IHE.PCC.Problem.Entry
type: StructureDefinition
node role: treeRoot
id:
  v: IHE.PCC.Problem.Entry
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition IHE.PCC.Problem.Entry Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Observation <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints ( should-text-ref-value, should-author )">C 1..1 Observation XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-author #xD; Slices for templateId S 2..* II Slice: Unordered, Open by value:root, value:extension #xD; templateId:problem-obs 1..1 II #xD; @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.1.28 #xD; templateId:problem-entry 1..1 II #xD; @root 1..1 oid, uuid, ruid Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.5 #xD; @moodCode 1..1 cs Fixed Value: EVN #xD; @negationInd S 0..1 bl The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. #xD; id S 1..* II #xD; code S 1..1 CD #xD; text S 1..1 ED SHOULD reference the portion of section narrative text corresponding to this entry #xD; reference <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is aff…
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/logical-target
    l: logical-target
  value: Boolean
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: not-applicable
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:v3
    l: v3
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: observation
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/logical-container
    l: logical-container
  value: Uri
    v: http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument
    l: ClinicalDocument
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/type-profile-style
    l: type-profile-style
  value: Uri
    v: cda
    l: cda
url:
  v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry
  l: IHE.PCC.Problem.Entry
version:
  v: 0.0.1-current
name:
  v: IHE_PCC_Problem_Entry
title:
  v: Problem Entry
status:
  v: draft
date:
  v: 2025-11-04T19:19:26+00:00
publisher:
  v: IHE Patient Care Coordination Technical Committee
contact:
  telecom:
    system:
      v: url
    value:
      v: https://www.ihe.net/ihe_domains/patient_care_coordination/
contact:
  telecom:
    system:
      v: email
contact:
  name:
    v: IHE Patient Care Coordination Technical Committee
  telecom:
    system:
      v: email
description:
  v: This section makes use of the linking, severity, clinical status and comment content specifications defined elsewhere in the technical framework. In HL7 RIM parlance, observations about a problem, complaint, symptom, finding, diagnosis, or functional limitation of a patient is the event (moodCode='EVN') of observing (<observation classCode='OBS'>) that problem. The <value> of the observation comes from a controlled vocabulary representing such things. The contained within the <observation> describes the method of determination from yet another controlled vocabulary. An example appears below in the figure below The basic pattern for reporting a problem uses the CDA <observation> element, setting the classCode='OBS' to represent that this is an observation of a problem, and the moodCode='EVN', to represent that this is an observation that has in fact taken place. The negationInd attribute, if true, specifies that the problem indicated was observed to not have occurred (which is subtly but importantly different from having not been observed). The value of negationInd should not normally be set to true. Instead, to record that there is 'no prior history of chicken pox', one would use a coded value indicated exactly that. However, it is not always possible to record problems in this manner, especially if using a controlled vocabulary that does not supply pre-coordinated negations, or which do not allow the negation to be recorded with post-coordinated coded terminology. TBD for more
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: logical
abstract:
  v: false
type:
  v: http://hl7.org/cda/stds/core/StructureDefinition/Observation
  l: Observation
base definition:
  v: http://hl7.org/cda/stds/core/StructureDefinition/Observation
  l: Observation
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 2.0.1-sd
  element:
    id:
      v: Observation
    path:
      v: Observation
    short:
      v: Base for all types and resources
    definition:
      v: Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: should-text-ref-value
      severity:
        v: warning
      human:
        v: SHOULD contain text/reference/@value
      expression:
        v: text.reference.value.exists()
      source:
        v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry
        l: IHE.PCC.Problem.Entry
    constraint:
      key:
        v: should-author
      severity:
        v: warning
      human:
        v: SHOULD contain author
      expression:
        v: author.exists()
      source:
        v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry
        l: IHE.PCC.Problem.Entry
    is modifier:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: n/a
  element:
    id:
      v: Observation.nullFlavor
    path:
      v: Observation.nullFlavor
    representation:
      v: xmlAttr
    label:
      v: Exceptional Value Detail
    definition:
      v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: ANY.nullFlavor
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: code
        l: code
      profile:
        v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
        l: cs-simple
    binding:
      strength:
        v: required
      value set:
        v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
        l: CDANullFlavor

id:
  v: Observation.realmCode
path:
  v: Observation.realmCode
definition:
  v: When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
min:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.realmCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CS
    l: CS

id:
  v: Observation.typeId
path:
  v: Observation.typeId
definition:
  v: When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InfrastructureRoot.typeId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II
constraint:
  key:
    v: II-1
  severity:
    v: error
  human:
    v: An II instance must have either a root or an nullFlavor.
  expression:
    v: root.exists() or nullFlavor.exists()
  source:
    v: http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
    l: InfrastructureRoot

id:
  v: Observation.typeId.nullFlavor
path:
  v: Observation.typeId.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.typeId.assigningAuthorityName
path:
  v: Observation.typeId.assigningAuthorityName
representation:
  v: xmlAttr
label:
  v: Assigning Authority Name
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: II.assigningAuthorityName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.typeId.displayable
path:
  v: Observation.typeId.displayable
representation:
  v: xmlAttr
label:
  v: Displayable
definition:
  v: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.displayable
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Observation.typeId.root
path:
  v: Observation.typeId.root
representation:
  v: xmlAttr
label:
  v: Root
definition:
  v: Identifies the type as an HL7 Registered model
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.root
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid
fixed: String
  v: 2.16.840.1.113883.1.3

id:
  v: Observation.typeId.extension
path:
  v: Observation.typeId.extension
representation:
  v: xmlAttr
label:
  v: Extension
definition:
  v: A character string as a unique identifier within the scope of the identifier root.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.extension
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.templateId
path:
  v: Observation.templateId
slicing:
  discriminator:
    type:
      v: value
    path:
      v: root
  discriminator:
    type:
      v: value
    path:
      v: extension
  rules:
    v: open
definition:
  v: 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:
  v: 2
max:
  v: *
base:
  path:
    v: InfrastructureRoot.templateId
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II
must support:
  v: true

id:
  v: Observation.templateId:problem-obs
path:
  v: Observation.templateId
slice name:
  v: problem-obs
definition:
  v: 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:
  v: 1
max:
  v: 1
base:
  path:
    v: InfrastructureRoot.templateId
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II

id:
  v: Observation.templateId:problem-obs.nullFlavor
path:
  v: Observation.templateId.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.templateId:problem-obs.assigningAuthorityName
path:
  v: Observation.templateId.assigningAuthorityName
representation:
  v: xmlAttr
label:
  v: Assigning Authority Name
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: II.assigningAuthorityName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.templateId:problem-obs.displayable
path:
  v: Observation.templateId.displayable
representation:
  v: xmlAttr
label:
  v: Displayable
definition:
  v: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.displayable
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Observation.templateId:problem-obs.root
path:
  v: Observation.templateId.root
representation:
  v: xmlAttr
label:
  v: Root
definition:
  v: A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.root
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid
pattern: String
  v: 2.16.840.1.113883.10.20.1.28

id:
  v: Observation.templateId:problem-obs.extension
path:
  v: Observation.templateId.extension
representation:
  v: xmlAttr
label:
  v: Extension
definition:
  v: A character string as a unique identifier within the scope of the identifier root.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.extension
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.templateId:problem-entry
path:
  v: Observation.templateId
slice name:
  v: problem-entry
definition:
  v: 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:
  v: 1
max:
  v: 1
base:
  path:
    v: InfrastructureRoot.templateId
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II

id:
  v: Observation.templateId:problem-entry.nullFlavor
path:
  v: Observation.templateId.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.templateId:problem-entry.assigningAuthorityName
path:
  v: Observation.templateId.assigningAuthorityName
representation:
  v: xmlAttr
label:
  v: Assigning Authority Name
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: II.assigningAuthorityName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.templateId:problem-entry.displayable
path:
  v: Observation.templateId.displayable
representation:
  v: xmlAttr
label:
  v: Displayable
definition:
  v: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.displayable
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Observation.templateId:problem-entry.root
path:
  v: Observation.templateId.root
representation:
  v: xmlAttr
label:
  v: Root
definition:
  v: A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.root
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid
pattern: String
  v: 1.3.6.1.4.1.19376.1.5.3.1.4.5

id:
  v: Observation.templateId:problem-entry.extension
path:
  v: Observation.templateId.extension
representation:
  v: xmlAttr
label:
  v: Extension
definition:
  v: A character string as a unique identifier within the scope of the identifier root.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.extension
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.classCode
path:
  v: Observation.classCode
representation:
  v: xmlAttr
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Observation.classCode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
    l: CDAActClassObservation

id:
  v: Observation.moodCode
path:
  v: Observation.moodCode
representation:
  v: xmlAttr
comment:
  v: SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Observation.moodCode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
fixed: Code
  v: EVN
binding:
  strength:
    v: required
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
    l: http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation

id:
  v: Observation.negationInd
path:
  v: Observation.negationInd
representation:
  v: xmlAttr
short:
  v: The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.
comment:
  v: MAY contain zero or one [0..1] @negationInd (CONF:1198-10139).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.negationInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple
must support:
  v: true

id:
  v: Observation.id
path:
  v: Observation.id
comment:
  v: SHALL contain at least one [1..*] id (CONF:1198-9043).
min:
  v: 1
max:
  v: *
base:
  path:
    v: Observation.id
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II
must support:
  v: true

id:
  v: Observation.sdtcCategory
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:sdtc
    l: sdtc
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: category
path:
  v: Observation.sdtcCategory
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.sdtcCategory
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CD
    l: CD

id:
  v: Observation.code
path:
  v: Observation.code
representation:
  v: typeAttr
comment:
  v: The describes the process of establishing a problem. The code element should be used, as the process of determining the value is important to clinicians (e.g., a diagnosis is a more advanced statement than a symptom). When a physical exam observation is being recorded the code used should be “Finding.” When a review of systems observation is being recorded the code used should be “Symptom.” The recommended vocabulary for describing problems is shown in the table below. Subclasses of this content module may specify other vocabularies. When the list below is used, the codeSystem is '2.16.840.1.113883.6.96' and codeSystemName is SNOMED CT.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Observation.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CD
    l: CD
must support:
  v: true
binding:
  strength:
    v: example
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-ObservationType
    l: v3-ObservationType

id:
  v: Observation.derivationExpr
path:
  v: Observation.derivationExpr
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.derivationExpr
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ST
    l: ST

id:
  v: Observation.text
path:
  v: Observation.text
representation:
  v: typeAttr
short:
  v: SHOULD reference the portion of section narrative text corresponding to this entry
comment:
  v: The <text> element is required and points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Observation.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ED
    l: ED
must support:
  v: true

id:
  v: Observation.text.nullFlavor
path:
  v: Observation.text.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.text.compression
path:
  v: Observation.text.compression
representation:
  v: xmlAttr
label:
  v: Compression
definition:
  v: Indicates whether the raw byte data is compressed, and what compression algorithm was used.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.compression
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    l: CDACompressionAlgorithm

id:
  v: Observation.text.integrityCheck
path:
  v: Observation.text.integrityCheck
representation:
  v: xmlAttr
label:
  v: Integrity Check
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.integrityCheck
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: base64Binary
    l: base64Binary
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bin
    l: bin

id:
  v: Observation.text.integrityCheckAlgorithm
path:
  v: Observation.text.integrityCheckAlgorithm
representation:
  v: xmlAttr
label:
  v: Integrity Check Algorithm
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.integrityCheckAlgorithm
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    l: http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm

id:
  v: Observation.text.language
path:
  v: Observation.text.language
representation:
  v: xmlAttr
label:
  v: Language
definition:
  v: For character based information the language property specifies the human language of the text.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple

id:
  v: Observation.text.mediaType
path:
  v: Observation.text.mediaType
representation:
  v: xmlAttr
label:
  v: Media Type
definition:
  v: Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.mediaType
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: example
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-MediaType
    l: v3-MediaType

id:
  v: Observation.text.representation
path:
  v: Observation.text.representation
representation:
  v: xmlAttr
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.representation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    l: BinaryDataEncoding

id:
  v: Observation.text.xmlText
path:
  v: Observation.text.xmlText
representation:
  v: xmlText
short:
  v: Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
definition:
  v: 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.)
comment:
  v: This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.xmlText
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.text.reference
path:
  v: Observation.text.reference
label:
  v: Reference
definition:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/TEL
    l: TEL
constraint:
  key:
    v: value-starts-octothorpe
  severity:
    v: error
  human:
    v: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
  expression:
    v: value.exists() implies value.startsWith('#')
  source:
    v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry
    l: IHE.PCC.Problem.Entry

id:
  v: Observation.text.thumbnail
path:
  v: Observation.text.thumbnail
label:
  v: Thumbnail
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.thumbnail
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ED
    l: ED

id:
  v: Observation.statusCode
path:
  v: Observation.statusCode
comment:
  v: SHALL contain exactly one [1..1] statusCode (CONF:1198-9049).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Observation.statusCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CS
    l: CS
binding:
  strength:
    v: required
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-ActStatus
    l: v3-ActStatus

id:
  v: Observation.statusCode.nullFlavor
path:
  v: Observation.statusCode.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.statusCode.code
path:
  v: Observation.statusCode.code
representation:
  v: xmlAttr
label:
  v: Code
definition:
  v: The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
comment:
  v: A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CD.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
fixed: Code
  v: completed

id:
  v: Observation.statusCode.codeSystem
path:
  v: Observation.statusCode.codeSystem
representation:
  v: xmlAttr
label:
  v: Code System
definition:
  v: Specifies the code system that defines the code.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: CD.codeSystem
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid

id:
  v: Observation.statusCode.codeSystemName
path:
  v: Observation.statusCode.codeSystemName
representation:
  v: xmlAttr
label:
  v: Code System Name
definition:
  v: The common name of the coding system.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: CD.codeSystemName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.statusCode.codeSystemVersion
path:
  v: Observation.statusCode.codeSystemVersion
representation:
  v: xmlAttr
label:
  v: Code System Version
definition:
  v: If applicable, a version descriptor defined specifically for the given code system.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: CD.codeSystemVersion
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.statusCode.displayName
path:
  v: Observation.statusCode.displayName
representation:
  v: xmlAttr
label:
  v: Display Name
definition:
  v: A name or title for the code, under which the sending system shows the code value to its users.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: CD.displayName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.statusCode.sdtcValueSet
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:sdtc
    l: sdtc
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: valueSet
path:
  v: Observation.statusCode.sdtcValueSet
representation:
  v: xmlAttr
definition:
  v: The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.valueSet
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid

id:
  v: Observation.statusCode.sdtcValueSetVersion
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:sdtc
    l: sdtc
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: valueSetVersion
path:
  v: Observation.statusCode.sdtcValueSetVersion
representation:
  v: xmlAttr
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.sdtcValueSetVersion
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.statusCode.originalText
path:
  v: Observation.statusCode.originalText
label:
  v: Original Text
definition:
  v: The text or phrase used as the basis for the coding.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: CD.originalText
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ED
    l: ED

id:
  v: Observation.statusCode.qualifier
path:
  v: Observation.statusCode.qualifier
label:
  v: Qualifier
definition:
  v: Specifies additional codes that increase the specificity of the the primary code.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: CD.qualifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CR
    l: CR

id:
  v: Observation.statusCode.translation
path:
  v: Observation.statusCode.translation
representation:
  v: typeAttr
label:
  v: Translation
definition:
  v: A set of other concept descriptors that translate this concept descriptor into other code systems.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: CD.translation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CD
    l: CD

id:
  v: Observation.effectiveTime
path:
  v: Observation.effectiveTime
short:
  v: If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.
comment:
  v: SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.effectiveTime
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
    l: IVL-TS
must support:
  v: true

id:
  v: Observation.effectiveTime.nullFlavor
path:
  v: Observation.effectiveTime.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.effectiveTime.value
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format
    l: elementdefinition-date-format
  value: String
    v: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules
    l: elementdefinition-date-rules
  value: String
    v: year-valid
path:
  v: Observation.effectiveTime.value
representation:
  v: xmlAttr
definition:
  v: A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TS.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ts-simple
    l: ts-simple

id:
  v: Observation.effectiveTime.operator
path:
  v: Observation.effectiveTime.operator
representation:
  v: xmlAttr
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: SXCM_TS.operator
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
default value: Code
  v: I
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
    l: CDASetOperator

id:
  v: Observation.effectiveTime.low
path:
  v: Observation.effectiveTime.low
label:
  v: Low Boundary
short:
  v: The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.
definition:
  v: This is the low limit of the interval.
comment:
  v: This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: IVL_TS.low
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
    l: IVXB-TS
must support:
  v: true

id:
  v: Observation.effectiveTime.center
path:
  v: Observation.effectiveTime.center
label:
  v: Central Value
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: IVL_TS.center
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/TS
    l: TS

id:
  v: Observation.effectiveTime.width
path:
  v: Observation.effectiveTime.width
label:
  v: Width
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: IVL_TS.width
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/PQ
    l: PQ

id:
  v: Observation.effectiveTime.high
path:
  v: Observation.effectiveTime.high
label:
  v: High Boundary
definition:
  v: This is the high limit of the interval.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IVL_TS.high
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
    l: IVXB-TS
must support:
  v: true

id:
  v: Observation.priorityCode
path:
  v: Observation.priorityCode
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.priorityCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CE
    l: CE
binding:
  strength:
    v: example
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-ActPriority
    l: v3-ActPriority

id:
  v: Observation.repeatNumber
path:
  v: Observation.repeatNumber
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.repeatNumber
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
    l: IVL-INT

id:
  v: Observation.languageCode
path:
  v: Observation.languageCode
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.languageCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CS
    l: CS
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages
    l: all-languages

id:
  v: Observation.value
path:
  v: Observation.value
representation:
  v: typeAttr
comment:
  v: The <value> is the condition that was found. This element is required. While the value may be a coded or an un-coded string, the type is always a coded value (xsi:type='CD'). If coded, the code and codeSystem attributes shall be present. The codeSystem should reference a controlled vocabulary describing problems, complaints, symptoms, findings, diagnoses, or functional limitations, e.g., ICD-9, SNOMED-CT or MEDCIN, or others.
min:
  v: 1
max:
  v: *
base:
  path:
    v: Observation.value
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CD
    l: CD
must support:
  v: true

id:
  v: Observation.value.nullFlavor
path:
  v: Observation.value.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.value.code
path:
  v: Observation.value.code
representation:
  v: xmlAttr
label:
  v: Code
short:
  v: A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951).
definition:
  v: The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
comment:
  v: This value MAY contain zero or one [0..1] @code (CONF:1198-31871).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple

id:
  v: Observation.value.codeSystem
path:
  v: Observation.value.codeSystem
representation:
  v: xmlAttr
label:
  v: Code System
definition:
  v: Specifies the code system that defines the code.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.codeSystem
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid

id:
  v: Observation.value.codeSystemName
path:
  v: Observation.value.codeSystemName
representation:
  v: xmlAttr
label:
  v: Code System Name
definition:
  v: The common name of the coding system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.codeSystemName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.value.codeSystemVersion
path:
  v: Observation.value.codeSystemVersion
representation:
  v: xmlAttr
label:
  v: Code System Version
definition:
  v: If applicable, a version descriptor defined specifically for the given code system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.codeSystemVersion
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.value.displayName
path:
  v: Observation.value.displayName
representation:
  v: xmlAttr
label:
  v: Display Name
definition:
  v: A name or title for the code, under which the sending system shows the code value to its users.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.displayName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.value.sdtcValueSet
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:sdtc
    l: sdtc
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: valueSet
path:
  v: Observation.value.sdtcValueSet
representation:
  v: xmlAttr
definition:
  v: The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.valueSet
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid

id:
  v: Observation.value.sdtcValueSetVersion
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:sdtc
    l: sdtc
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: valueSetVersion
path:
  v: Observation.value.sdtcValueSetVersion
representation:
  v: xmlAttr
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.sdtcValueSetVersion
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.value.originalText
path:
  v: Observation.value.originalText
label:
  v: Original Text
definition:
  v: The text or phrase used as the basis for the coding.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.originalText
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ED
    l: ED

id:
  v: Observation.value.qualifier
path:
  v: Observation.value.qualifier
label:
  v: Qualifier
short:
  v: The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML.
definition:
  v: Specifies additional codes that increase the specificity of the the primary code.
comment:
  v: This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870).
min:
  v: 0
max:
  v: *
base:
  path:
    v: CD.qualifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CR
    l: CR

id:
  v: Observation.value.translation
path:
  v: Observation.value.translation
representation:
  v: typeAttr
label:
  v: Translation
definition:
  v: A set of other concept descriptors that translate this concept descriptor into other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CD.translation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CD
    l: CD

id:
  v: Observation.interpretationCode
path:
  v: Observation.interpretationCode
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.interpretationCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CE
    l: CE
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
    l: CDAObservationInterpretation

id:
  v: Observation.methodCode
path:
  v: Observation.methodCode
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.methodCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CE
    l: CE
binding:
  strength:
    v: example
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-ObservationMethod
    l: v3-ObservationMethod

id:
  v: Observation.targetSiteCode
path:
  v: Observation.targetSiteCode
definition:
  v: Drawn from concept domain ActSite
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.targetSiteCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CD
    l: CD

id:
  v: Observation.subject
path:
  v: Observation.subject
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.subject
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Subject
    l: Subject

id:
  v: Observation.specimen
path:
  v: Observation.specimen
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.specimen
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Specimen
    l: Specimen

id:
  v: Observation.performer
path:
  v: Observation.performer
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.performer
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Performer2
    l: Performer2

id:
  v: Observation.author
path:
  v: Observation.author
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.author
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Author
    l: Author

id:
  v: Observation.informant
path:
  v: Observation.informant
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.informant
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Informant
    l: Informant

id:
  v: Observation.participant
path:
  v: Observation.participant
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.participant
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Participant2
    l: Participant2

id:
  v: Observation.entryRelationship
path:
  v: Observation.entryRelationship
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: observation
  discriminator:
    type:
      v: profile
    path:
      v: act
  rules:
    v: open
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.entryRelationship
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
    l: EntryRelationship
must support:
  v: true

id:
  v: Observation.entryRelationship:severity-entry
path:
  v: Observation.entryRelationship
slice name:
  v: severity-entry
comment:
  v: MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.entryRelationship
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
    l: EntryRelationship
must support:
  v: true

id:
  v: Observation.entryRelationship:severity-entry.nullFlavor
path:
  v: Observation.entryRelationship.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.entryRelationship:severity-entry.realmCode
path:
  v: Observation.entryRelationship.realmCode
definition:
  v: When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
min:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.realmCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CS
    l: CS

id:
  v: Observation.entryRelationship:severity-entry.typeId
path:
  v: Observation.entryRelationship.typeId
definition:
  v: When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InfrastructureRoot.typeId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II
constraint:
  key:
    v: II-1
  severity:
    v: error
  human:
    v: An II instance must have either a root or an nullFlavor.
  expression:
    v: root.exists() or nullFlavor.exists()
  source:
    v: http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
    l: InfrastructureRoot

id:
  v: Observation.entryRelationship:severity-entry.typeId.nullFlavor
path:
  v: Observation.entryRelationship.typeId.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.entryRelationship:severity-entry.typeId.assigningAuthorityName
path:
  v: Observation.entryRelationship.typeId.assigningAuthorityName
representation:
  v: xmlAttr
label:
  v: Assigning Authority Name
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: II.assigningAuthorityName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.entryRelationship:severity-entry.typeId.displayable
path:
  v: Observation.entryRelationship.typeId.displayable
representation:
  v: xmlAttr
label:
  v: Displayable
definition:
  v: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.displayable
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Observation.entryRelationship:severity-entry.typeId.root
path:
  v: Observation.entryRelationship.typeId.root
representation:
  v: xmlAttr
label:
  v: Root
definition:
  v: Identifies the type as an HL7 Registered model
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.root
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid
fixed: String
  v: 2.16.840.1.113883.1.3

id:
  v: Observation.entryRelationship:severity-entry.typeId.extension
path:
  v: Observation.entryRelationship.typeId.extension
representation:
  v: xmlAttr
label:
  v: Extension
definition:
  v: A character string as a unique identifier within the scope of the identifier root.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.extension
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.entryRelationship:severity-entry.templateId
path:
  v: Observation.entryRelationship.templateId
definition:
  v: 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:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.templateId
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II

id:
  v: Observation.entryRelationship:severity-entry.typeCode
path:
  v: Observation.entryRelationship.typeCode
representation:
  v: xmlAttr
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EntryRelationship.typeCode
  min:
    v: 1
  max:
    v: 1
type:
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    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
fixed: Code
  v: SUBJ
binding:
  strength:
    v: required
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
    l: v3-xActRelationshipEntryRelationship

id:
  v: Observation.entryRelationship:severity-entry.inversionInd
path:
  v: Observation.entryRelationship.inversionInd
representation:
  v: xmlAttr
definition:
  v: The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
comment:
  v: SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-9069).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EntryRelationship.inversionInd
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    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple
fixed: Boolean
  v: true

id:
  v: Observation.entryRelationship:severity-entry.contextConductionInd
path:
  v: Observation.entryRelationship.contextConductionInd
representation:
  v: xmlAttr
definition:
  v: The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.contextConductionInd
  min:
    v: 0
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    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple
default value: Boolean
  v: true

id:
  v: Observation.entryRelationship:severity-entry.negationInd
path:
  v: Observation.entryRelationship.negationInd
representation:
  v: xmlAttr
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.negationInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Observation.entryRelationship:severity-entry.sequenceNumber
path:
  v: Observation.entryRelationship.sequenceNumber
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.sequenceNumber
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/INT
    l: INT

id:
  v: Observation.entryRelationship:severity-entry.seperatableInd
path:
  v: Observation.entryRelationship.seperatableInd
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.seperatableInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/BL
    l: BL

id:
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path:
  v: Observation.entryRelationship.act
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  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.act
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    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Act
    l: Act

id:
  v: Observation.entryRelationship:severity-entry.encounter
path:
  v: Observation.entryRelationship.encounter
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.encounter
  min:
    v: 0
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    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Encounter
    l: Encounter

id:
  v: Observation.entryRelationship:severity-entry.observation
path:
  v: Observation.entryRelationship.observation
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EntryRelationship.observation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Observation
    l: Observation
  profile:
    v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Severity.Entry
    l: IHE.PCC.Severity.Entry

id:
  v: Observation.entryRelationship:severity-entry.observationMedia
path:
  v: Observation.entryRelationship.observationMedia
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.observationMedia
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
    l: ObservationMedia

id:
  v: Observation.entryRelationship:severity-entry.organizer
path:
  v: Observation.entryRelationship.organizer
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.organizer
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Organizer
    l: Organizer

id:
  v: Observation.entryRelationship:severity-entry.procedure
path:
  v: Observation.entryRelationship.procedure
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.procedure
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Procedure
    l: Procedure

id:
  v: Observation.entryRelationship:severity-entry.regionOfInterest
path:
  v: Observation.entryRelationship.regionOfInterest
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.regionOfInterest
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
    l: RegionOfInterest

id:
  v: Observation.entryRelationship:severity-entry.substanceAdministration
path:
  v: Observation.entryRelationship.substanceAdministration
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.substanceAdministration
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
    l: SubstanceAdministration

id:
  v: Observation.entryRelationship:severity-entry.supply
path:
  v: Observation.entryRelationship.supply
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.supply
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Supply
    l: Supply

id:
  v: Observation.entryRelationship:problem-status
path:
  v: Observation.entryRelationship
slice name:
  v: problem-status
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.entryRelationship
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
    l: EntryRelationship
must support:
  v: true

id:
  v: Observation.entryRelationship:problem-status.nullFlavor
path:
  v: Observation.entryRelationship.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.entryRelationship:problem-status.realmCode
path:
  v: Observation.entryRelationship.realmCode
definition:
  v: When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
min:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.realmCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CS
    l: CS

id:
  v: Observation.entryRelationship:problem-status.typeId
path:
  v: Observation.entryRelationship.typeId
definition:
  v: When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InfrastructureRoot.typeId
  min:
    v: 0
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    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II
constraint:
  key:
    v: II-1
  severity:
    v: error
  human:
    v: An II instance must have either a root or an nullFlavor.
  expression:
    v: root.exists() or nullFlavor.exists()
  source:
    v: http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
    l: InfrastructureRoot

id:
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path:
  v: Observation.entryRelationship.typeId.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
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    v: 0
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    v: 1
type:
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    v: code
    l: code
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    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
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    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.entryRelationship:problem-status.typeId.assigningAuthorityName
path:
  v: Observation.entryRelationship.typeId.assigningAuthorityName
representation:
  v: xmlAttr
label:
  v: Assigning Authority Name
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: II.assigningAuthorityName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.entryRelationship:problem-status.typeId.displayable
path:
  v: Observation.entryRelationship.typeId.displayable
representation:
  v: xmlAttr
label:
  v: Displayable
definition:
  v: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.displayable
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Observation.entryRelationship:problem-status.typeId.root
path:
  v: Observation.entryRelationship.typeId.root
representation:
  v: xmlAttr
label:
  v: Root
definition:
  v: Identifies the type as an HL7 Registered model
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.root
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid
fixed: String
  v: 2.16.840.1.113883.1.3

id:
  v: Observation.entryRelationship:problem-status.typeId.extension
path:
  v: Observation.entryRelationship.typeId.extension
representation:
  v: xmlAttr
label:
  v: Extension
definition:
  v: A character string as a unique identifier within the scope of the identifier root.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.extension
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.entryRelationship:problem-status.templateId
path:
  v: Observation.entryRelationship.templateId
definition:
  v: 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:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.templateId
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II

id:
  v: Observation.entryRelationship:problem-status.typeCode
path:
  v: Observation.entryRelationship.typeCode
representation:
  v: xmlAttr
comment:
  v: SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EntryRelationship.typeCode
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    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
fixed: Code
  v: REFR
binding:
  strength:
    v: required
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
    l: v3-xActRelationshipEntryRelationship

id:
  v: Observation.entryRelationship:problem-status.inversionInd
path:
  v: Observation.entryRelationship.inversionInd
representation:
  v: xmlAttr
definition:
  v: The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.inversionInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
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    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple
fixed: Boolean
  v: false

id:
  v: Observation.entryRelationship:problem-status.contextConductionInd
path:
  v: Observation.entryRelationship.contextConductionInd
representation:
  v: xmlAttr
definition:
  v: The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.contextConductionInd
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    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple
default value: Boolean
  v: true

id:
  v: Observation.entryRelationship:problem-status.negationInd
path:
  v: Observation.entryRelationship.negationInd
representation:
  v: xmlAttr
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.negationInd
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    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Observation.entryRelationship:problem-status.sequenceNumber
path:
  v: Observation.entryRelationship.sequenceNumber
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.sequenceNumber
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/INT
    l: INT

id:
  v: Observation.entryRelationship:problem-status.seperatableInd
path:
  v: Observation.entryRelationship.seperatableInd
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.seperatableInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/BL
    l: BL

id:
  v: Observation.entryRelationship:problem-status.act
path:
  v: Observation.entryRelationship.act
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.act
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    v: 0
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    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Act
    l: Act

id:
  v: Observation.entryRelationship:problem-status.encounter
path:
  v: Observation.entryRelationship.encounter
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Encounter
    l: Encounter

id:
  v: Observation.entryRelationship:problem-status.observation
path:
  v: Observation.entryRelationship.observation
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EntryRelationship.observation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Observation
    l: Observation
  profile:
    v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Problem.Status.Observation
    l: IHE.Problem.Status.Observation

id:
  v: Observation.entryRelationship:problem-status.observationMedia
path:
  v: Observation.entryRelationship.observationMedia
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.observationMedia
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
    l: ObservationMedia

id:
  v: Observation.entryRelationship:problem-status.organizer
path:
  v: Observation.entryRelationship.organizer
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.organizer
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Organizer
    l: Organizer

id:
  v: Observation.entryRelationship:problem-status.procedure
path:
  v: Observation.entryRelationship.procedure
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.procedure
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Procedure
    l: Procedure

id:
  v: Observation.entryRelationship:problem-status.regionOfInterest
path:
  v: Observation.entryRelationship.regionOfInterest
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.regionOfInterest
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
    l: RegionOfInterest

id:
  v: Observation.entryRelationship:problem-status.substanceAdministration
path:
  v: Observation.entryRelationship.substanceAdministration
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.substanceAdministration
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
    l: SubstanceAdministration

id:
  v: Observation.entryRelationship:problem-status.supply
path:
  v: Observation.entryRelationship.supply
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.supply
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Supply
    l: Supply

id:
  v: Observation.entryRelationship:health-status
path:
  v: Observation.entryRelationship
slice name:
  v: health-status
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.entryRelationship
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
    l: EntryRelationship
must support:
  v: true

id:
  v: Observation.entryRelationship:health-status.nullFlavor
path:
  v: Observation.entryRelationship.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.entryRelationship:health-status.realmCode
path:
  v: Observation.entryRelationship.realmCode
definition:
  v: When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
min:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.realmCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CS
    l: CS

id:
  v: Observation.entryRelationship:health-status.typeId
path:
  v: Observation.entryRelationship.typeId
definition:
  v: When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InfrastructureRoot.typeId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II
constraint:
  key:
    v: II-1
  severity:
    v: error
  human:
    v: An II instance must have either a root or an nullFlavor.
  expression:
    v: root.exists() or nullFlavor.exists()
  source:
    v: http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
    l: InfrastructureRoot

id:
  v: Observation.entryRelationship:health-status.typeId.nullFlavor
path:
  v: Observation.entryRelationship.typeId.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.entryRelationship:health-status.typeId.assigningAuthorityName
path:
  v: Observation.entryRelationship.typeId.assigningAuthorityName
representation:
  v: xmlAttr
label:
  v: Assigning Authority Name
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: II.assigningAuthorityName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.entryRelationship:health-status.typeId.displayable
path:
  v: Observation.entryRelationship.typeId.displayable
representation:
  v: xmlAttr
label:
  v: Displayable
definition:
  v: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.displayable
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Observation.entryRelationship:health-status.typeId.root
path:
  v: Observation.entryRelationship.typeId.root
representation:
  v: xmlAttr
label:
  v: Root
definition:
  v: Identifies the type as an HL7 Registered model
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.root
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid
fixed: String
  v: 2.16.840.1.113883.1.3

id:
  v: Observation.entryRelationship:health-status.typeId.extension
path:
  v: Observation.entryRelationship.typeId.extension
representation:
  v: xmlAttr
label:
  v: Extension
definition:
  v: A character string as a unique identifier within the scope of the identifier root.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.extension
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.entryRelationship:health-status.templateId
path:
  v: Observation.entryRelationship.templateId
definition:
  v: 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:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.templateId
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II

id:
  v: Observation.entryRelationship:health-status.typeCode
path:
  v: Observation.entryRelationship.typeCode
representation:
  v: xmlAttr
comment:
  v: SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EntryRelationship.typeCode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
fixed: Code
  v: REFR
binding:
  strength:
    v: required
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
    l: v3-xActRelationshipEntryRelationship

id:
  v: Observation.entryRelationship:health-status.inversionInd
path:
  v: Observation.entryRelationship.inversionInd
representation:
  v: xmlAttr
definition:
  v: The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.inversionInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple
fixed: Boolean
  v: false

id:
  v: Observation.entryRelationship:health-status.contextConductionInd
path:
  v: Observation.entryRelationship.contextConductionInd
representation:
  v: xmlAttr
definition:
  v: The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.contextConductionInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple
default value: Boolean
  v: true

id:
  v: Observation.entryRelationship:health-status.negationInd
path:
  v: Observation.entryRelationship.negationInd
representation:
  v: xmlAttr
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.negationInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Observation.entryRelationship:health-status.sequenceNumber
path:
  v: Observation.entryRelationship.sequenceNumber
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.sequenceNumber
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/INT
    l: INT

id:
  v: Observation.entryRelationship:health-status.seperatableInd
path:
  v: Observation.entryRelationship.seperatableInd
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.seperatableInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/BL
    l: BL

id:
  v: Observation.entryRelationship:health-status.act
path:
  v: Observation.entryRelationship.act
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.act
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Act
    l: Act

id:
  v: Observation.entryRelationship:health-status.encounter
path:
  v: Observation.entryRelationship.encounter
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Encounter
    l: Encounter

id:
  v: Observation.entryRelationship:health-status.observation
path:
  v: Observation.entryRelationship.observation
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EntryRelationship.observation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Observation
    l: Observation
  profile:
    v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Health.Status.Observation
    l: IHE.Health.Status.Observation
must support:
  v: true

id:
  v: Observation.entryRelationship:health-status.observationMedia
path:
  v: Observation.entryRelationship.observationMedia
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.observationMedia
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
    l: ObservationMedia

id:
  v: Observation.entryRelationship:health-status.organizer
path:
  v: Observation.entryRelationship.organizer
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.organizer
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Organizer
    l: Organizer

id:
  v: Observation.entryRelationship:health-status.procedure
path:
  v: Observation.entryRelationship.procedure
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.procedure
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Procedure
    l: Procedure

id:
  v: Observation.entryRelationship:health-status.regionOfInterest
path:
  v: Observation.entryRelationship.regionOfInterest
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.regionOfInterest
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
    l: RegionOfInterest

id:
  v: Observation.entryRelationship:health-status.substanceAdministration
path:
  v: Observation.entryRelationship.substanceAdministration
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.substanceAdministration
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
    l: SubstanceAdministration

id:
  v: Observation.entryRelationship:health-status.supply
path:
  v: Observation.entryRelationship.supply
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.supply
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Supply
    l: Supply

id:
  v: Observation.reference
path:
  v: Observation.reference
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.reference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Reference
    l: Reference

id:
  v: Observation.precondition
path:
  v: Observation.precondition
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.precondition
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Precondition
    l: Precondition

id:
  v: Observation.sdtcPrecondition2
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:sdtc
    l: sdtc
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: precondition2
path:
  v: Observation.sdtcPrecondition2
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.sdtcPrecondition2
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
    l: Precondition2

id:
  v: Observation.referenceRange
path:
  v: Observation.referenceRange
definition:
  v: Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.referenceRange
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
    l: InfrastructureRoot

id:
  v: Observation.referenceRange.nullFlavor
path:
  v: Observation.referenceRange.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.referenceRange.realmCode
path:
  v: Observation.referenceRange.realmCode
definition:
  v: When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
min:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.realmCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CS
    l: CS

id:
  v: Observation.referenceRange.typeId
path:
  v: Observation.referenceRange.typeId
definition:
  v: When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InfrastructureRoot.typeId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II
constraint:
  key:
    v: II-1
  severity:
    v: error
  human:
    v: An II instance must have either a root or an nullFlavor.
  expression:
    v: root.exists() or nullFlavor.exists()
  source:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Observation
    l: Observation

id:
  v: Observation.referenceRange.typeId.nullFlavor
path:
  v: Observation.referenceRange.typeId.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Observation.referenceRange.typeId.assigningAuthorityName
path:
  v: Observation.referenceRange.typeId.assigningAuthorityName
representation:
  v: xmlAttr
label:
  v: Assigning Authority Name
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: II.assigningAuthorityName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.referenceRange.typeId.displayable
path:
  v: Observation.referenceRange.typeId.displayable
representation:
  v: xmlAttr
label:
  v: Displayable
definition:
  v: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.displayable
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Observation.referenceRange.typeId.root
path:
  v: Observation.referenceRange.typeId.root
representation:
  v: xmlAttr
label:
  v: Root
definition:
  v: Identifies the type as an HL7 Registered model
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.root
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid
fixed: String
  v: 2.16.840.1.113883.1.3

id:
  v: Observation.referenceRange.typeId.extension
path:
  v: Observation.referenceRange.typeId.extension
representation:
  v: xmlAttr
label:
  v: Extension
definition:
  v: A character string as a unique identifier within the scope of the identifier root.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.extension
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Observation.referenceRange.templateId
path:
  v: Observation.referenceRange.templateId
definition:
  v: 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:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.templateId
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II

id:
  v: Observation.referenceRange.typeCode
path:
  v: Observation.referenceRange.typeCode
representation:
  v: xmlAttr
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Observation.referenceRange.typeCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
fixed: Code
  v: REFV
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    l: CDAActRelationshipType

id:
  v: Observation.referenceRange.observationRange
path:
  v: Observation.referenceRange.observationRange
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Observation.referenceRange.observationRange
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
    l: ObservationRange

id:
  v: Observation.sdtcInFulfillmentOf1
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:sdtc
    l: sdtc
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: inFulfillmentOf1
path:
  v: Observation.sdtcInFulfillmentOf1
min:
  v: 0
max:
  v: *
base:
  path:
    v: Observation.sdtcInFulfillmentOf1
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
    l: InFulfillmentOf1

element:
  id:
    v: Observation
  path:
    v: Observation
  constraint:
    key:
      v: should-text-ref-value
    severity:
      v: warning
    human:
      v: SHOULD contain text/reference/@value
    expression:
      v: text.reference.value.exists()
    source:
      v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry
      l: IHE.PCC.Problem.Entry
  constraint:
    key:
      v: should-author
    severity:
      v: warning
    human:
      v: SHOULD contain author
    expression:
      v: author.exists()
    source:
      v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry
      l: IHE.PCC.Problem.Entry
element:
  id:
    v: Observation.templateId
  path:
    v: Observation.templateId
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: root
    discriminator:
      type:
        v: value
      path:
        v: extension
    rules:
      v: open
  min:
    v: 2
  must support:
    v: true
element:
  id:
    v: Observation.templateId:problem-obs
  path:
    v: Observation.templateId
  slice name:
    v: problem-obs
  min:
    v: 1
  max:
    v: 1
element:
  id:
    v: Observation.templateId:problem-obs.root
  path:
    v: Observation.templateId.root
  min:
    v: 1
  pattern: String
    v: 2.16.840.1.113883.10.20.1.28
element:
  id:
    v: Observation.templateId:problem-entry
  path:
    v: Observation.templateId
  slice name:
    v: problem-entry
  min:
    v: 1
  max:
    v: 1
element:
  id:
    v: Observation.templateId:problem-entry.root
  path:
    v: Observation.templateId.root
  min:
    v: 1
  pattern: String
    v: 1.3.6.1.4.1.19376.1.5.3.1.4.5
element:
  id:
    v: Observation.moodCode
  path:
    v: Observation.moodCode
  comment:
    v: SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042).
  fixed: Code
    v: EVN
element:
  id:
    v: Observation.negationInd
  path:
    v: Observation.negationInd
  short:
    v: The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.
  comment:
    v: MAY contain zero or one [0..1] @negationInd (CONF:1198-10139).
  must support:
    v: true
element:
  id:
    v: Observation.id
  path:
    v: Observation.id
  comment:
    v: SHALL contain at least one [1..*] id (CONF:1198-9043).
  min:
    v: 1
  must support:
    v: true
element:
  id:
    v: Observation.code
  path:
    v: Observation.code
  comment:
    v: The describes the process of establishing a problem. The code element should be used, as the process of determining the value is important to clinicians (e.g., a diagnosis is a more advanced statement than a symptom). When a physical exam observation is being recorded the code used should be “Finding.” When a review of systems observation is being recorded the code used should be “Symptom.” The recommended vocabulary for describing problems is shown in the table below. Subclasses of this content module may specify other vocabularies. When the list below is used, the codeSystem is '2.16.840.1.113883.6.96' and codeSystemName is SNOMED CT.
  must support:
    v: true
element:
  id:
    v: Observation.text
  path:
    v: Observation.text
  short:
    v: SHOULD reference the portion of section narrative text corresponding to this entry
  comment:
    v: The <text> element is required and points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.
  min:
    v: 1
  must support:
    v: true
element:
  id:
    v: Observation.text.reference
  path:
    v: Observation.text.reference
  constraint:
    key:
      v: value-starts-octothorpe
    severity:
      v: error
    human:
      v: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    expression:
      v: value.exists() implies value.startsWith('#')
    source:
      v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry
      l: IHE.PCC.Problem.Entry
element:
  id:
    v: Observation.statusCode
  path:
    v: Observation.statusCode
  comment:
    v: SHALL contain exactly one [1..1] statusCode (CONF:1198-9049).
  min:
    v: 1
element:
  id:
    v: Observation.statusCode.code
  path:
    v: Observation.statusCode.code
  comment:
    v: A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'.
  min:
    v: 1
  fixed: Code
    v: completed
element:
  id:
    v: Observation.effectiveTime
  path:
    v: Observation.effectiveTime
  short:
    v: If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.
  comment:
    v: SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050).
  must support:
    v: true
element:
  id:
    v: Observation.effectiveTime.low
  path:
    v: Observation.effectiveTime.low
  short:
    v: The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.
  comment:
    v: This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603).

v: 1

v: true

id:
  v: Observation.effectiveTime.high
path:
  v: Observation.effectiveTime.high
must support:
  v: true

id:
  v: Observation.value
path:
  v: Observation.value
comment:
  v: The <value> is the condition that was found. This element is required. While the value may be a coded or an un-coded string, the type is always a coded value (xsi:type='CD'). If coded, the code and codeSystem attributes shall be present. The codeSystem should reference a controlled vocabulary describing problems, complaints, symptoms, findings, diagnoses, or functional limitations, e.g., ICD-9, SNOMED-CT or MEDCIN, or others.
min:
  v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CD
    l: CD
must support:
  v: true

id:
  v: Observation.value.code
path:
  v: Observation.value.code
short:
  v: A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951).
comment:
  v: This value MAY contain zero or one [0..1] @code (CONF:1198-31871).

id:
  v: Observation.value.qualifier
path:
  v: Observation.value.qualifier
short:
  v: The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML.
comment:
  v: This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870).

id:
  v: Observation.entryRelationship
path:
  v: Observation.entryRelationship
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: observation
  discriminator:
    type:
      v: profile
    path:
      v: act
  rules:
    v: open
must support:
  v: true

id:
  v: Observation.entryRelationship:severity-entry
path:
  v: Observation.entryRelationship
slice name:
  v: severity-entry
comment:
  v: MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it
min:
  v: 0
max:
  v: 1
must support:
  v: true

id:
  v: Observation.entryRelationship:severity-entry.typeCode
path:
  v: Observation.entryRelationship.typeCode
fixed: Code
  v: SUBJ

id:
  v: Observation.entryRelationship:severity-entry.inversionInd
path:
  v: Observation.entryRelationship.inversionInd
comment:
  v: SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-9069).
min:
  v: 1
fixed: Boolean
  v: true

id:
  v: Observation.entryRelationship:severity-entry.observation
path:
  v: Observation.entryRelationship.observation
min:
  v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Observation
    l: Observation
  profile:
    v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Severity.Entry
    l: IHE.PCC.Severity.Entry

id:
  v: Observation.entryRelationship:problem-status
path:
  v: Observation.entryRelationship
slice name:
  v: problem-status
min:
  v: 0
max:
  v: 1
must support:
  v: true

id:
  v: Observation.entryRelationship:problem-status.typeCode
path:
  v: Observation.entryRelationship.typeCode
comment:
  v: SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531).
fixed: Code
  v: REFR

id:
  v: Observation.entryRelationship:problem-status.inversionInd
path:
  v: Observation.entryRelationship.inversionInd
fixed: Boolean
  v: false

id:
  v: Observation.entryRelationship:problem-status.observation
path:
  v: Observation.entryRelationship.observation
min:
  v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Observation
    l: Observation
  profile:
    v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Problem.Status.Observation
    l: IHE.Problem.Status.Observation

id:
  v: Observation.entryRelationship:health-status
path:
  v: Observation.entryRelationship
slice name:
  v: health-status
min:
  v: 0
max:
  v: 1
must support:
  v: true

id:
  v: Observation.entryRelationship:health-status.typeCode
path:
  v: Observation.entryRelationship.typeCode
comment:
  v: SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532).
fixed: Code
  v: REFR

id:
  v: Observation.entryRelationship:health-status.inversionInd
path:
  v: Observation.entryRelationship.inversionInd
fixed: Boolean
  v: false

id:
  v: Observation.entryRelationship:health-status.observation
path:
  v: Observation.entryRelationship.observation
min:
  v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Observation
    l: Observation
  profile:
    v: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Health.Status.Observation
    l: IHE.Health.Status.Observation
must support:
  v: true