Consolidated CDA Release 2.2
2.2 - CI Build

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

## Resource Profile: FunctionalStatusProblemObservation - XML Profile

Draft as of 2022-05-13

XML representation of the 2.16.840.1.113883.10.20.22.4.68 resource profile.

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    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="2.16.840.1.113883.10.20.22.4.68"/>
      <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-2.16.840.1.113883.10.20.22.4.68-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-2.16.840.1.113883.10.20.22.4.68-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-2.16.840.1.113883.10.20.22.4.68-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-2.16.840.1.113883.10.20.22.4.68-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">Use negationInd=&quot;true&quot; to indicate that the problem was not observed.</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-2.16.840.1.113883.10.20.22.4.68-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-2.16.840.1.113883.10.20.22.4.68-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-2.16.840.1.113883.10.20.22.4.68-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">2.16.840.1.113883.10.20.22.4.68</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-2.16.840.1.113883.10.20.22.4.68-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">2014-06-09</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-2.16.840.1.113883.10.20.22.4.68-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_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.68-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"/><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"/></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-2.16.840.1.113883.10.20.22.4.68-definitions.html#Observation.code.code">code</a><a name="Observation.code.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">248536006</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_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.68-definitions.html#Observation.text">text</a><a name="Observation.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ED.html">ED</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.68-definitions.html#Observation.text.reference">reference</a><a name="Observation.text.reference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-TEL.html">TEL</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.68-definitions.html#Observation.text.reference.value">value</a><a name="Observation.text.reference.value"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1098-15554)">I</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">1098-15554: </span>This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-15554).</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-2.16.840.1.113883.10.20.22.4.68-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-2.16.840.1.113883.10.20.22.4.68-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-2.16.840.1.113883.10.20.22.4.68-definitions.html#Observation.effectiveTime">effectiveTime</a><a name="Observation.effectiveTime"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-IVL-TS.html">IVL_TS</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-2.16.840.1.113883.10.20.22.4.68-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 value of effectiveTime/low represents onset date.</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-2.16.840.1.113883.10.20.22.4.68-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">If the problem is resolved, record the resolution date in effectiveTime/high. If the problem is known to be resolved but the resolution date is not known, use @nullFlavor=&quot;UNK&quot;. If the problem is not resolved, do not include the high element.</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-2.16.840.1.113883.10.20.22.4.68-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_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-2.16.840.1.113883.10.20.22.4.68-definitions.html#Observation.value.nullFlavor">nullFlavor</a><a name="Observation.value.nullFlavor"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1098-14293)">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..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">1098-14293: </span>If the diagnosis is unknown or the SNOMED code is unknown, @nullFlavor SHOULD be “UNK”.  If the diagnosis is known but the code cannot be found in the Value Set, @nullFlavor SHOULD be “OTH” and the known diagnosis code SHOULD be placed in the translation element (CONF:1098-14293).</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_bck00.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_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.68-definitions.html#Observation.methodCode">methodCode</a><a name="Observation.methodCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CE.html">CE</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/2.16.840.1.113883.10.20.22.4.68"/>
      <identifier>
        <value value="urn:hl7ii:2.16.840.1.113883.10.20.22.4.68:2014-06-09"/>
      </identifier>
      <version value="2.2"/>
      <name value="FunctionalStatusProblemObservation"/>
      <title value="Functional Status Problem Observation (DEPRECATED)"/>
      <status value="draft"/>
      <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="A functional status problem observation is a clinical statement that represents a patients functional perfomance and ability.

    THIS TEMPLATE HAS BEEN DEPRECATED IN C-CDA R2 AND MAY BE DELETED FROM A FUTURE RELEASE OF THIS IMPLEMENTATION GUIDE. USE OF THIS TEMPLATE IS NOT RECOMMENDED.

    *Reason for deprecation*: Functional Status Problem Observation has been merged, without loss of expressivity, into Functional Status Observation (2.16.840.1.113883.10.20.22.4.67:2014-06-09)."/>
      <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; (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-14282)."/>
          <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:1098-14283)."/>
          <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="Use negationInd=&quot;true&quot; to indicate that the problem was not observed."/>
          <requirements
                        value="MAY contain zero or one [0..1] @negationInd (CONF:1098-14307)."/>
          <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:1098-14312) 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;2.16.840.1.113883.10.20.22.4.68&quot; (CONF:1098-14313)."/>
          <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="2.16.840.1.113883.10.20.22.4.68"/>
        </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;2014-06-09&quot; (CONF:1098-32601)."/>
          <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="2014-06-09"/>
        </element>
        <element id="Observation.id">
          <path value="Observation.id"/>
          <requirements
                        value="SHALL contain at least one [1..*] id (CONF:1098-14284)."/>
          <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 (CONF:1098-14314)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.code"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
          </type>
          <binding>
            <strength value="extensible"/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationType"/>
          </binding>
        </element>
        <element id="Observation.code.nullFlavor">
          <path value="Observation.code.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
          </binding>
        </element>
        <element id="Observation.code.code">
          <path value="Observation.code.code"/>
          <representation value="xmlAttr"/>
          <label value="Code"/>
          <definition
                      value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
          <requirements
                        value="This code SHOULD contain zero or one [0..1] @code=&quot;248536006&quot; finding of functional performance and activity (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96 STATIC) (CONF:1098-14315)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.code"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <patternString value="248536006"/>
        </element>
        <element id="Observation.code.codeSystem">
          <path value="Observation.code.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.code.codeSystemName">
          <path value="Observation.code.codeSystemName"/>
          <representation value="xmlAttr"/>
          <label value="Code System Name"/>
          <definition value="The common name of the coding system."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.codeSystemName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
        </element>
        <element id="Observation.code.codeSystemVersion">
          <path value="Observation.code.codeSystemVersion"/>
          <representation value="xmlAttr"/>
          <label value="Code System Version"/>
          <definition
                      value="If applicable, a version descriptor defined specifically for the given code system."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.codeSystemVersion"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
        </element>
        <element id="Observation.code.displayName">
          <path value="Observation.code.displayName"/>
          <representation value="xmlAttr"/>
          <label value="Display Name"/>
          <definition
                      value="A name or title for the code, under which the sending system shows the code value to its users."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.displayName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
        </element>
        <element id="Observation.code.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.code.sdtcValueSet"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.valueSet"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
        </element>
        <element id="Observation.code.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.code.sdtcValueSetVersion"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.sdtcValueSetVersion"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
        </element>
        <element id="Observation.code.originalText">
          <path value="Observation.code.originalText"/>
          <label value="Original Text"/>
          <definition value="The text or phrase used as the basis for the coding."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.originalText"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
          </type>
        </element>
        <element id="Observation.code.qualifier">
          <path value="Observation.code.qualifier"/>
          <label value="Qualifier"/>
          <definition
                      value="Specifies additional codes that increase the specificity of the the primary code."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CD.qualifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/CR"/>
          </type>
        </element>
        <element id="Observation.code.translation">
          <path value="Observation.code.translation"/>
          <representation value="typeAttr"/>
          <label value="Translation"/>
          <definition
                      value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CD.translation"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
          </type>
        </element>
        <element id="Observation.derivationExpr">
          <path value="Observation.derivationExpr"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.derivationExpr"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/ST"/>
          </type>
        </element>
        <element id="Observation.text">
          <path value="Observation.text"/>
          <representation value="typeAttr"/>
          <requirements
                        value="SHOULD contain zero or one [0..1] text (CONF:1098-14304)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
          </type>
        </element>
        <element id="Observation.text.nullFlavor">
          <path value="Observation.text.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
          </binding>
        </element>
        <element id="Observation.text.charset">
          <path value="Observation.text.charset"/>
          <representation value="xmlAttr"/>
          <label value="Charset"/>
          <definition
                      value="For character-based encoding types, this property specifies the character set and character encoding used. The charset shall be identified by an Internet Assigned Numbers Authority (IANA) Charset Registration [] in accordance with RFC 2978 []."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.charset"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
        </element>
        <element id="Observation.text.compression">
          <path value="Observation.text.compression"/>
          <representation value="xmlAttr"/>
          <label value="Compression"/>
          <definition
                      value="Indicates whether the raw byte data is compressed, and what compression algorithm was used."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.compression"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-CompressionAlgorithm"/>
          </binding>
        </element>
        <element id="Observation.text.integrityCheck">
          <path value="Observation.text.integrityCheck"/>
          <representation value="xmlAttr"/>
          <label value="Integrity Check"/>
          <definition
                      value="The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.integrityCheck"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="base64Binary"/>
          </type>
        </element>
        <element id="Observation.text.integrityCheckAlgorithm">
          <path value="Observation.text.integrityCheckAlgorithm"/>
          <representation value="xmlAttr"/>
          <label value="Integrity Check Algorithm"/>
          <definition
                      value="Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.integrityCheckAlgorithm"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm"/>
          </binding>
        </element>
        <element id="Observation.text.language">
          <path value="Observation.text.language"/>
          <representation value="xmlAttr"/>
          <label value="Language"/>
          <definition
                      value="For character based information the language property specifies the human language of the text."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.language"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
        </element>
        <element id="Observation.text.mediaType">
          <path value="Observation.text.mediaType"/>
          <representation value="xmlAttr"/>
          <label value="Media Type"/>
          <definition
                      value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.mediaType"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
        </element>
        <element id="Observation.text.representation">
          <path value="Observation.text.representation"/>
          <representation value="xmlAttr"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.representation"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
        </element>
        <element id="Observation.text.data[x]">
          <path value="Observation.text.data[x]"/>
          <representation value="xmlText"/>
          <definition
                      value="Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.data[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <type>
            <code value="base64Binary"/>
          </type>
        </element>
        <element id="Observation.text.reference">
          <path value="Observation.text.reference"/>
          <label value="Reference"/>
          <definition
                      value="A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data."/>
          <requirements
                        value="The text, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-15552)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.reference"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/TEL"/>
          </type>
        </element>
        <element id="Observation.text.reference.nullFlavor">
          <path value="Observation.text.reference.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
          </binding>
        </element>
        <element id="Observation.text.reference.value">
          <path value="Observation.text.reference.value"/>
          <representation value="xmlAttr"/>
          <requirements
                        value="The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-15553)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TEL.value"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="1098-15554"/>
            <severity value="error"/>
            <human
                   value="This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-15554)."/>
          </constraint>
        </element>
        <element id="Observation.text.reference.useablePeriod">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
            <valueString value="SXPR-TS"/>
          </extension>
          <path value="Observation.text.reference.useablePeriod"/>
          <representation value="typeAttr"/>
          <label value="Useable Period"/>
          <definition
                      value="Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="TEL.useablePeriod"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
          </type>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
          </type>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
          </type>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS"/>
          </type>
        </element>
        <element id="Observation.text.reference.use">
          <path value="Observation.text.reference.use"/>
          <representation value="xmlAttr"/>
          <label value="Use Code"/>
          <definition
                      value="One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="TEL.use"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-AddressUse"/>
          </binding>
        </element>
        <element id="Observation.text.thumbnail">
          <path value="Observation.text.thumbnail"/>
          <label value="Thumbnail"/>
          <definition
                      value="An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.thumbnail"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
          </type>
        </element>
        <element id="Observation.statusCode">
          <path value="Observation.statusCode"/>
          <requirements
                        value="SHALL contain exactly one [1..1] statusCode (CONF:1098-14286)."/>
          <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:1098-19100)."/>
          <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"/>
          <requirements
                        value="SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-14287)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.effectiveTime"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
          </type>
        </element>
        <element id="Observation.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 value of effectiveTime/low represents onset date."/>
          <definition value="This is the low limit of the interval."/>
          <requirements
                        value="The effectiveTime, if present, SHALL contain exactly one [1..1] low (CONF:1098-26456)."/>
          <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="If the problem is resolved, record the resolution date in effectiveTime/high. If the problem is known to be resolved but the resolution date is not known, use @nullFlavor=&quot;UNK&quot;. If the problem is not resolved, do not include the high element."/>
          <definition value="This is the high limit of the interval."/>
          <requirements
                        value="The effectiveTime, if present, MAY contain zero or one [0..1] high (CONF:1098-26457)."/>
          <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:1098-14291)."/>
          <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."/>
          <requirements
                        value="This value MAY contain zero or one [0..1] @nullFlavor (CONF:1098-14292)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="1098-14293"/>
            <severity value="warning"/>
            <human
                   value="If the diagnosis is unknown or the SNOMED code is unknown, @nullFlavor SHOULD be “UNK”.  If the diagnosis is known but the code cannot be found in the Value Set, @nullFlavor SHOULD be “OTH” and the known diagnosis code SHOULD be placed in the translation element (CONF:1098-14293)."/>
          </constraint>
          <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"/>
          <definition
                      value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
          <min value="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"/>
          <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">
          <path value="Observation.value.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"/>
          <requirements
                        value="MAY contain zero or one [0..1] methodCode (CONF:1098-14316)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.methodCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
          </type>
          <binding>
            <strength value="extensible"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-ObservationMethod"/>
          </binding>
        </element>
        <element id="Observation.targetSiteCode">
          <path value="Observation.targetSiteCode"/>
          <definition value="Drawn from concept domain ActSite"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.targetSiteCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
          </type>
        </element>
        <element id="Observation.subject">
          <path value="Observation.subject"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.subject"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Element"/>
          </type>
        </element>
        <element id="Observation.subject.typeCode">
          <path value="Observation.subject.typeCode"/>
          <representation value="xmlAttr"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.subject.typeCode"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <defaultValueCode value="SBJ"/>
          <fixedCode value="SBJ"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"/>
          </binding>
        </element>
        <element id="Observation.subject.contextControlCode">
          <path value="Observation.subject.contextControlCode"/>
          <representation value="xmlAttr"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.subject.contextControlCode"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <defaultValueCode value="OP"/>
          <fixedCode value="OP"/>
          <binding>
            <strength value="required"/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
          </binding>
        </element>
        <element id="Observation.subject.awarenessCode">
          <path value="Observation.subject.awarenessCode"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.subject.awarenessCode"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
          </type>
          <binding>
            <strength value="extensible"/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"/>
          </binding>
        </element>
        <element id="Observation.subject.relatedSubject">
          <path value="Observation.subject.relatedSubject"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.subject.relatedSubject"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"/>
          </type>
        </element>
        <element id="Observation.specimen">
          <path value="Observation.specimen"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.specimen"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/Specimen"/>
          </type>
        </element>
        <element id="Observation.performer">
          <path value="Observation.performer"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.performer"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/Performer2"/>
          </type>
        </element>
        <element id="Observation.author">
          <path value="Observation.author"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.author"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
          </type>
        </element>
        <element id="Observation.informant">
          <path value="Observation.informant"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.informant"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Element"/>
          </type>
        </element>
        <element id="Observation.informant.typeCode">
          <path value="Observation.informant.typeCode"/>
          <representation value="xmlAttr"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.informant.typeCode"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <defaultValueCode value="INF"/>
          <fixedCode value="INF"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"/>
          </binding>
        </element>
        <element id="Observation.informant.contextControlCode">
          <path value="Observation.informant.contextControlCode"/>
          <representation value="xmlAttr"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.informant.contextControlCode"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <defaultValueCode value="OP"/>
          <fixedCode value="OP"/>
          <binding>
            <strength value="required"/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
          </binding>
        </element>
        <element id="Observation.informant.assignedEntity">
          <path value="Observation.informant.assignedEntity"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.informant.assignedEntity"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
          </type>
        </element>
        <element id="Observation.informant.relatedEntity">
          <path value="Observation.informant.relatedEntity"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.informant.relatedEntity"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
          </type>
        </element>
        <element id="Observation.participant">
          <path value="Observation.participant"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.participant"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/Participant2"/>
          </type>
        </element>
        <element id="Observation.entryRelationship">
          <path value="Observation.entryRelationship"/>
          <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"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
          </type>
        </element>
        <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"/>
          </base>
          <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"/>
          </base>
          <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"/>
          </base>
          <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"/>
          </base>
          <type>
            <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
          </type>
        </element>
        <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.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; (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-14282)."/>
          <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:1098-14283)."/>
          <min value="1"/>
          <max value="1"/>
          <patternCode value="EVN"/>
        </element>
        <element id="Observation.negationInd">
          <path value="Observation.negationInd"/>
          <short
                 value="Use negationInd=&quot;true&quot; to indicate that the problem was not observed."/>
          <requirements
                        value="MAY contain zero or one [0..1] @negationInd (CONF:1098-14307)."/>
          <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:1098-14312) 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;2.16.840.1.113883.10.20.22.4.68&quot; (CONF:1098-14313)."/>
          <min value="1"/>
          <max value="1"/>
          <patternString value="2.16.840.1.113883.10.20.22.4.68"/>
        </element>
        <element id="Observation.templateId:primary.extension">
          <path value="Observation.templateId.extension"/>
          <requirements
                        value="SHALL contain exactly one [1..1] @extension=&quot;2014-06-09&quot; (CONF:1098-32601)."/>
          <min value="1"/>
          <max value="1"/>
          <patternString value="2014-06-09"/>
        </element>
        <element id="Observation.id">
          <path value="Observation.id"/>
          <requirements
                        value="SHALL contain at least one [1..*] id (CONF:1098-14284)."/>
          <min value="1"/>
          <max value="*"/>
        </element>
        <element id="Observation.code">
          <path value="Observation.code"/>
          <requirements
                        value="SHALL contain exactly one [1..1] code (CONF:1098-14314)."/>
          <min value="1"/>
          <max value="1"/>
        </element>
        <element id="Observation.code.code">
          <path value="Observation.code.code"/>
          <requirements
                        value="This code SHOULD contain zero or one [0..1] @code=&quot;248536006&quot; finding of functional performance and activity (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96 STATIC) (CONF:1098-14315)."/>
          <min value="0"/>
          <max value="1"/>
          <patternString value="248536006"/>
        </element>
        <element id="Observation.text">
          <path value="Observation.text"/>
          <requirements
                        value="SHOULD contain zero or one [0..1] text (CONF:1098-14304)."/>
          <min value="0"/>
          <max value="1"/>
        </element>
        <element id="Observation.text.reference">
          <path value="Observation.text.reference"/>
          <requirements
                        value="The text, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-15552)."/>
          <min value="0"/>
          <max value="1"/>
        </element>
        <element id="Observation.text.reference.value">
          <path value="Observation.text.reference.value"/>
          <requirements
                        value="The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-15553)."/>
          <min value="0"/>
          <max value="1"/>
          <constraint>
            <key value="1098-15554"/>
            <severity value="error"/>
            <human
                   value="This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-15554)."/>
          </constraint>
        </element>
        <element id="Observation.statusCode">
          <path value="Observation.statusCode"/>
          <requirements
                        value="SHALL contain exactly one [1..1] statusCode (CONF:1098-14286)."/>
          <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:1098-19100)."/>
          <min value="1"/>
          <max value="1"/>
          <patternString value="completed"/>
        </element>
        <element id="Observation.effectiveTime">
          <path value="Observation.effectiveTime"/>
          <requirements
                        value="SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-14287)."/>
          <min value="0"/>
          <max value="1"/>
        </element>
        <element id="Observation.effectiveTime.low">
          <path value="Observation.effectiveTime.low"/>
          <short value="The value of effectiveTime/low represents onset date."/>
          <requirements
                        value="The effectiveTime, if present, SHALL contain exactly one [1..1] low (CONF:1098-26456)."/>
          <min value="1"/>
          <max value="1"/>
        </element>
        <element id="Observation.effectiveTime.high">
          <path value="Observation.effectiveTime.high"/>
          <short
                 value="If the problem is resolved, record the resolution date in effectiveTime/high. If the problem is known to be resolved but the resolution date is not known, use @nullFlavor=&quot;UNK&quot;. If the problem is not resolved, do not include the high element."/>
          <requirements
                        value="The effectiveTime, if present, MAY contain zero or one [0..1] high (CONF:1098-26457)."/>
          <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:1098-14291)."/>
          <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.nullFlavor">
          <path value="Observation.value.nullFlavor"/>
          <requirements
                        value="This value MAY contain zero or one [0..1] @nullFlavor (CONF:1098-14292)."/>
          <min value="0"/>
          <max value="1"/>
          <constraint>
            <key value="1098-14293"/>
            <severity value="warning"/>
            <human
                   value="If the diagnosis is unknown or the SNOMED code is unknown, @nullFlavor SHOULD be “UNK”.  If the diagnosis is known but the code cannot be found in the Value Set, @nullFlavor SHOULD be “OTH” and the known diagnosis code SHOULD be placed in the translation element (CONF:1098-14293)."/>
          </constraint>
        </element>
        <element id="Observation.methodCode">
          <path value="Observation.methodCode"/>
          <requirements
                        value="MAY contain zero or one [0..1] methodCode (CONF:1098-14316)."/>
          <min value="0"/>
          <max value="1"/>
        </element>
      </differential>
    </StructureDefinition>