<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="2.16.840.1.113883.10.20.22.4.4"/>
  <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-2.16.840.1.113883.10.20.22.4.4-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-2.16.840.1.113883.10.20.22.4.4-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-2.16.840.1.113883.10.20.22.4.4-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_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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.negationInd">negationInd</a><a name="Observation.negationInd"> </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="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of &quot;true&quot; coupled with an observation/value of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions.</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_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: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.templateId">Slices for templateId</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"><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"><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: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:root, value:extension</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_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: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-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: #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="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"/></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_bck1250.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_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-2.16.840.1.113883.10.20.22.4.4-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: 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#string">string</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">2.16.840.1.113883.10.20.22.4.4</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_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_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.templateId:primary.extension">extension</a><a name="Observation.templateId.extension"> </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">2015-08-01</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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.id">id</a><a name="Observation.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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_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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.code">code</a><a name="Observation.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-32950)">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">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html">CD</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.7.2/expansion">Problem Type (SNOMEDCT)</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)<br/><span style="font-weight:bold">1198-32950: </span>If code is selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 **DYNAMIC**, then it **SHALL** have at least one [1..*] translation, which **SHOULD** be selected from ValueSet Problem Type (LOINC) urn:oid:2.16.840.1.113762.1.4.1099.28 **DYNAMIC** (CONF:1198-32950) (CONF:1198-32950).</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_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: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.statusCode">statusCode</a><a name="Observation.statusCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><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-CS.html">CS</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.statusCode.code">code</a><a name="Observation.statusCode.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"/><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">completed</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_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: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-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">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-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">If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.</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_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.effectiveTime.low">low</a><a name="Observation.effectiveTime.low"> </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="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-TS.html">TS</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The effectiveTime/low (a.k.a. &quot;onset date&quot;) asserts when the condition became biologically active.</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_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.effectiveTime.high">high</a><a name="Observation.effectiveTime.high"> </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-TS.html">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">The effectiveTime/high (a.k.a. &quot;resolution date&quot;) asserts when the condition became biologically resolved.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-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-CD.html">CD</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.7.4/expansion">Problem</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</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_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.value.code">code</a><a name="Observation.value.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">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="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A negationInd of &quot;true&quot; coupled with an observation/value/@code of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions.</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_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.value.qualifier">qualifier</a><a name="Observation.value.qualifier"> </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"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CR.html">CR</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined.

For example, SNOMED CT allows constructing concepts as a combination of multiple codes. SNOMED CT defines a concept &quot;pneumonia (disorder)&quot; (233604007) an attribute &quot;finding site&quot; (363698007) and another concept &quot;left lower lobe of lung (body structure)&quot; (41224006). SNOMED CT allows one to combine these codes in a code phrase, as shown in the sample XML.<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.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_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.value.translation">Slices for translation</a><a name="Observation.value.translation"> </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"><a style="opacity: 0.5; font-style: italic" 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"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by </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_bck1025.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_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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.value.translation:alt" title="Slice alt">translation:alt</a><a name="Observation.value.translation"> </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"><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: #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_bck10240.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_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: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.value.translation:alt.code">code</a><a name="Observation.value.translation.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">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="http://hl7.org/fhir/R4/datatypes.html#string">string</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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.author">author</a><a name="Observation.author"> </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"><a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.119.html" title="http://hl7.org/fhir/cda/StructureDefinition/Author">AuthorParticipation</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-2.16.840.1.113883.10.20.22.4.4-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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:age" title="Slice age">entryRelationship:age</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..1</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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:age.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">SUBJ</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:age.inversionInd">inversionInd</a><a name="Observation.entryRelationship.inversionInd"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">true</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_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: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:age.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-2.16.840.1.113883.10.20.22.4.31.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">AgeObservation</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_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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:prognosis" title="Slice prognosis">entryRelationship:prognosis</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..1</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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:prognosis.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">REFR</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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:prognosis.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-2.16.840.1.113883.10.20.22.4.113.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">PrognosisObservation</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_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: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:priority" title="Slice priority">entryRelationship:priority</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_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: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:priority.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">REFR</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_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: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:priority.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-2.16.840.1.113883.10.20.22.4.143.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">PriorityPreference</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_bck025.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:status" title="Slice status">entryRelationship:status</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..1</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_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: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:status.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">REFR</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_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: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:status.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-2.16.840.1.113883.10.20.22.4.6.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">ProblemStatus</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><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/2.16.840.1.113883.10.20.22.4.4"/>
  <identifier>
    <value value="urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01"/>
  </identifier>
  <version value="2.2"/>
  <name value="ProblemObservation"/>
  <title value="Problem 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="This template reflects a discrete observation about a patient's problem. Because it is a discrete observation, it will have a statusCode of &quot;completed&quot;. The effectiveTime, also referred to as the biologically relevant time is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of heart attack that occurred five years ago, the effectiveTime is five years ago. &#xD;&#xA;&#xD;&#xA;The effectiveTime of the Problem Observation is the definitive indication of whether or not the underlying condition is resolved. If the problem is known to be resolved, then an effectiveTime/high would be present. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of &quot;UNK&quot;."/>
  <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: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9041)."/>
      <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:1198-9042)."/>
      <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"/>
      <short value="The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of &quot;true&quot; coupled with an observation/value of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions."/>
      <requirements value="MAY contain zero or one [0..1] @negationInd (CONF:1198-10139)."/>
      <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>
        <discriminator>
          <type value="value"/>
          <path value="extension"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <definition value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="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:1198-14926) 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;2.16.840.1.113883.10.20.22.4.4&quot; (CONF:1198-14927)."/>
      <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="2.16.840.1.113883.10.20.22.4.4"/>
    </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."/>
      <requirements value="SHALL contain exactly one [1..1] @extension=&quot;2015-08-01&quot; (CONF:1198-32508)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2015-08-01"/>
    </element>
    <element id="Observation.id">
      <path value="Observation.id"/>
      <requirements value="SHALL contain at least one [1..*] id (CONF:1198-9043)."/>
      <min value="1"/>
      <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, which SHOULD be selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 DYNAMIC (CONF:1198-9045)."/>
      <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>
      <constraint>
        <key value="1198-32950"/>
        <severity value="error"/>
        <human value="If code is selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 **DYNAMIC**, then it **SHALL** have at least one [1..*] translation, which **SHOULD** be selected from ValueSet Problem Type (LOINC) urn:oid:2.16.840.1.113762.1.4.1099.28 **DYNAMIC** (CONF:1198-32950) (CONF:1198-32950)."/>
      </constraint>
      <binding>
        <strength value="preferred"/>
        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.7.2"/>
      </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"/>
      <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.statusCode">
      <path value="Observation.statusCode"/>
      <requirements value="SHALL contain exactly one [1..1] statusCode (CONF:1198-9049)."/>
      <min value="1"/>
      <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.statusCode.nullFlavor">
      <path value="Observation.statusCode.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.statusCode.code">
      <path value="Observation.statusCode.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <requirements value="This statusCode SHALL contain exactly one [1..1] @code=&quot;completed&quot; Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19112)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="completed"/>
    </element>
    <element id="Observation.statusCode.codeSystem">
      <path value="Observation.statusCode.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.statusCode.codeSystemName">
      <path value="Observation.statusCode.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.statusCode.codeSystemVersion">
      <path value="Observation.statusCode.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.statusCode.displayName">
      <path value="Observation.statusCode.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.statusCode.sdtcValueSet">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path value="Observation.statusCode.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.statusCode.sdtcValueSetVersion">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path value="Observation.statusCode.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition value="The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.statusCode.originalText">
      <path value="Observation.statusCode.originalText"/>
      <label value="Original Text"/>
      <definition value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Observation.statusCode.qualifier">
      <path value="Observation.statusCode.qualifier"/>
      <label value="Qualifier"/>
      <definition value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="Observation.statusCode.translation">
      <path value="Observation.statusCode.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="Observation.effectiveTime">
      <path value="Observation.effectiveTime"/>
      <short value="If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved."/>
      <requirements value="SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050)."/>
      <min value="1"/>
      <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.effectiveTime.nullFlavor">
      <path value="Observation.effectiveTime.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="Observation.effectiveTime.value">
      <extension url="http://www.healthintersections.com.au/fhir/StructureDefinition/elementdefinition-dateformat">
        <valueString value="v3"/>
      </extension>
      <path value="Observation.effectiveTime.value"/>
      <representation value="xmlAttr"/>
      <definition value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TS.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="Observation.effectiveTime.inclusive">
      <path value="Observation.effectiveTime.inclusive"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TS.inclusive"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Observation.effectiveTime.operator">
      <path value="Observation.effectiveTime.operator"/>
      <representation value="xmlAttr"/>
      <definition value="A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SXCM_TS.operator"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="Observation.effectiveTime.low">
      <path value="Observation.effectiveTime.low"/>
      <label value="Low Boundary"/>
      <short value="The effectiveTime/low (a.k.a. &quot;onset date&quot;) asserts when the condition became biologically active."/>
      <definition value="This is the low limit of the interval."/>
      <requirements value="This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.low"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="Observation.effectiveTime.high">
      <path value="Observation.effectiveTime.high"/>
      <label value="High Boundary"/>
      <short value="The effectiveTime/high (a.k.a. &quot;resolution date&quot;) asserts when the condition became biologically resolved."/>
      <definition value="This is the high limit of the interval."/>
      <requirements value="This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-15604)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.high"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="Observation.effectiveTime.width">
      <path value="Observation.effectiveTime.width"/>
      <label value="Width"/>
      <definition value="The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.width"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PQ"/>
      </type>
    </element>
    <element id="Observation.effectiveTime.center">
      <path value="Observation.effectiveTime.center"/>
      <label value="Central Value"/>
      <definition value="The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.center"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/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;CD&quot;, where the code SHOULD be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:1198-9058)."/>
      <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/CD"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.7.4"/>
      </binding>
    </element>
    <element id="Observation.value.nullFlavor">
      <path value="Observation.value.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.value.code">
      <path value="Observation.value.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <short value="A negationInd of &quot;true&quot; coupled with an observation/value/@code of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions."/>
      <definition value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <requirements value="This value MAY contain zero or one [0..1] @code (CONF:1198-31871)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.codeSystem">
      <path value="Observation.value.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.codeSystemName">
      <path value="Observation.value.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.codeSystemVersion">
      <path value="Observation.value.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.displayName">
      <path value="Observation.value.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.sdtcValueSet">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path value="Observation.value.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.sdtcValueSetVersion">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path value="Observation.value.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition value="The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.originalText">
      <path value="Observation.value.originalText"/>
      <label value="Original Text"/>
      <definition value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Observation.value.qualifier">
      <path value="Observation.value.qualifier"/>
      <label value="Qualifier"/>
      <short value="The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined.&#xA;&#xA;For example, SNOMED CT allows constructing concepts as a combination of multiple codes. SNOMED CT defines a concept &quot;pneumonia (disorder)&quot; (233604007) an attribute &quot;finding site&quot; (363698007) and another concept &quot;left lower lobe of lung (body structure)&quot; (41224006). SNOMED CT allows one to combine these codes in a code phrase, as shown in the sample XML."/>
      <definition value="Specifies additional codes that increase the specificity of the the primary code."/>
      <requirements value="This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="Observation.value.translation">
      <path value="Observation.value.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <slicing>
        <rules value="open"/>
      </slicing>
      <definition value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="Observation.value.translation:alt">
      <path value="Observation.value.translation"/>
      <representation value="typeAttr"/>
      <sliceName value="alt"/>
      <label value="Translation"/>
      <definition value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <requirements value="This value MAY contain zero or more [0..*] translation (CONF:1198-16749) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="Observation.value.translation:alt.nullFlavor">
      <path value="Observation.value.translation.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.value.translation:alt.code">
      <path value="Observation.value.translation.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <requirements value="MAY contain zero or one [0..1] @code (CodeSystem: ICD-10-CM urn:oid:2.16.840.1.113883.6.90 STATIC) (CONF:1198-16750)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.translation:alt.codeSystem">
      <path value="Observation.value.translation.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.translation:alt.codeSystemName">
      <path value="Observation.value.translation.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.translation:alt.codeSystemVersion">
      <path value="Observation.value.translation.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.translation:alt.displayName">
      <path value="Observation.value.translation.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.translation:alt.sdtcValueSet">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path value="Observation.value.translation.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.translation:alt.sdtcValueSetVersion">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path value="Observation.value.translation.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition value="The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Observation.value.translation:alt.originalText">
      <path value="Observation.value.translation.originalText"/>
      <label value="Original Text"/>
      <definition value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Observation.value.translation:alt.qualifier">
      <path value="Observation.value.translation.qualifier"/>
      <label value="Qualifier"/>
      <definition value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="Observation.value.translation:alt.translation">
      <path value="Observation.value.translation.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </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"/>
      <requirements value="SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31147)."/>
      <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"/>
        <profile value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"/>
      </type>
      <isModifier value="false"/>
    </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"/>
      </slicing>
      <min value="0"/>
      <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"/>
      </constraint>
    </element>
    <element id="Observation.entryRelationship.typeCode">
      <path value="Observation.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="Observation.entryRelationship.inversionInd">
      <path value="Observation.entryRelationship.inversionInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.inversionInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Observation.entryRelationship.contextConductionInd">
      <path value="Observation.entryRelationship.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="Observation.entryRelationship.sequenceNumber">
      <path value="Observation.entryRelationship.sequenceNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.sequenceNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="Observation.entryRelationship.negationInd">
      <path value="Observation.entryRelationship.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Observation.entryRelationship.seperatableInd">
      <path value="Observation.entryRelationship.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="Observation.entryRelationship.observation">
      <path value="Observation.entryRelationship.observation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.observation"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
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    <element id="Observation.entryRelationship.regionOfInterest">
      <path value="Observation.entryRelationship.regionOfInterest"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.regionOfInterest"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
      </type>
    </element>
    <element id="Observation.entryRelationship.observationMedia">
      <path value="Observation.entryRelationship.observationMedia"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.observationMedia"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
      </type>
    </element>
    <element id="Observation.entryRelationship.substanceAdministration">
      <path value="Observation.entryRelationship.substanceAdministration"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.substanceAdministration"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
      </type>
    </element>
    <element id="Observation.entryRelationship.supply">
      <path value="Observation.entryRelationship.supply"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.supply"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
      </type>
    </element>
    <element id="Observation.entryRelationship.procedure">
      <path value="Observation.entryRelationship.procedure"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.procedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
      </type>
    </element>
    <element id="Observation.entryRelationship.encounter">
      <path value="Observation.entryRelationship.encounter"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element id="Observation.entryRelationship.organizer">
      <path value="Observation.entryRelationship.organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.organizer"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
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    <element id="Observation.entryRelationship.act">
      <path value="Observation.entryRelationship.act"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.act"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:age">
      <path value="Observation.entryRelationship"/>
      <sliceName value="age"/>
      <requirements value="MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it"/>
      <min value="0"/>
      <max value="1"/>
      <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"/>
      </constraint>
    </element>
    <element id="Observation.entryRelationship:age.typeCode">
      <path value="Observation.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <requirements value="SHALL contain exactly one [1..1] @typeCode=&quot;SUBJ&quot; Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9060)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <patternCode value="SUBJ"/>
    </element>
    <element id="Observation.entryRelationship:age.inversionInd">
      <path value="Observation.entryRelationship.inversionInd"/>
      <representation value="xmlAttr"/>
      <requirements value="SHALL contain exactly one [1..1] @inversionInd=&quot;true&quot; True (CONF:1198-9069)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.inversionInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <patternBoolean value="true"/>
    </element>
    <element id="Observation.entryRelationship:age.contextConductionInd">
      <path value="Observation.entryRelationship.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
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      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="Observation.entryRelationship:age.sequenceNumber">
      <path value="Observation.entryRelationship.sequenceNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.sequenceNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:age.negationInd">
      <path value="Observation.entryRelationship.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.negationInd"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:age.seperatableInd">
      <path value="Observation.entryRelationship.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:age.observation">
      <path value="Observation.entryRelationship.observation"/>
      <requirements value="SHALL contain exactly one [1..1] Age Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.31) (CONF:1198-15590)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.observation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
        <profile value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.31"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="Observation.entryRelationship:age.regionOfInterest">
      <path value="Observation.entryRelationship.regionOfInterest"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.regionOfInterest"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:age.observationMedia">
      <path value="Observation.entryRelationship.observationMedia"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.observationMedia"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:age.substanceAdministration">
      <path value="Observation.entryRelationship.substanceAdministration"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.substanceAdministration"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:age.supply">
      <path value="Observation.entryRelationship.supply"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.supply"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:age.procedure">
      <path value="Observation.entryRelationship.procedure"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.procedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:age.encounter">
      <path value="Observation.entryRelationship.encounter"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:age.organizer">
      <path value="Observation.entryRelationship.organizer"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.organizer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:age.act">
      <path value="Observation.entryRelationship.act"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.act"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:prognosis">
      <path value="Observation.entryRelationship"/>
      <sliceName value="prognosis"/>
      <requirements value="MAY contain zero or one [0..1] entryRelationship (CONF:1198-29951) such that it"/>
      <min value="0"/>
      <max value="1"/>
      <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"/>
      </constraint>
    </element>
    <element id="Observation.entryRelationship:prognosis.typeCode">
      <path value="Observation.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <requirements value="SHALL contain exactly one [1..1] @typeCode=&quot;REFR&quot; Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <patternCode value="REFR"/>
    </element>
    <element id="Observation.entryRelationship:prognosis.inversionInd">
      <path value="Observation.entryRelationship.inversionInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.inversionInd"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:prognosis.contextConductionInd">
      <path value="Observation.entryRelationship.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="Observation.entryRelationship:prognosis.sequenceNumber">
      <path value="Observation.entryRelationship.sequenceNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.sequenceNumber"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:prognosis.negationInd">
      <path value="Observation.entryRelationship.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.negationInd"/>
        <min value="0"/>
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      <type>
        <code value="boolean"/>
      </type>
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    <element id="Observation.entryRelationship:prognosis.seperatableInd">
      <path value="Observation.entryRelationship.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
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      </type>
    </element>
    <element id="Observation.entryRelationship:prognosis.observation">
      <path value="Observation.entryRelationship.observation"/>
      <requirements value="SHALL contain exactly one [1..1] Prognosis Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.113) (CONF:1198-29952)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.observation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
        <profile value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.113"/>
      </type>
      <isModifier value="false"/>
    </element>
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      <path value="Observation.entryRelationship.regionOfInterest"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.regionOfInterest"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
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    <element id="Observation.entryRelationship:prognosis.observationMedia">
      <path value="Observation.entryRelationship.observationMedia"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.observationMedia"/>
        <min value="0"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
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    <element id="Observation.entryRelationship:prognosis.substanceAdministration">
      <path value="Observation.entryRelationship.substanceAdministration"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.substanceAdministration"/>
        <min value="0"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
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    <element id="Observation.entryRelationship:prognosis.supply">
      <path value="Observation.entryRelationship.supply"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.supply"/>
        <min value="0"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
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    <element id="Observation.entryRelationship:prognosis.procedure">
      <path value="Observation.entryRelationship.procedure"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.procedure"/>
        <min value="0"/>
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    <element id="Observation.entryRelationship:prognosis.encounter">
      <path value="Observation.entryRelationship.encounter"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.encounter"/>
        <min value="0"/>
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      <path value="Observation.entryRelationship.organizer"/>
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      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.organizer"/>
        <min value="0"/>
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      <type>
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    </element>
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      <path value="Observation.entryRelationship.act"/>
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      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.act"/>
        <min value="0"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
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    <element id="Observation.entryRelationship:priority">
      <path value="Observation.entryRelationship"/>
      <sliceName value="priority"/>
      <requirements value="MAY contain zero or more [0..*] entryRelationship (CONF:1198-31063) such that it"/>
      <min value="0"/>
      <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"/>
      </constraint>
    </element>
    <element id="Observation.entryRelationship:priority.typeCode">
      <path value="Observation.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <requirements value="SHALL contain exactly one [1..1] @typeCode=&quot;REFR&quot; Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
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      <patternCode value="REFR"/>
    </element>
    <element id="Observation.entryRelationship:priority.inversionInd">
      <path value="Observation.entryRelationship.inversionInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.inversionInd"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="boolean"/>
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    <element id="Observation.entryRelationship:priority.contextConductionInd">
      <path value="Observation.entryRelationship.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.contextConductionInd"/>
        <min value="1"/>
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      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="Observation.entryRelationship:priority.sequenceNumber">
      <path value="Observation.entryRelationship.sequenceNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.sequenceNumber"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
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    </element>
    <element id="Observation.entryRelationship:priority.negationInd">
      <path value="Observation.entryRelationship.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.negationInd"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="boolean"/>
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    <element id="Observation.entryRelationship:priority.seperatableInd">
      <path value="Observation.entryRelationship.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.seperatableInd"/>
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        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
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    <element id="Observation.entryRelationship:priority.observation">
      <path value="Observation.entryRelationship.observation"/>
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      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship.observation"/>
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      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Observation.entryRelationship.regionOfInterest"/>
        <min value="0"/>
        <max value="1"/>
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      <base>
        <path value="Observation.entryRelationship.observationMedia"/>
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      <min value="0"/>
      <max value="0"/>
      <base>
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      <base>
        <path value="Observation.entryRelationship.supply"/>
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    <element id="Observation.entryRelationship:status">
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      <sliceName value="status"/>
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      <max value="1"/>
      <base>
        <path value="Observation.entryRelationship"/>
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        <code value="Element"/>
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      <constraint>
        <key value="obs-er-1"/>
        <severity value="error"/>
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      <representation value="xmlAttr"/>
      <requirements value="SHALL contain exactly one [1..1] @typeCode=&quot;REFR&quot; Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-9068)."/>
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        <path value="Observation.entryRelationship.sequenceNumber"/>
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      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
      </type>
    </element>
    <element id="Observation.reference">
      <path value="Observation.reference"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.reference"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </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: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9041)."/>
      <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:1198-9042)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="EVN"/>
    </element>
    <element id="Observation.negationInd">
      <path value="Observation.negationInd"/>
      <short value="The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of &quot;true&quot; coupled with an observation/value of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions."/>
      <requirements value="MAY contain zero or one [0..1] @negationInd (CONF:1198-10139)."/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="Observation.templateId">
      <path value="Observation.templateId"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="root"/>
        </discriminator>
        <discriminator>
          <type value="value"/>
          <path value="extension"/>
        </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:1198-14926) 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;2.16.840.1.113883.10.20.22.4.4&quot; (CONF:1198-14927)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="2.16.840.1.113883.10.20.22.4.4"/>
    </element>
    <element id="Observation.templateId:primary.extension">
      <path value="Observation.templateId.extension"/>
      <requirements value="SHALL contain exactly one [1..1] @extension=&quot;2015-08-01&quot; (CONF:1198-32508)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="2015-08-01"/>
    </element>
    <element id="Observation.id">
      <path value="Observation.id"/>
      <requirements value="SHALL contain at least one [1..*] id (CONF:1198-9043)."/>
      <min value="1"/>
      <max value="*"/>
    </element>
    <element id="Observation.code">
      <path value="Observation.code"/>
      <requirements value="SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 DYNAMIC (CONF:1198-9045)."/>
      <min value="1"/>
      <max value="1"/>
      <constraint>
        <key value="1198-32950"/>
        <severity value="error"/>
        <human value="If code is selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 **DYNAMIC**, then it **SHALL** have at least one [1..*] translation, which **SHOULD** be selected from ValueSet Problem Type (LOINC) urn:oid:2.16.840.1.113762.1.4.1099.28 **DYNAMIC** (CONF:1198-32950) (CONF:1198-32950)."/>
      </constraint>
      <binding>
        <strength value="preferred"/>
        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.7.2"/>
      </binding>
    </element>
    <element id="Observation.statusCode">
      <path value="Observation.statusCode"/>
      <requirements value="SHALL contain exactly one [1..1] statusCode (CONF:1198-9049)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="Observation.statusCode.code">
      <path value="Observation.statusCode.code"/>
      <requirements value="This statusCode SHALL contain exactly one [1..1] @code=&quot;completed&quot; Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19112)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="completed"/>
    </element>
    <element id="Observation.effectiveTime">
      <path value="Observation.effectiveTime"/>
      <short value="If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved."/>
      <requirements value="SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="Observation.effectiveTime.low">
      <path value="Observation.effectiveTime.low"/>
      <short value="The effectiveTime/low (a.k.a. &quot;onset date&quot;) asserts when the condition became biologically active."/>
      <requirements value="This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="Observation.effectiveTime.high">
      <path value="Observation.effectiveTime.high"/>
      <short value="The effectiveTime/high (a.k.a. &quot;resolution date&quot;) asserts when the condition became biologically resolved."/>
      <requirements value="This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-15604)."/>
      <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;CD&quot;, where the code SHOULD be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:1198-9058)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.7.4"/>
      </binding>
    </element>
    <element id="Observation.value.code">
      <path value="Observation.value.code"/>
      <short value="A negationInd of &quot;true&quot; coupled with an observation/value/@code of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions."/>
      <requirements value="This value MAY contain zero or one [0..1] @code (CONF:1198-31871)."/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="Observation.value.qualifier">
      <path value="Observation.value.qualifier"/>
      <short value="The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined.&#xA;&#xA;For example, SNOMED CT allows constructing concepts as a combination of multiple codes. SNOMED CT defines a concept &quot;pneumonia (disorder)&quot; (233604007) an attribute &quot;finding site&quot; (363698007) and another concept &quot;left lower lobe of lung (body structure)&quot; (41224006). SNOMED CT allows one to combine these codes in a code phrase, as shown in the sample XML."/>
      <requirements value="This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870)."/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element id="Observation.value.translation">
      <path value="Observation.value.translation"/>
      <slicing>
        <rules value="open"/>
      </slicing>
    </element>
    <element id="Observation.value.translation:alt">
      <path value="Observation.value.translation"/>
      <sliceName value="alt"/>
      <requirements value="This value MAY contain zero or more [0..*] translation (CONF:1198-16749) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element id="Observation.value.translation:alt.code">
      <path value="Observation.value.translation.code"/>
      <requirements value="MAY contain zero or one [0..1] @code (CodeSystem: ICD-10-CM urn:oid:2.16.840.1.113883.6.90 STATIC) (CONF:1198-16750)."/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="Observation.author">
      <path value="Observation.author"/>
      <requirements value="SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31147)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
        <profile value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"/>
      </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:age">
      <path value="Observation.entryRelationship"/>
      <sliceName value="age"/>
      <requirements value="MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it"/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="Observation.entryRelationship:age.typeCode">
      <path value="Observation.entryRelationship.typeCode"/>
      <requirements value="SHALL contain exactly one [1..1] @typeCode=&quot;SUBJ&quot; Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9060)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="SUBJ"/>
    </element>
    <element id="Observation.entryRelationship:age.inversionInd">
      <path value="Observation.entryRelationship.inversionInd"/>
      <requirements value="SHALL contain exactly one [1..1] @inversionInd=&quot;true&quot; True (CONF:1198-9069)."/>
      <min value="1"/>
      <max value="1"/>
      <patternBoolean value="true"/>
    </element>
    <element id="Observation.entryRelationship:age.observation">
      <path value="Observation.entryRelationship.observation"/>
      <requirements value="SHALL contain exactly one [1..1] Age Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.31) (CONF:1198-15590)."/>
      <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/2.16.840.1.113883.10.20.22.4.31"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:prognosis">
      <path value="Observation.entryRelationship"/>
      <sliceName value="prognosis"/>
      <requirements value="MAY contain zero or one [0..1] entryRelationship (CONF:1198-29951) such that it"/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="Observation.entryRelationship:prognosis.typeCode">
      <path value="Observation.entryRelationship.typeCode"/>
      <requirements value="SHALL contain exactly one [1..1] @typeCode=&quot;REFR&quot; Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="REFR"/>
    </element>
    <element id="Observation.entryRelationship:prognosis.observation">
      <path value="Observation.entryRelationship.observation"/>
      <requirements value="SHALL contain exactly one [1..1] Prognosis Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.113) (CONF:1198-29952)."/>
      <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/2.16.840.1.113883.10.20.22.4.113"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:priority">
      <path value="Observation.entryRelationship"/>
      <sliceName value="priority"/>
      <requirements value="MAY contain zero or more [0..*] entryRelationship (CONF:1198-31063) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element id="Observation.entryRelationship:priority.typeCode">
      <path value="Observation.entryRelationship.typeCode"/>
      <requirements value="SHALL contain exactly one [1..1] @typeCode=&quot;REFR&quot; Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="REFR"/>
    </element>
    <element id="Observation.entryRelationship:priority.observation">
      <path value="Observation.entryRelationship.observation"/>
      <requirements value="SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31064)."/>
      <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/2.16.840.1.113883.10.20.22.4.143"/>
      </type>
    </element>
    <element id="Observation.entryRelationship:status">
      <path value="Observation.entryRelationship"/>
      <sliceName value="status"/>
      <requirements value="MAY contain zero or one [0..1] entryRelationship (CONF:1198-9063) such that it"/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="Observation.entryRelationship:status.typeCode">
      <path value="Observation.entryRelationship.typeCode"/>
      <requirements value="SHALL contain exactly one [1..1] @typeCode=&quot;REFR&quot; Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-9068)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="REFR"/>
    </element>
    <element id="Observation.entryRelationship:status.observation">
      <path value="Observation.entryRelationship.observation"/>
      <requirements value="SHALL contain exactly one [1..1] Problem Status (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.6:2019-06-20) (CONF:1198-15591)."/>
      <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/2.16.840.1.113883.10.20.22.4.6"/>
      </type>
    </element>
  </differential>
</StructureDefinition>