Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions

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Resource Profile: TextObservation - XML Profile

XML representation of the 2.16.840.1.113883.10.20.6.2.12 resource profile.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="2.16.840.1.113883.10.20.6.2.12"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><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="http://hl7.org/fhir/R4/formats.html#table" 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="http://hl7.org/fhir/R4/formats.html#table" 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="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" 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="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" 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_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation">Observation</a><a name="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"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</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 href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html">CDAR2.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"/></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_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.classCode">classCode</a><a name="Observation.classCode"> </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 style="opacity: 0.5" 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">Required Pattern: </span><span style="color: darkgreen">OBS</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-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.moodCode">moodCode</a><a name="Observation.moodCode"> </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 style="opacity: 0.5" 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">Required Pattern: </span><span style="color: darkgreen">EVN</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_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-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.templateId">Slices for templateId</a><a name="Observation.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="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; 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-2.0//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</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-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.templateId:primary" title="Slice primary">templateId:primary</a><a name="Observation.templateId"> </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 style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//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_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.templateId:primary.root">root</a><a name="Observation.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 style="opacity: 0.5" 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">Required Pattern: </span><span style="color: darkgreen">2.16.840.1.113883.10.20.6.2.12</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-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.code">code</a><a name="Observation.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 style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html">CD</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-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.text">text</a><a name="Observation.text"> </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-2.0//StructureDefinition-ED.html">ED</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_bck101.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: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.text.reference">reference</a><a name="Observation.text.reference"> </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">0..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-2.0//StructureDefinition-TEL.html">TEL</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_bck1000.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.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-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.text.reference.value">value</a><a name="Observation.text.reference.value"> </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: black; null" title="This element has or is affected by some invariants (81-15940)">I</span></td><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="http://hl7.org/fhir/R4/datatypes.html#uri">uri</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">81-15940: </span>This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:81-15940).</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-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.effectiveTime">effectiveTime</a><a name="Observation.effectiveTime"> </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">0..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-2.0//StructureDefinition-IVL-TS.html">IVL_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_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_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.value">value</a><a name="Observation.value"> </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="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ED.html">ED</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-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.entryRelationship">Slices for entryRelationship</a><a name="Observation.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="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; 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"><span style="opacity: 0.5; font-style: italic">Element</span></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 profile:observation</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_bck035.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_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-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.entryRelationship:SOPInstanceObservation" title="Slice SOPInstanceObservation">entryRelationship:SOPInstanceObservation</a><a name="Observation.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"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</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">Element</span></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_bck0350.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_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.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-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.entryRelationship:SOPInstanceObservation.typeCode">typeCode</a><a name="Observation.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 style="opacity: 0.5" 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">Required Pattern: </span><span style="color: darkgreen">SPRT</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_bck0340.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_vline_slicer.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_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.entryRelationship:SOPInstanceObservation.observation">observation</a><a name="Observation.entryRelationship.observation"> </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="StructureDefinition-2.16.840.1.113883.10.20.6.2.8.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">SOPInstanceObservation</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_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: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.entryRelationship:quantityMeasurementObservation" title="Slice quantityMeasurementObservation">entryRelationship:quantityMeasurementObservation</a><a name="Observation.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">0..*</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="opacity: 0.5">Element</span></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_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_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.entryRelationship:quantityMeasurementObservation.typeCode">typeCode</a><a name="Observation.entryRelationship.typeCode"> </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 style="opacity: 0.5" 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">Required Pattern: </span><span style="color: darkgreen">SPRT</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_bck0240.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_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.12-definitions.html#Observation.entryRelationship:quantityMeasurementObservation.observation">observation</a><a name="Observation.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">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="StructureDefinition-2.16.840.1.113883.10.20.6.2.14.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">QuantityMeasurementObservation</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><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url
       value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.12"/>
  <identifier>
    <value value="urn:oid:2.16.840.1.113883.10.20.6.2.12"/>
  </identifier>
  <version value="2.2"/>
  <name value="TextObservation"/>
  <title value="Text Observation"/>
  <status value="active"/>
  <date value="2022-05-13T15:50:12+00:00"/>
  <publisher value="Health Level Seven"/>
  <contact>
    <name value="HL7 International - Structured Documents"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structure"/>
    </telecom>
  </contact>
  <description
               value="DICOM Template 2000 specifies that Imaging Report Elements of Value Type Text are contained in sections. The Imaging Report Elements are inferred from Basic Diagnostic Imaging Report Observations that consist of image references and measurements (linear, area, volume, and numeric). Text DICOM Imaging Report Elements in this context are mapped to CDA text observations that are section components and are related to the SOP Instance Observations (templateId 2.16.840.1.113883.10.20.6.2.8) or Quantity Measurement Observations (templateId 2.16.840.1.113883.10.20.6.2.14) by the SPRT (Support) act relationship.

A Text Observation is required if the findings in the section text are represented as inferred from SOP Instance Observations."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Observation"/>
  <baseDefinition
                  value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Observation">
      <path value="Observation"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="Observation.classCode">
      <path value="Observation.classCode"/>
      <representation value="xmlAttr"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @classCode=&quot;OBS&quot; Observation (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4 STATIC) (CONF:81-9288)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <patternCode value="OBS"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ActClassObservation"/>
      </binding>
    </element>
    <element id="Observation.moodCode">
      <path value="Observation.moodCode"/>
      <representation value="xmlAttr"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @moodCode=&quot;EVN&quot; Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-9289)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <patternCode value="EVN"/>
    </element>
    <element id="Observation.negationInd">
      <path value="Observation.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Observation.realmCode">
      <path value="Observation.realmCode"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="Observation.typeId">
      <path value="Observation.typeId"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Observation.templateId">
      <path value="Observation.templateId"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="root"/>
        </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="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Observation.templateId:primary">
      <path value="Observation.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"/>
      <requirements
                    value="SHALL contain exactly one [1..1] templateId (CONF:81-9290) such that it"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Observation.templateId:primary.nullFlavor">
      <path value="Observation.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="Observation.templateId:primary.assigningAuthorityName">
      <path value="Observation.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"/>
      </type>
    </element>
    <element id="Observation.templateId:primary.displayable">
      <path value="Observation.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"/>
      </type>
    </element>
    <element id="Observation.templateId:primary.root">
      <path value="Observation.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."/>
      <requirements
                    value="SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.10.20.6.2.12&quot; (CONF:81-10534)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.10.20.6.2.12"/>
    </element>
    <element id="Observation.templateId:primary.extension">
      <path value="Observation.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"/>
      </type>
    </element>
    <element id="Observation.id">
      <path value="Observation.id"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Observation.code">
      <path value="Observation.code"/>
      <representation value="typeAttr"/>
      <requirements
                    value="SHALL contain exactly one [1..1] code (CONF:81-9291)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationType"/>
      </binding>
    </element>
    <element id="Observation.derivationExpr">
      <path value="Observation.derivationExpr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.derivationExpr"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ST"/>
      </type>
    </element>
    <element id="Observation.text">
      <path value="Observation.text"/>
      <representation value="typeAttr"/>
      <requirements value="MAY contain zero or one [0..1] text (CONF:81-9295)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Observation.text.nullFlavor">
      <path value="Observation.text.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="Observation.text.charset">
      <path value="Observation.text.charset"/>
      <representation value="xmlAttr"/>
      <label value="Charset"/>
      <definition
                  value="For character-based encoding types, this property specifies the character set and character encoding used. The charset shall be identified by an Internet Assigned Numbers Authority (IANA) Charset Registration [] in accordance with RFC 2978 []."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.charset"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="Observation.text.compression">
      <path value="Observation.text.compression"/>
      <representation value="xmlAttr"/>
      <label value="Compression"/>
      <definition
                  value="Indicates whether the raw byte data is compressed, and what compression algorithm was used."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.compression"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-CompressionAlgorithm"/>
      </binding>
    </element>
    <element id="Observation.text.integrityCheck">
      <path value="Observation.text.integrityCheck"/>
      <representation value="xmlAttr"/>
      <label value="Integrity Check"/>
      <definition
                  value="The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.integrityCheck"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="base64Binary"/>
      </type>
    </element>
    <element id="Observation.text.integrityCheckAlgorithm">
      <path value="Observation.text.integrityCheckAlgorithm"/>
      <representation value="xmlAttr"/>
      <label value="Integrity Check Algorithm"/>
      <definition
                  value="Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.integrityCheckAlgorithm"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm"/>
      </binding>
    </element>
    <element id="Observation.text.language">
      <path value="Observation.text.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="Observation.text.mediaType">
      <path value="Observation.text.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="Observation.text.representation">
      <path value="Observation.text.representation"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="Observation.text.data[x]">
      <path value="Observation.text.data[x]"/>
      <representation value="xmlText"/>
      <definition
                  value="Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.data[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="base64Binary"/>
      </type>
    </element>
    <element id="Observation.text.reference">
      <path value="Observation.text.reference"/>
      <label value="Reference"/>
      <definition
                  value="A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data."/>
      <requirements
                    value="The text, if present, SHOULD contain zero or one [0..1] reference (CONF:81-15938)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.reference"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </element>
    <element id="Observation.text.reference.nullFlavor">
      <path value="Observation.text.reference.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="Observation.text.reference.value">
      <path value="Observation.text.reference.value"/>
      <representation value="xmlAttr"/>
      <requirements
                    value="The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:81-15939)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <constraint>
        <key value="81-15940"/>
        <severity value="error"/>
        <human
               value="This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:81-15940)."/>
      </constraint>
    </element>
    <element id="Observation.text.reference.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="SXPR-TS"/>
      </extension>
      <path value="Observation.text.reference.useablePeriod"/>
      <representation value="typeAttr"/>
      <label value="Useable Period"/>
      <definition
                  value="Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.useablePeriod"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element id="Observation.text.reference.use">
      <path value="Observation.text.reference.use"/>
      <representation value="xmlAttr"/>
      <label value="Use Code"/>
      <definition
                  value="One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-AddressUse"/>
      </binding>
    </element>
    <element id="Observation.text.thumbnail">
      <path value="Observation.text.thumbnail"/>
      <label value="Thumbnail"/>
      <definition
                  value="An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.thumbnail"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Observation.statusCode">
      <path value="Observation.statusCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.statusCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element id="Observation.effectiveTime">
      <path value="Observation.effectiveTime"/>
      <requirements
                    value="SHOULD contain zero or one [0..1] effectiveTime (CONF:81-9294)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.effectiveTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
    </element>
    <element id="Observation.priorityCode">
      <path value="Observation.priorityCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.priorityCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
      </binding>
    </element>
    <element id="Observation.repeatNumber">
      <path value="Observation.repeatNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.repeatNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-INT"/>
      </type>
    </element>
    <element id="Observation.languageCode">
      <path value="Observation.languageCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.languageCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-HumanLanguage"/>
      </binding>
    </element>
    <element id="Observation.value">
      <path value="Observation.value"/>
      <representation value="typeAttr"/>
      <requirements
                    value="SHALL contain exactly one [1..1] value with @xsi:type=&quot;ED&quot; (CONF:81-9292)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.value"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Observation.interpretationCode">
      <path value="Observation.interpretationCode"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.interpretationCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"/>
      </binding>
    </element>
    <element id="Observation.methodCode">
      <path value="Observation.methodCode"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.methodCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ObservationMethod"/>
      </binding>
    </element>
    <element id="Observation.targetSiteCode">
      <path value="Observation.targetSiteCode"/>
      <definition value="Drawn from concept domain ActSite"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.targetSiteCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="Observation.subject.typeCode">
      <path value="Observation.subject.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.subject.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="SBJ"/>
      <fixedCode value="SBJ"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"/>
      </binding>
    </element>
    <element id="Observation.subject.contextControlCode">
      <path value="Observation.subject.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.subject.contextControlCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="Observation.subject.awarenessCode">
      <path value="Observation.subject.awarenessCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.subject.awarenessCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"/>
      </binding>
    </element>
    <element id="Observation.subject.relatedSubject">
      <path value="Observation.subject.relatedSubject"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.subject.relatedSubject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"/>
      </type>
    </element>
    <element id="Observation.specimen">
      <path value="Observation.specimen"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.specimen"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Specimen"/>
      </type>
    </element>
    <element id="Observation.performer">
      <path value="Observation.performer"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Performer2"/>
      </type>
    </element>
    <element id="Observation.author">
      <path value="Observation.author"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
      </type>
    </element>
    <element id="Observation.informant">
      <path value="Observation.informant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="Observation.informant.typeCode">
      <path value="Observation.informant.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.informant.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INF"/>
      <fixedCode value="INF"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"/>
      </binding>
    </element>
    <element id="Observation.informant.contextControlCode">
      <path value="Observation.informant.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.informant.contextControlCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="Observation.informant.assignedEntity">
      <path value="Observation.informant.assignedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.informant.assignedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element id="Observation.informant.relatedEntity">
      <path value="Observation.informant.relatedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.informant.relatedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
      </type>
    </element>
    <element id="Observation.participant">
      <path value="Observation.participant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Participant2"/>
      </type>
    </element>
    <element id="Observation.entryRelationship">
      <path value="Observation.entryRelationship"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="observation"/>
        </discriminator>
        <rules value="open"/>
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      <max value="*"/>
      <base>
        <path value="Observation.entryRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
      <constraint>
        <key value="obs-er-1"/>
        <severity value="error"/>
        <human
               value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
        <expression
                    value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
        <source value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
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      <path value="Observation.entryRelationship.typeCode"/>
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        <code value="code"/>
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    <element id="Observation.entryRelationship.inversionInd">
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      <representation value="xmlAttr"/>
      <min value="0"/>
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      <representation value="xmlAttr"/>
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        <path value="Observation.entryRelationship.contextConductionInd"/>
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        <code value="boolean"/>
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      <base>
        <path value="Observation.entryRelationship.sequenceNumber"/>
        <min value="0"/>
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        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
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      <representation value="xmlAttr"/>
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    <element id="Observation.entryRelationship.seperatableInd">
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      <base>
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        <min value="0"/>
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        <path value="Observation.entryRelationship.procedure"/>
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        <max value="1"/>
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      <min value="0"/>
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      <base>
        <path value="Observation.entryRelationship.encounter"/>
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        <path value="Observation.entryRelationship.act"/>
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        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
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    <element id="Observation.entryRelationship:SOPInstanceObservation">
      <path value="Observation.entryRelationship"/>
      <sliceName value="SOPInstanceObservation"/>
      <requirements
                    value="MAY contain zero or more [0..*] entryRelationship (CONF:81-9298) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.entryRelationship"/>
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        <max value="*"/>
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      <type>
        <code value="Element"/>
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      <constraint>
        <key value="obs-er-1"/>
        <severity value="error"/>
        <human
               value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
        <expression
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        <source value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
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    </element>
    <element id="Observation.entryRelationship:SOPInstanceObservation.typeCode">
      <path value="Observation.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @typeCode=&quot;SPRT&quot; Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9299)."/>
      <min value="1"/>
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      <base>
        <path value="Observation.entryRelationship.typeCode"/>
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        <max value="1"/>
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      <type>
        <code value="code"/>
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      <patternCode value="SPRT"/>
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             id="Observation.entryRelationship:SOPInstanceObservation.inversionInd">
      <path value="Observation.entryRelationship.inversionInd"/>
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        <path value="Observation.entryRelationship.inversionInd"/>
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        <max value="1"/>
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        <code value="boolean"/>
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             id="Observation.entryRelationship:SOPInstanceObservation.contextConductionInd">
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      <max value="1"/>
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        <path value="Observation.entryRelationship.contextConductionInd"/>
        <min value="1"/>
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      <type>
        <code value="boolean"/>
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             id="Observation.entryRelationship:SOPInstanceObservation.sequenceNumber">
      <path value="Observation.entryRelationship.sequenceNumber"/>
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      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.sequenceNumber"/>
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        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
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    <element
             id="Observation.entryRelationship:SOPInstanceObservation.negationInd">
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      <max value="1"/>
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        <path value="Observation.entryRelationship.negationInd"/>
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        <max value="1"/>
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      <type>
        <code value="boolean"/>
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        <path value="Observation.entryRelationship.seperatableInd"/>
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        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
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    <element
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      <path value="Observation.entryRelationship.observation"/>
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                    value="SHALL contain exactly one [1..1] SOP Instance Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.8) (CONF:81-15941)."/>
      <min value="1"/>
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      <base>
        <path value="Observation.entryRelationship.observation"/>
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        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
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      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.regionOfInterest"/>
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        <code
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      <max value="0"/>
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        <path value="Observation.entryRelationship.observationMedia"/>
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        <code
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        <path value="Observation.entryRelationship.substanceAdministration"/>
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        <code
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      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.supply"/>
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        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
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    <element id="Observation.entryRelationship:SOPInstanceObservation.procedure">
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      <max value="0"/>
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        <path value="Observation.entryRelationship.procedure"/>
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      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.encounter"/>
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        <code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
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        <path value="Observation.entryRelationship.organizer"/>
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        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
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        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
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      <sliceName value="quantityMeasurementObservation"/>
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                    value="MAY contain zero or more [0..*] entryRelationship (CONF:81-9301) such that it"/>
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      <max value="*"/>
      <base>
        <path value="Observation.entryRelationship"/>
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        <max value="*"/>
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        <code value="Element"/>
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        <key value="obs-er-1"/>
        <severity value="error"/>
        <human
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        <expression
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                    value="SHALL contain exactly one [1..1] @typeCode=&quot;SPRT&quot; Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9302)."/>
      <min value="1"/>
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      <base>
        <path value="Observation.entryRelationship.typeCode"/>
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        <code value="code"/>
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        <path value="Observation.entryRelationship.inversionInd"/>
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        <code value="boolean"/>
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        <code value="boolean"/>
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        <path value="Observation.entryRelationship.sequenceNumber"/>
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                    value="SHALL contain exactly one [1..1] Quantity Measurement Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.14) (CONF:81-15942)."/>
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      <max value="0"/>
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        <min value="0"/>
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        <path value="Observation.entryRelationship.substanceAdministration"/>
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      <base>
        <path value="Observation.entryRelationship.supply"/>
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    <element
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        <path value="Observation.entryRelationship.procedure"/>
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      <max value="0"/>
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        <path value="Observation.entryRelationship.encounter"/>
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    <element
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      <max value="0"/>
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        <path value="Observation.entryRelationship.act"/>
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      <max value="*"/>
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        <path value="Observation.reference"/>
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        <max value="*"/>
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      </type>
    </element>
    <element id="Observation.reference.typeCode">
      <path value="Observation.reference.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.reference.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="Observation.reference.seperatableInd">
      <path value="Observation.reference.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.reference.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="Observation.reference.externalAct">
      <path value="Observation.reference.externalAct"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.reference.externalAct"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"/>
      </type>
    </element>
    <element id="Observation.reference.externalObservation">
      <path value="Observation.reference.externalObservation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.reference.externalObservation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"/>
      </type>
    </element>
    <element id="Observation.reference.externalProcedure">
      <path value="Observation.reference.externalProcedure"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.reference.externalProcedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"/>
      </type>
    </element>
    <element id="Observation.reference.externalDocument">
      <path value="Observation.reference.externalDocument"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.reference.externalDocument"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"/>
      </type>
    </element>
    <element id="Observation.precondition">
      <path value="Observation.precondition"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.precondition"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Precondition"/>
      </type>
    </element>
    <element id="Observation.referenceRange">
      <path value="Observation.referenceRange"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.referenceRange"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="Observation.referenceRange.typeCode">
      <path value="Observation.referenceRange.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="REFV"/>
      <fixedCode value="REFV"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipPertains"/>
      </binding>
    </element>
    <element id="Observation.referenceRange.observationRange">
      <path value="Observation.referenceRange.observationRange"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.observationRange"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ObservationRange"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="Observation">
      <path value="Observation"/>
    </element>
    <element id="Observation.classCode">
      <path value="Observation.classCode"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @classCode=&quot;OBS&quot; Observation (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4 STATIC) (CONF:81-9288)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="OBS"/>
    </element>
    <element id="Observation.moodCode">
      <path value="Observation.moodCode"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @moodCode=&quot;EVN&quot; Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-9289)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="EVN"/>
    </element>
    <element id="Observation.templateId">
      <path value="Observation.templateId"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="root"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
    </element>
    <element id="Observation.templateId:primary">
      <path value="Observation.templateId"/>
      <sliceName value="primary"/>
      <requirements
                    value="SHALL contain exactly one [1..1] templateId (CONF:81-9290) such that it"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="Observation.templateId:primary.root">
      <path value="Observation.templateId.root"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.10.20.6.2.12&quot; (CONF:81-10534)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="2.16.840.1.113883.10.20.6.2.12"/>
    </element>
    <element id="Observation.code">
      <path value="Observation.code"/>
      <requirements
                    value="SHALL contain exactly one [1..1] code (CONF:81-9291)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="Observation.text">
      <path value="Observation.text"/>
      <requirements value="MAY contain zero or one [0..1] text (CONF:81-9295)."/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="Observation.text.reference">
      <path value="Observation.text.reference"/>
      <requirements
                    value="The text, if present, SHOULD contain zero or one [0..1] reference (CONF:81-15938)."/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="Observation.text.reference.value">
      <path value="Observation.text.reference.value"/>
      <requirements
                    value="The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:81-15939)."/>
      <min value="0"/>
      <max value="1"/>
      <constraint>
        <key value="81-15940"/>
        <severity value="error"/>
        <human
               value="This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:81-15940)."/>
      </constraint>
    </element>
    <element id="Observation.effectiveTime">
      <path value="Observation.effectiveTime"/>
      <requirements
                    value="SHOULD contain zero or one [0..1] effectiveTime (CONF:81-9294)."/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="Observation.value">
      <path value="Observation.value"/>
      <requirements
                    value="SHALL contain exactly one [1..1] value with @xsi:type=&quot;ED&quot; (CONF:81-9292)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Observation.entryRelationship">
      <path value="Observation.entryRelationship"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="observation"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
    </element>
    <element id="Observation.entryRelationship:SOPInstanceObservation">
      <path value="Observation.entryRelationship"/>
      <sliceName value="SOPInstanceObservation"/>
      <requirements
                    value="MAY contain zero or more [0..*] entryRelationship (CONF:81-9298) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element id="Observation.entryRelationship:SOPInstanceObservation.typeCode">
      <path value="Observation.entryRelationship.typeCode"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @typeCode=&quot;SPRT&quot; Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9299)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="SPRT"/>
    </element>
    <element
             id="Observation.entryRelationship:SOPInstanceObservation.observation">
      <path value="Observation.entryRelationship.observation"/>
      <requirements
                    value="SHALL contain exactly one [1..1] SOP Instance Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.8) (CONF:81-15941)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.8"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:quantityMeasurementObservation">
      <path value="Observation.entryRelationship"/>
      <sliceName value="quantityMeasurementObservation"/>
      <requirements
                    value="MAY contain zero or more [0..*] entryRelationship (CONF:81-9301) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element
             id="Observation.entryRelationship:quantityMeasurementObservation.typeCode">
      <path value="Observation.entryRelationship.typeCode"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @typeCode=&quot;SPRT&quot; Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9302)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="SPRT"/>
    </element>
    <element
             id="Observation.entryRelationship:quantityMeasurementObservation.observation">
      <path value="Observation.entryRelationship.observation"/>
      <requirements
                    value="SHALL contain exactly one [1..1] Quantity Measurement Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.14) (CONF:81-15942)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.14"/>
      </type>
    </element>
  </differential>
</StructureDefinition>