base for all types and resources</span></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
    <valueUri value="urn:hl7-org:v3"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
    <valuePeriod>
      <start value="2021-08-04T08:49:27+02:00"/>
    </valuePeriod>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-target">
    <valueBoolean>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
        <valueCode value="not-applicable"/>
      </extension>
    </valueBoolean>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-container">
    <valueUri
              value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
    <valueUri value="urn:hl7-org:v3"/>
  </extension>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
    <valueString value="act"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/type-profile-style">
    <valueUri value="cda"/>
  </extension>
  <url
       value="http://art-decor.org/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.7--20210804084927"/>
  <identifier>
    <use value="official"/>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.10.22.4.7"/>
  </identifier>
  <version value="1.1.0-ballot"/>
  <name value="IPSProblemConcernEntry"/>
  <title value="IPS Problem Concern Entry"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2021-08-04T08:49:27Z"/>
  <publisher value="Health Level Seven"/>
  <contact>
    <name value="HL7 International - International Patient Summary"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structure"/>
    </telecom>
  </contact>
  <description
               value="This template reflects an ongoing concern on behalf of the provider that placed the concern on a patient’s problem list. 
The purpose of the concern act is that of supporting the tracking of a problem or a condition.

There are different kinds of status that could be related to a condition:

                 

                     
* The status of the concern (active, inactive,..) 

* The status of the condition (e.g. active, inactive, resolved,..) 

* The confirmation status [clinical workflow status, certainty] (e.g. confirmed, likely, unlikely,…) 


                 

                 

Not all of them can be represented in a CDA using the statusCode elements of the concern (ACT) and observation (condition).  

                 
So long as the underlying conditions are of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is “active”. 
Only when the underlying conditions are no longer of concern is the statusCode set to “completed”. 

The effectiveTime                     reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, the clinician may remain concerned about a prior heart attack).
The effectiveTime/low of the Problem Concern Act asserts when the concern became active. This equates to the time the concern                     was authored in the patient's chart. 
The effectiveTime/high asserts when the concern become inactive, and it is present if the statusCode of the concern act is &quot;completed&quot;.

                 

A Problem Concern Act can contain many Problem Observations.


                 

                     
The many Problem Observations nested under a Problem Concern Act reflect the change in the clinical understanding of a condition over time. For instance, a Concern may initially contain a Problem Observation of “chest pain”:
                     
- Problem Concern 1
                     
--- Problem Observation: Chest Pain
                     
Later, a new Problem Observation of “esophagitis” will be added, reflecting a better understanding of the nature of the chest pain. The later problem observation will have a more recent author time stamp.
                     
- Problem Concern 1
                     
--- Problem Observation (author/time Jan 3, 2012): Chest Pain
                     
--- Problem Observation (author/time Jan 6, 2012): Esophagitis
                     
Many systems display the nested Problem Observation with the most recent author time stamp, and provide a mechanism for viewing prior observations."/>
  <fhirVersion value="4.0.1"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="http://hl7.org/cda/stds/core/StructureDefinition/Act"/>
  <baseDefinition
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Act"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Act">
      <path value="Act"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Act.nullFlavor">
      <path value="Act.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="Act.realmCode">
      <path value="Act.realmCode"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="Act.typeId">
      <path value="Act.typeId"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Act.typeId.nullFlavor">
      <path value="Act.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="Act.typeId.assigningAuthorityName">
      <path value="Act.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="Act.typeId.displayable">
      <path value="Act.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="Act.typeId.root">
      <path value="Act.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="Act.typeId.extension">
      <path value="Act.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="Act.templateId">
      <path value="Act.templateId"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="root"/>
        </discriminator>
        <discriminator>
          <type value="value"/>
          <path value="extension"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Act.templateId:primary">
      <path value="Act.templateId"/>
      <sliceName value="primary"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element id="Act.templateId:primary.nullFlavor">
      <path value="Act.templateId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="Act.templateId:primary.assigningAuthorityName">
      <path value="Act.templateId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="Act.templateId:primary.displayable">
      <path value="Act.templateId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="Act.templateId:primary.root">
      <path value="Act.templateId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition
                  value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <fixedString value="2.16.840.1.113883.10.22.4.7"/>
    </element>
    <element id="Act.templateId:primary.extension">
      <path value="Act.templateId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="Act.classCode">
      <path value="Act.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedString value="ACT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0"/>
      </binding>
    </element>
    <element id="Act.moodCode">
      <path value="Act.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedString value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0"/>
      </binding>
    </element>
    <element id="Act.negationInd">
      <path value="Act.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="Act.id">
      <path value="Act.id"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element id="Act.code">
      <path value="Act.code"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <strength value="example"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/>
      </binding>
    </element>
    <element id="Act.code.nullFlavor">
      <path value="Act.code.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="Act.code.code">
      <path value="Act.code.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedString value="CONC"/>
    </element>
    <element id="Act.code.codeSystem">
      <path value="Act.code.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <fixedString value="2.16.840.1.113883.5.6"/>
    </element>
    <element id="Act.code.codeSystemName">
      <path value="Act.code.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="Act.code.codeSystemVersion">
      <path value="Act.code.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="Act.code.displayName">
      <path value="Act.code.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="Act.code.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path value="Act.code.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element id="Act.code.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path value="Act.code.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="Act.code.originalText">
      <path value="Act.code.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Act.code.qualifier">
      <path value="Act.code.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="Act.code.translation">
      <path value="Act.code.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="Act.text">
      <path value="Act.text"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Act.statusCode">
      <path value="Act.statusCode"/>
      <definition
                  value="So long as the underlying conditions are of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is “**active**”. 

Only when the underlying conditions are no longer of concern is the statusCode set to                         “**completed**”."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.statusCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <strength value="required"/>
        <description value="x_ActStatusActiveComplete"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-xActStatusActiveComplete"/>
      </binding>
    </element>
    <element id="Act.effectiveTime">
      <path value="Act.effectiveTime"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.effectiveTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element id="Act.effectiveTime.nullFlavor">
      <path value="Act.effectiveTime.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="Act.effectiveTime.value">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format">
        <valueString value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules">
        <valueString value="year-valid"/>
      </extension>
      <path value="Act.effectiveTime.value"/>
      <representation value="xmlAttr"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TS.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"/>
      </type>
    </element>
    <element id="Act.effectiveTime.operator">
      <path value="Act.effectiveTime.operator"/>
      <representation value="xmlAttr"/>
      <definition
                  value="A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SXCM_TS.operator"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <defaultValueCode value="I"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDASetOperator"/>
      </binding>
    </element>
    <element id="Act.effectiveTime.low">
      <path value="Act.effectiveTime.low"/>
      <label value="Low Boundary"/>
      <definition
                  value="This element asserts when the concern became active. This equates to the time the concern was authored in the patient's chart and the author started tracking this concern."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.low"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element id="Act.effectiveTime.center">
      <path value="Act.effectiveTime.center"/>
      <label value="Central Value"/>
      <definition
                  value="The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.center"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="Act.effectiveTime.width">
      <path value="Act.effectiveTime.width"/>
      <label value="Width"/>
      <definition
                  value="The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.width"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PQ"/>
      </type>
    </element>
    <element id="Act.effectiveTime.high">
      <path value="Act.effectiveTime.high"/>
      <label value="High Boundary"/>
      <definition
                  value="This element asserts when the clinician deemed there is no longer any need to track the underlying conditions.If the statusCode is completed this element is required"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.high"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/>
      </type>
    </element>
    <element id="Act.priorityCode">
      <path value="Act.priorityCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.priorityCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
      </binding>
    </element>
    <element id="Act.languageCode">
      <path value="Act.languageCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.languageCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/all-languages"/>
      </binding>
    </element>
    <element id="Act.subject">
      <path value="Act.subject"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Subject"/>
      </type>
    </element>
    <element id="Act.specimen">
      <path value="Act.specimen"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.specimen"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Specimen"/>
      </type>
    </element>
    <element id="Act.performer">
      <path value="Act.performer"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Performer2"/>
      </type>
    </element>
    <element id="Act.author">
      <path value="Act.author"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/>
      </type>
    </element>
    <element id="Act.informant">
      <path value="Act.informant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="Act.participant">
      <path value="Act.participant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Participant2"/>
      </type>
    </element>
    <element id="Act.entryRelationship">
      <path value="Act.entryRelationship"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="profile"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Act.entryRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1">
      <path value="Act.entryRelationship"/>
      <sliceName value="entryRelationship-1"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Act.entryRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"/>
      </type>
      <constraint>
        <key value="entryRelationship-1"/>
        <human
               value="contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)"/>
      </constraint>
      <mustSupport value="true"/>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.nullFlavor">
      <path value="Act.entryRelationship.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.realmCode">
      <path value="Act.entryRelationship.realmCode"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.typeId">
      <path value="Act.entryRelationship.typeId"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="Act.entryRelationship:entryRelationship-1.typeId.nullFlavor">
      <path value="Act.entryRelationship.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="Act.entryRelationship:entryRelationship-1.typeId.assigningAuthorityName">
      <path value="Act.entryRelationship.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="Act.entryRelationship:entryRelationship-1.typeId.displayable">
      <path value="Act.entryRelationship.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.typeId.root">
      <path value="Act.entryRelationship.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.typeId.extension">
      <path value="Act.entryRelationship.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.templateId">
      <path value="Act.entryRelationship.templateId"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.typeCode">
      <path value="Act.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedString value="SUBJ"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"/>
      </binding>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.inversionInd">
      <path value="Act.entryRelationship.inversionInd"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The entryRelationship.inversionInd can be set to &quot;true&quot; to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.inversionInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <fixedString value="false"/>
    </element>
    <element
             id="Act.entryRelationship:entryRelationship-1.contextConductionInd">
      <path value="Act.entryRelationship.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at &quot;true&quot;, whereas here the value is defaulted to &quot;true&quot;, and can be changed to &quot;false&quot; when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.contextConductionInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.negationInd">
      <path value="Act.entryRelationship.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.sequenceNumber">
      <path value="Act.entryRelationship.sequenceNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.sequenceNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.seperatableInd">
      <path value="Act.entryRelationship.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.act">
      <path value="Act.entryRelationship.act"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.act"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/Act"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.encounter">
      <path value="Act.entryRelationship.encounter"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element
             id="Act.entryRelationship:entryRelationship-1.observation:entryRelationship-1">
      <path value="Act.entryRelationship.observation"/>
      <sliceName value="entryRelationship-1"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.observation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
        <profile
                 value="http://art-decor.org/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.8--20240804110603"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.observationMedia">
      <path value="Act.entryRelationship.observationMedia"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.observationMedia"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.organizer">
      <path value="Act.entryRelationship.organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.organizer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Organizer"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.procedure">
      <path value="Act.entryRelationship.procedure"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.procedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Procedure"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.regionOfInterest">
      <path value="Act.entryRelationship.regionOfInterest"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.regionOfInterest"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"/>
      </type>
    </element>
    <element
             id="Act.entryRelationship:entryRelationship-1.substanceAdministration">
      <path value="Act.entryRelationship.substanceAdministration"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.substanceAdministration"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"/>
      </type>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.supply">
      <path value="Act.entryRelationship.supply"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EntryRelationship.supply"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Supply"/>
      </type>
    </element>
    <element id="Act.reference">
      <path value="Act.reference"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.reference"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Reference"/>
      </type>
    </element>
    <element id="Act.precondition">
      <path value="Act.precondition"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.precondition"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Precondition"/>
      </type>
    </element>
    <element id="Act.sdtcPrecondition2">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="precondition2"/>
      </extension>
      <path value="Act.sdtcPrecondition2"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.sdtcPrecondition2"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Precondition2"/>
      </type>
    </element>
    <element id="Act.sdtcInFulfillmentOf1">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="inFulfillmentOf1"/>
      </extension>
      <path value="Act.sdtcInFulfillmentOf1"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.sdtcInFulfillmentOf1"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="Act">
      <path value="Act"/>
      <min value="0"/>
      <max value="*"/>
      <mustSupport value="true"/>
    </element>
    <element id="Act.templateId">
      <path value="Act.templateId"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="root"/>
        </discriminator>
        <discriminator>
          <type value="value"/>
          <path value="extension"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <min value="1"/>
    </element>
    <element id="Act.templateId:primary">
      <path value="Act.templateId"/>
      <sliceName value="primary"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element id="Act.templateId:primary.root">
      <path value="Act.templateId.root"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <fixedString value="2.16.840.1.113883.10.22.4.7"/>
    </element>
    <element id="Act.classCode">
      <path value="Act.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <fixedString value="ACT"/>
    </element>
    <element id="Act.moodCode">
      <path value="Act.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <fixedString value="EVN"/>
    </element>
    <element id="Act.id">
      <path value="Act.id"/>
      <min value="0"/>
      <max value="*"/>
      <mustSupport value="true"/>
    </element>
    <element id="Act.code">
      <path value="Act.code"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Act.code.code">
      <path value="Act.code.code"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <fixedString value="CONC"/>
    </element>
    <element id="Act.code.codeSystem">
      <path value="Act.code.codeSystem"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <fixedString value="2.16.840.1.113883.5.6"/>
    </element>
    <element id="Act.statusCode">
      <path value="Act.statusCode"/>
      <definition
                  value="So long as the underlying conditions are of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is “**active**”. 

Only when the underlying conditions are no longer of concern is the statusCode set to                         “**completed**”."/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
      <binding>
        <strength value="required"/>
        <description value="x_ActStatusActiveComplete"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-xActStatusActiveComplete"/>
      </binding>
    </element>
    <element id="Act.effectiveTime">
      <path value="Act.effectiveTime"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Act.effectiveTime.low">
      <path value="Act.effectiveTime.low"/>
      <definition
                  value="This element asserts when the concern became active. This equates to the time the concern was authored in the patient's chart and the author started tracking this concern."/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Act.effectiveTime.high">
      <path value="Act.effectiveTime.high"/>
      <definition
                  value="This element asserts when the clinician deemed there is no longer any need to track the underlying conditions.If the statusCode is completed this element is required"/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="Act.entryRelationship">
      <path value="Act.entryRelationship"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="profile"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <min value="1"/>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1">
      <path value="Act.entryRelationship"/>
      <sliceName value="entryRelationship-1"/>
      <min value="1"/>
      <max value="*"/>
      <constraint>
        <key value="entryRelationship-1"/>
        <human
               value="contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04)"/>
      </constraint>
      <mustSupport value="true"/>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.typeCode">
      <path value="Act.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <fixedString value="SUBJ"/>
    </element>
    <element id="Act.entryRelationship:entryRelationship-1.inversionInd">
      <path value="Act.entryRelationship.inversionInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <fixedString value="false"/>
    </element>
    <element
             id="Act.entryRelationship:entryRelationship-1.observation:entryRelationship-1">
      <path value="Act.entryRelationship.observation"/>
      <sliceName value="entryRelationship-1"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
        <profile
                 value="http://art-decor.org/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.8--20240804110603"/>
      </type>
      <mustSupport value="true"/>
    </element>
  </differential>
</StructureDefinition>