Paramedicine Summary Of Care CDA
0.0.1-current - ci-build

Paramedicine Summary Of Care CDA, published by IHE Patient Care Coordination Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/PCC.PCSc/ and changes regularly. See the Directory of published versions

## Logical Model: IHE_PCC_Problem_Entry - XML Profile

Draft as of 2025-11-04

XML representation of the IHE.PCC.Problem.Entry logical model.

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    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="IHE.PCC.Problem.Entry"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition IHE.PCC.Problem.Entry</b></p><a name="IHE.PCC.Problem.Entry"> </a><a name="hcIHE.PCC.Problem.Entry"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation">Observation</a><a name="Observation"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><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</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html">Observation</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">XML Namespace: </span>urn:hl7-org:v3<br/><span style="opacity: 0.5">Base for all types and resources</span><br/><span style="font-weight:bold">Instance of this type are validated by templateId</span><br/><span style="font-weight:bold" title="The root class that contains instances of this class">Logical Container: </span><a href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-ClinicalDocument.html">ClinicalDocument (CDA Class)</a><br class="constraint"/><span title="null" class="constraint">Constraints: </span><span style="font-weight:bold" title="SHOULD contain text/reference/@value" class="constraint">should-text-ref-value</span><span title="null" class="constraint">, </span><span style="font-weight:bold" title="SHOULD contain author" class="constraint">should-author</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic; font-style: italic" href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.templateId">Slices for templateId</a><a name="Observation.templateId"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="font-style: italic">2</span><span style="font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:root, value:extension</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.templateId:problem-obs" title="Slice problem-obs">templateId:problem-obs</a><a name="Observation.templateId.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.templateId:problem-obs.root">@root</a><a name="Observation.templateId.root"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-oid.html" title="string">oid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-uuid.html" title="string">uuid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-ruid.html" title="string">ruid</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2.16.840.1.113883.10.20.1.28</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.templateId:problem-entry" title="Slice problem-entry">templateId:problem-entry</a><a name="Observation.templateId.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.templateId:problem-entry.root">@root</a><a name="Observation.templateId.root.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-oid.html" title="string">oid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-uuid.html" title="string">uuid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-ruid.html" title="string">ruid</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">1.3.6.1.4.1.19376.1.5.3.1.4.5</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.moodCode">@moodCode</a><a name="Observation.moodCode"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">EVN</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.negationInd">@negationInd</a><a name="Observation.negationInd"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-bl-simple.html" title="boolean">bl</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of &quot;true&quot; coupled with an observation/value of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions.</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.id">id</a><a name="Observation.id"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.code">code</a><a name="Observation.code"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-CD.html">CD</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.text">text</a><a name="Observation.text"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-ED.html">ED</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">SHOULD reference the portion of section narrative text corresponding to this entry</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.text.reference">reference</a><a name="Observation.text.reference"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><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 ( value-starts-octothorpe )">C</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-TEL.html">TEL</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span title="null" class="constraint">Constraints: </span><span style="font-weight:bold" title="If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative" class="constraint">value-starts-octothorpe</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.statusCode">statusCode</a><a name="Observation.statusCode"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-CS.html">CS</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.statusCode.code">@code</a><a name="Observation.statusCode.code"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">completed</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.effectiveTime">effectiveTime</a><a name="Observation.effectiveTime"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-IVL-TS.html">IVL_TS</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.effectiveTime.low">low</a><a name="Observation.effectiveTime.low"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-IVXB-TS.html">IVXB_TS</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The effectiveTime/low (a.k.a. &quot;onset date&quot;) asserts when the condition became biologically active.</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.effectiveTime.high">high</a><a name="Observation.effectiveTime.high"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-IVXB-TS.html">IVXB_TS</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.value">value</a><a name="Observation.value"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-CD.html">CD</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.value.code">@code</a><a name="Observation.value.code"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A negationInd of &quot;true&quot; coupled with an observation/value/@code of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions.  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).</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.value.qualifier">qualifier</a><a name="Observation.value.qualifier"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-CR.html">CR</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined.

     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.</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic; font-style: italic" href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship">Slices for entryRelationship</a><a name="Observation.entryRelationship"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-EntryRelationship.html">EntryRelationship</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by profile:observation, profile:act</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:severity-entry" title="Slice severity-entry">entryRelationship:severity-entry</a><a name="Observation.entryRelationship.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-EntryRelationship.html">EntryRelationship</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:severity-entry.typeCode">@typeCode</a><a name="Observation.entryRelationship.typeCode"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">SUBJ</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:severity-entry.inversionInd">@inversionInd</a><a name="Observation.entryRelationship.inversionInd"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-bl-simple.html" title="boolean">bl</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">true</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:severity-entry.observation">observation</a><a name="Observation.entryRelationship.observation"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-IHE.PCC.Severity.Entry.html" title="http://hl7.org/cda/stds/core/StructureDefinition/Observation">IHE_PCC_Severity_Entry</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:problem-status" title="Slice problem-status">entryRelationship:problem-status</a><a name="Observation.entryRelationship.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-EntryRelationship.html">EntryRelationship</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:problem-status.typeCode">@typeCode</a><a name="Observation.entryRelationship.typeCode.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">REFR</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:problem-status.inversionInd">@inversionInd</a><a name="Observation.entryRelationship.inversionInd.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-bl-simple.html" title="boolean">bl</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">false</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:problem-status.observation">observation</a><a name="Observation.entryRelationship.observation.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-IHE.Problem.Status.Observation.html" title="http://hl7.org/cda/stds/core/StructureDefinition/Observation">IHE_Problem_Status_Observation</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:health-status" title="Slice health-status">entryRelationship:health-status</a><a name="Observation.entryRelationship.4"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-EntryRelationship.html">EntryRelationship</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:health-status.typeCode">@typeCode</a><a name="Observation.entryRelationship.typeCode.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">REFR</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:health-status.inversionInd">@inversionInd</a><a name="Observation.entryRelationship.inversionInd.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-bl-simple.html" title="boolean">bl</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">false</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-IHE.PCC.Problem.Entry-definitions.html#Observation.entryRelationship:health-status.observation">observation</a><a name="Observation.entryRelationship.observation.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-IHE.Health.Status.Observation.html" title="http://hl7.org/cda/stds/core/StructureDefinition/Observation">IHE_Health_Status_Observation</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/logical-target">
        <valueBoolean>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="not-applicable"/>
          </extension>
        </valueBoolean>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:v3"/>
      </extension>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="observation"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/logical-container">
        <valueUri
                  value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/type-profile-style">
        <valueUri value="cda"/>
      </extension>
      <url
           value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry"/>
      <version value="0.0.1-current"/>
      <name value="IHE_PCC_Problem_Entry"/>
      <title value="Problem Entry"/>
      <status value="draft"/>
      <date value="2025-11-04T19:19:26+00:00"/>
      <publisher value="IHE Patient Care Coordination Technical Committee"/>
      <contact>
        <telecom>
          <system value="url"/>
          <value
                 value="https://www.ihe.net/ihe_domains/patient_care_coordination/"/>
        </telecom>
      </contact>
      <contact>
        <telecom>
          <system value="email"/>
          <value value="pcc@ihe.net"/>
        </telecom>
      </contact>
      <contact>
        <name value="IHE Patient Care Coordination Technical Committee"/>
        <telecom>
          <system value="email"/>
          <value value="pcc@ihe.net"/>
        </telecom>
      </contact>
      <description
                   value="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 (&lt;observation classCode='OBS'&gt;) that problem. The &lt;value&gt; of the observation comes from a controlled vocabulary representing such things. The &lt;code&gt; contained within the &lt;observation&gt; 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 &lt;observation&gt; 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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="001"/>
        </coding>
      </jurisdiction>
      <fhirVersion value="5.0.0"/>
      <mapping>
        <identity value="rim"/>
        <uri value="http://hl7.org/v3"/>
        <name value="RIM Mapping"/>
      </mapping>
      <kind value="logical"/>
      <abstract value="false"/>
      <type value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
      <baseDefinition
                      value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
      <derivation value="constraint"/>
      <snapshot>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
          <valueString value="2.0.1-sd"/>
        </extension>
        <element id="Observation">
          <path value="Observation"/>
          <short value="Base for all types and resources"/>
          <definition
                      value="Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Base"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <constraint>
            <key value="should-text-ref-value"/>
            <severity value="warning"/>
            <human value="SHOULD contain text/reference/@value"/>
            <expression value="text.reference.value.exists()"/>
            <source
                    value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry"/>
          </constraint>
          <constraint>
            <key value="should-author"/>
            <severity value="warning"/>
            <human value="SHOULD contain author"/>
            <expression value="author.exists()"/>
            <source
                    value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry"/>
          </constraint>
          <isModifier value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Observation.nullFlavor">
          <path value="Observation.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.realmCode">
          <path value="Observation.realmCode"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="InfrastructureRoot.realmCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
          </type>
        </element>
        <element id="Observation.typeId">
          <path value="Observation.typeId"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="InfrastructureRoot.typeId"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
          <constraint>
            <key value="II-1"/>
            <severity value="error"/>
            <human
                   value="An II instance must have either a root or an nullFlavor."/>
            <expression value="root.exists() or nullFlavor.exists()"/>
            <source
                    value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
          </constraint>
        </element>
        <element id="Observation.typeId.nullFlavor">
          <path value="Observation.typeId.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.typeId.assigningAuthorityName">
          <path value="Observation.typeId.assigningAuthorityName"/>
          <representation value="xmlAttr"/>
          <label value="Assigning Authority Name"/>
          <definition
                      value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.assigningAuthorityName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.typeId.displayable">
          <path value="Observation.typeId.displayable"/>
          <representation value="xmlAttr"/>
          <label value="Displayable"/>
          <definition
                      value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.displayable"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
        </element>
        <element id="Observation.typeId.root">
          <path value="Observation.typeId.root"/>
          <representation value="xmlAttr"/>
          <label value="Root"/>
          <definition value="Identifies the type as an HL7 Registered model"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.root"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
          </type>
          <fixedString value="2.16.840.1.113883.1.3"/>
        </element>
        <element id="Observation.typeId.extension">
          <path value="Observation.typeId.extension"/>
          <representation value="xmlAttr"/>
          <label value="Extension"/>
          <definition
                      value="A character string as a unique identifier within the scope of the identifier root."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.extension"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.templateId">
          <path value="Observation.templateId"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="root"/>
            </discriminator>
            <discriminator>
              <type value="value"/>
              <path value="extension"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
          <min value="2"/>
          <max value="*"/>
          <base>
            <path value="InfrastructureRoot.templateId"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.templateId:problem-obs">
          <path value="Observation.templateId"/>
          <sliceName value="problem-obs"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="InfrastructureRoot.templateId"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
        </element>
        <element id="Observation.templateId:problem-obs.nullFlavor">
          <path value="Observation.templateId.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.templateId:problem-obs.assigningAuthorityName">
          <path value="Observation.templateId.assigningAuthorityName"/>
          <representation value="xmlAttr"/>
          <label value="Assigning Authority Name"/>
          <definition
                      value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.assigningAuthorityName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.templateId:problem-obs.displayable">
          <path value="Observation.templateId.displayable"/>
          <representation value="xmlAttr"/>
          <label value="Displayable"/>
          <definition
                      value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.displayable"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
        </element>
        <element id="Observation.templateId:problem-obs.root">
          <path value="Observation.templateId.root"/>
          <representation value="xmlAttr"/>
          <label value="Root"/>
          <definition
                      value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.root"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
          </type>
          <patternString value="2.16.840.1.113883.10.20.1.28"/>
        </element>
        <element id="Observation.templateId:problem-obs.extension">
          <path value="Observation.templateId.extension"/>
          <representation value="xmlAttr"/>
          <label value="Extension"/>
          <definition
                      value="A character string as a unique identifier within the scope of the identifier root."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.extension"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.templateId:problem-entry">
          <path value="Observation.templateId"/>
          <sliceName value="problem-entry"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="InfrastructureRoot.templateId"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
        </element>
        <element id="Observation.templateId:problem-entry.nullFlavor">
          <path value="Observation.templateId.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element
                 id="Observation.templateId:problem-entry.assigningAuthorityName">
          <path value="Observation.templateId.assigningAuthorityName"/>
          <representation value="xmlAttr"/>
          <label value="Assigning Authority Name"/>
          <definition
                      value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.assigningAuthorityName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.templateId:problem-entry.displayable">
          <path value="Observation.templateId.displayable"/>
          <representation value="xmlAttr"/>
          <label value="Displayable"/>
          <definition
                      value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.displayable"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
        </element>
        <element id="Observation.templateId:problem-entry.root">
          <path value="Observation.templateId.root"/>
          <representation value="xmlAttr"/>
          <label value="Root"/>
          <definition
                      value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.root"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
          </type>
          <patternString value="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>
        </element>
        <element id="Observation.templateId:problem-entry.extension">
          <path value="Observation.templateId.extension"/>
          <representation value="xmlAttr"/>
          <label value="Extension"/>
          <definition
                      value="A character string as a unique identifier within the scope of the identifier root."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.extension"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.classCode">
          <path value="Observation.classCode"/>
          <representation value="xmlAttr"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.classCode"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation"/>
          </binding>
        </element>
        <element id="Observation.moodCode">
          <path value="Observation.moodCode"/>
          <representation value="xmlAttr"/>
          <comment
                   value="SHALL contain exactly one [1..1] @moodCode=&quot;EVN&quot; Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.moodCode"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <fixedCode value="EVN"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0"/>
          </binding>
        </element>
        <element id="Observation.negationInd">
          <path value="Observation.negationInd"/>
          <representation value="xmlAttr"/>
          <short
                 value="The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of &quot;true&quot; coupled with an observation/value of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions."/>
          <comment
                   value="MAY contain zero or one [0..1] @negationInd (CONF:1198-10139)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.negationInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.id">
          <path value="Observation.id"/>
          <comment
                   value="SHALL contain at least one [1..*] id (CONF:1198-9043)."/>
          <min value="1"/>
          <max value="*"/>
          <base>
            <path value="Observation.id"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.sdtcCategory">
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
            <valueUri value="urn:hl7-org:sdtc"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
            <valueString value="category"/>
          </extension>
          <path value="Observation.sdtcCategory"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.sdtcCategory"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
          </type>
        </element>
        <element id="Observation.code">
          <path value="Observation.code"/>
          <representation value="typeAttr"/>
          <comment
                   value="The &lt;code&gt; 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 value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.code"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
          </type>
          <mustSupport value="true"/>
          <binding>
            <strength value="example"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-ObservationType"/>
          </binding>
        </element>
        <element id="Observation.derivationExpr">
          <path value="Observation.derivationExpr"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.derivationExpr"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
          </type>
        </element>
        <element id="Observation.text">
          <path value="Observation.text"/>
          <representation value="typeAttr"/>
          <short
                 value="SHOULD reference the portion of section narrative text corresponding to this entry"/>
          <comment
                   value="The &lt;text&gt; element is required and points to the text describing the problem being recorded; including any dates, comments, et cetera. The &lt;reference&gt; 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 value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.text.nullFlavor">
          <path value="Observation.text.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.text.compression">
          <path value="Observation.text.compression"/>
          <representation value="xmlAttr"/>
          <label value="Compression"/>
          <definition
                      value="Indicates whether the raw byte data is compressed, and what compression algorithm was used."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.compression"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm"/>
          </binding>
        </element>
        <element id="Observation.text.integrityCheck">
          <path value="Observation.text.integrityCheck"/>
          <representation value="xmlAttr"/>
          <label value="Integrity Check"/>
          <definition
                      value="The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.integrityCheck"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="base64Binary"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bin"/>
          </type>
        </element>
        <element id="Observation.text.integrityCheckAlgorithm">
          <path value="Observation.text.integrityCheckAlgorithm"/>
          <representation value="xmlAttr"/>
          <label value="Integrity Check Algorithm"/>
          <definition
                      value="Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.integrityCheckAlgorithm"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0"/>
          </binding>
        </element>
        <element id="Observation.text.language">
          <path value="Observation.text.language"/>
          <representation value="xmlAttr"/>
          <label value="Language"/>
          <definition
                      value="For character based information the language property specifies the human language of the text."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.language"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
        </element>
        <element id="Observation.text.mediaType">
          <path value="Observation.text.mediaType"/>
          <representation value="xmlAttr"/>
          <label value="Media Type"/>
          <definition
                      value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.mediaType"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="example"/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-MediaType"/>
          </binding>
        </element>
        <element id="Observation.text.representation">
          <path value="Observation.text.representation"/>
          <representation value="xmlAttr"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.representation"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding"/>
          </binding>
        </element>
        <element id="Observation.text.xmlText">
          <path value="Observation.text.xmlText"/>
          <representation value="xmlText"/>
          <short
                 value="Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string."/>
          <definition
                      value="Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)"/>
          <comment
                   value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.xmlText"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.text.reference">
          <path value="Observation.text.reference"/>
          <label value="Reference"/>
          <definition
                      value="A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.reference"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
          </type>
          <constraint>
            <key value="value-starts-octothorpe"/>
            <severity value="error"/>
            <human
                   value="If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative"/>
            <expression value="value.exists() implies value.startsWith('#')"/>
            <source
                    value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry"/>
          </constraint>
        </element>
        <element id="Observation.text.thumbnail">
          <path value="Observation.text.thumbnail"/>
          <label value="Thumbnail"/>
          <definition
                      value="An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ED.thumbnail"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
          </type>
        </element>
        <element id="Observation.statusCode">
          <path value="Observation.statusCode"/>
          <comment
                   value="SHALL contain exactly one [1..1] statusCode (CONF:1198-9049)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.statusCode"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
          </binding>
        </element>
        <element id="Observation.statusCode.nullFlavor">
          <path value="Observation.statusCode.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.statusCode.code">
          <path value="Observation.statusCode.code"/>
          <representation value="xmlAttr"/>
          <label value="Code"/>
          <definition
                      value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
          <comment
                   value="A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the &lt;statusCode&gt; shall always have code='completed'."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="CD.code"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <fixedCode value="completed"/>
        </element>
        <element id="Observation.statusCode.codeSystem">
          <path value="Observation.statusCode.codeSystem"/>
          <representation value="xmlAttr"/>
          <label value="Code System"/>
          <definition value="Specifies the code system that defines the code."/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="CD.codeSystem"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
          </type>
        </element>
        <element id="Observation.statusCode.codeSystemName">
          <path value="Observation.statusCode.codeSystemName"/>
          <representation value="xmlAttr"/>
          <label value="Code System Name"/>
          <definition value="The common name of the coding system."/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="CD.codeSystemName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.statusCode.codeSystemVersion">
          <path value="Observation.statusCode.codeSystemVersion"/>
          <representation value="xmlAttr"/>
          <label value="Code System Version"/>
          <definition
                      value="If applicable, a version descriptor defined specifically for the given code system."/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="CD.codeSystemVersion"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.statusCode.displayName">
          <path value="Observation.statusCode.displayName"/>
          <representation value="xmlAttr"/>
          <label value="Display Name"/>
          <definition
                      value="A name or title for the code, under which the sending system shows the code value to its users."/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="CD.displayName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.statusCode.sdtcValueSet">
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
            <valueUri value="urn:hl7-org:sdtc"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
            <valueString value="valueSet"/>
          </extension>
          <path value="Observation.statusCode.sdtcValueSet"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.valueSet"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
          </type>
        </element>
        <element id="Observation.statusCode.sdtcValueSetVersion">
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
            <valueUri value="urn:hl7-org:sdtc"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
            <valueString value="valueSetVersion"/>
          </extension>
          <path value="Observation.statusCode.sdtcValueSetVersion"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.sdtcValueSetVersion"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.statusCode.originalText">
          <path value="Observation.statusCode.originalText"/>
          <label value="Original Text"/>
          <definition
                      value="The text or phrase used as the basis for the coding."/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="CD.originalText"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
          </type>
        </element>
        <element id="Observation.statusCode.qualifier">
          <path value="Observation.statusCode.qualifier"/>
          <label value="Qualifier"/>
          <definition
                      value="Specifies additional codes that increase the specificity of the the primary code."/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="CD.qualifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
          </type>
        </element>
        <element id="Observation.statusCode.translation">
          <path value="Observation.statusCode.translation"/>
          <representation value="typeAttr"/>
          <label value="Translation"/>
          <definition
                      value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="CD.translation"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
          </type>
        </element>
        <element id="Observation.effectiveTime">
          <path value="Observation.effectiveTime"/>
          <short
                 value="If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved."/>
          <comment
                   value="SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.effectiveTime"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.effectiveTime.nullFlavor">
          <path value="Observation.effectiveTime.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.effectiveTime.value">
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format">
            <valueString value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules">
            <valueString value="year-valid"/>
          </extension>
          <path value="Observation.effectiveTime.value"/>
          <representation value="xmlAttr"/>
          <definition
                      value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TS.value"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"/>
          </type>
        </element>
        <element id="Observation.effectiveTime.operator">
          <path value="Observation.effectiveTime.operator"/>
          <representation value="xmlAttr"/>
          <definition
                      value="A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="SXCM_TS.operator"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <defaultValueCode value="I"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDASetOperator"/>
          </binding>
        </element>
        <element id="Observation.effectiveTime.low">
          <path value="Observation.effectiveTime.low"/>
          <label value="Low Boundary"/>
          <short
                 value="The effectiveTime/low (a.k.a. &quot;onset date&quot;) asserts when the condition became biologically active."/>
          <definition value="This is the low limit of the interval."/>
          <comment
                   value="This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="IVL_TS.low"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.effectiveTime.center">
          <path value="Observation.effectiveTime.center"/>
          <label value="Central Value"/>
          <definition
                      value="The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="IVL_TS.center"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
          </type>
        </element>
        <element id="Observation.effectiveTime.width">
          <path value="Observation.effectiveTime.width"/>
          <label value="Width"/>
          <definition
                      value="The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="IVL_TS.width"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/PQ"/>
          </type>
        </element>
        <element id="Observation.effectiveTime.high">
          <path value="Observation.effectiveTime.high"/>
          <label value="High Boundary"/>
          <definition value="This is the high limit of the interval."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="IVL_TS.high"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.priorityCode">
          <path value="Observation.priorityCode"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.priorityCode"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
          </type>
          <binding>
            <strength value="example"/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
          </binding>
        </element>
        <element id="Observation.repeatNumber">
          <path value="Observation.repeatNumber"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.repeatNumber"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT"/>
          </type>
        </element>
        <element id="Observation.languageCode">
          <path value="Observation.languageCode"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.languageCode"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </binding>
        </element>
        <element id="Observation.value">
          <path value="Observation.value"/>
          <representation value="typeAttr"/>
          <comment
                   value="The &lt;value&gt; 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 value="1"/>
          <max value="*"/>
          <base>
            <path value="Observation.value"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.value.nullFlavor">
          <path value="Observation.value.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.value.code">
          <path value="Observation.value.code"/>
          <representation value="xmlAttr"/>
          <label value="Code"/>
          <short
                 value="A negationInd of &quot;true&quot; coupled with an observation/value/@code of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions.  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
                      value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
          <comment
                   value="This value MAY contain zero or one [0..1] @code (CONF:1198-31871)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.code"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
        </element>
        <element id="Observation.value.codeSystem">
          <path value="Observation.value.codeSystem"/>
          <representation value="xmlAttr"/>
          <label value="Code System"/>
          <definition value="Specifies the code system that defines the code."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.codeSystem"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
          </type>
        </element>
        <element id="Observation.value.codeSystemName">
          <path value="Observation.value.codeSystemName"/>
          <representation value="xmlAttr"/>
          <label value="Code System Name"/>
          <definition value="The common name of the coding system."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.codeSystemName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.value.codeSystemVersion">
          <path value="Observation.value.codeSystemVersion"/>
          <representation value="xmlAttr"/>
          <label value="Code System Version"/>
          <definition
                      value="If applicable, a version descriptor defined specifically for the given code system."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.codeSystemVersion"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.value.displayName">
          <path value="Observation.value.displayName"/>
          <representation value="xmlAttr"/>
          <label value="Display Name"/>
          <definition
                      value="A name or title for the code, under which the sending system shows the code value to its users."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.displayName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.value.sdtcValueSet">
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
            <valueUri value="urn:hl7-org:sdtc"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
            <valueString value="valueSet"/>
          </extension>
          <path value="Observation.value.sdtcValueSet"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.valueSet"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
          </type>
        </element>
        <element id="Observation.value.sdtcValueSetVersion">
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
            <valueUri value="urn:hl7-org:sdtc"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
            <valueString value="valueSetVersion"/>
          </extension>
          <path value="Observation.value.sdtcValueSetVersion"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.sdtcValueSetVersion"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.value.originalText">
          <path value="Observation.value.originalText"/>
          <label value="Original Text"/>
          <definition
                      value="The text or phrase used as the basis for the coding."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CD.originalText"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
          </type>
        </element>
        <element id="Observation.value.qualifier">
          <path value="Observation.value.qualifier"/>
          <label value="Qualifier"/>
          <short
                 value="The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined.

     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
                      value="Specifies additional codes that increase the specificity of the the primary code."/>
          <comment
                   value="This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870)."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CD.qualifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
          </type>
        </element>
        <element id="Observation.value.translation">
          <path value="Observation.value.translation"/>
          <representation value="typeAttr"/>
          <label value="Translation"/>
          <definition
                      value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CD.translation"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
          </type>
        </element>
        <element id="Observation.interpretationCode">
          <path value="Observation.interpretationCode"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.interpretationCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation"/>
          </binding>
        </element>
        <element id="Observation.methodCode">
          <path value="Observation.methodCode"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.methodCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
          </type>
          <binding>
            <strength value="example"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-ObservationMethod"/>
          </binding>
        </element>
        <element id="Observation.targetSiteCode">
          <path value="Observation.targetSiteCode"/>
          <definition value="Drawn from concept domain ActSite"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.targetSiteCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
          </type>
        </element>
        <element id="Observation.subject">
          <path value="Observation.subject"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.subject"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Subject"/>
          </type>
        </element>
        <element id="Observation.specimen">
          <path value="Observation.specimen"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.specimen"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Specimen"/>
          </type>
        </element>
        <element id="Observation.performer">
          <path value="Observation.performer"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.performer"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Performer2"/>
          </type>
        </element>
        <element id="Observation.author">
          <path value="Observation.author"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.author"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/>
          </type>
        </element>
        <element id="Observation.informant">
          <path value="Observation.informant"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.informant"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/>
          </type>
        </element>
        <element id="Observation.participant">
          <path value="Observation.participant"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.participant"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Participant2"/>
          </type>
        </element>
        <element id="Observation.entryRelationship">
          <path value="Observation.entryRelationship"/>
          <slicing>
            <discriminator>
              <type value="profile"/>
              <path value="observation"/>
            </discriminator>
            <discriminator>
              <type value="profile"/>
              <path value="act"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.entryRelationship"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.entryRelationship:severity-entry">
          <path value="Observation.entryRelationship"/>
          <sliceName value="severity-entry"/>
          <comment
                   value="MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.entryRelationship"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.entryRelationship:severity-entry.nullFlavor">
          <path value="Observation.entryRelationship.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.entryRelationship:severity-entry.realmCode">
          <path value="Observation.entryRelationship.realmCode"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="InfrastructureRoot.realmCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:severity-entry.typeId">
          <path value="Observation.entryRelationship.typeId"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="InfrastructureRoot.typeId"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
          <constraint>
            <key value="II-1"/>
            <severity value="error"/>
            <human
                   value="An II instance must have either a root or an nullFlavor."/>
            <expression value="root.exists() or nullFlavor.exists()"/>
            <source
                    value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
          </constraint>
        </element>
        <element
                 id="Observation.entryRelationship:severity-entry.typeId.nullFlavor">
          <path value="Observation.entryRelationship.typeId.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element
                 id="Observation.entryRelationship:severity-entry.typeId.assigningAuthorityName">
          <path
                value="Observation.entryRelationship.typeId.assigningAuthorityName"/>
          <representation value="xmlAttr"/>
          <label value="Assigning Authority Name"/>
          <definition
                      value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.assigningAuthorityName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:severity-entry.typeId.displayable">
          <path value="Observation.entryRelationship.typeId.displayable"/>
          <representation value="xmlAttr"/>
          <label value="Displayable"/>
          <definition
                      value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.displayable"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:severity-entry.typeId.root">
          <path value="Observation.entryRelationship.typeId.root"/>
          <representation value="xmlAttr"/>
          <label value="Root"/>
          <definition value="Identifies the type as an HL7 Registered model"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.root"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
          </type>
          <fixedString value="2.16.840.1.113883.1.3"/>
        </element>
        <element
                 id="Observation.entryRelationship:severity-entry.typeId.extension">
          <path value="Observation.entryRelationship.typeId.extension"/>
          <representation value="xmlAttr"/>
          <label value="Extension"/>
          <definition
                      value="A character string as a unique identifier within the scope of the identifier root."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.extension"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:severity-entry.templateId">
          <path value="Observation.entryRelationship.templateId"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="InfrastructureRoot.templateId"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:severity-entry.typeCode">
          <path value="Observation.entryRelationship.typeCode"/>
          <representation value="xmlAttr"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.typeCode"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <fixedCode value="SUBJ"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"/>
          </binding>
        </element>
        <element id="Observation.entryRelationship:severity-entry.inversionInd">
          <path value="Observation.entryRelationship.inversionInd"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The entryRelationship.inversionInd can be set to &quot;true&quot; to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed."/>
          <comment
                   value="SHALL contain exactly one [1..1] @inversionInd=&quot;true&quot; True (CONF:1198-9069)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.inversionInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
          <fixedBoolean value="true"/>
        </element>
        <element
                 id="Observation.entryRelationship:severity-entry.contextConductionInd">
          <path value="Observation.entryRelationship.contextConductionInd"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at &quot;true&quot;, whereas here the value is defaulted to &quot;true&quot;, and can be changed to &quot;false&quot; when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.contextConductionInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
          <defaultValueBoolean value="true"/>
        </element>
        <element id="Observation.entryRelationship:severity-entry.negationInd">
          <path value="Observation.entryRelationship.negationInd"/>
          <representation value="xmlAttr"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.negationInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:severity-entry.sequenceNumber">
          <path value="Observation.entryRelationship.sequenceNumber"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.sequenceNumber"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/INT"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:severity-entry.seperatableInd">
          <path value="Observation.entryRelationship.seperatableInd"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.seperatableInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:severity-entry.act">
          <path value="Observation.entryRelationship.act"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.act"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/Act"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:severity-entry.encounter">
          <path value="Observation.entryRelationship.encounter"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.encounter"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Encounter"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:severity-entry.observation">
          <path value="Observation.entryRelationship.observation"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.observation"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
            <profile
                     value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Severity.Entry"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:severity-entry.observationMedia">
          <path value="Observation.entryRelationship.observationMedia"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.observationMedia"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:severity-entry.organizer">
          <path value="Observation.entryRelationship.organizer"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.organizer"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Organizer"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:severity-entry.procedure">
          <path value="Observation.entryRelationship.procedure"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.procedure"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Procedure"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:severity-entry.regionOfInterest">
          <path value="Observation.entryRelationship.regionOfInterest"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.regionOfInterest"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:severity-entry.substanceAdministration">
          <path value="Observation.entryRelationship.substanceAdministration"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.substanceAdministration"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:severity-entry.supply">
          <path value="Observation.entryRelationship.supply"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.supply"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Supply"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status">
          <path value="Observation.entryRelationship"/>
          <sliceName value="problem-status"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.entryRelationship"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.entryRelationship:problem-status.nullFlavor">
          <path value="Observation.entryRelationship.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.entryRelationship:problem-status.realmCode">
          <path value="Observation.entryRelationship.realmCode"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="InfrastructureRoot.realmCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status.typeId">
          <path value="Observation.entryRelationship.typeId"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="InfrastructureRoot.typeId"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
          <constraint>
            <key value="II-1"/>
            <severity value="error"/>
            <human
                   value="An II instance must have either a root or an nullFlavor."/>
            <expression value="root.exists() or nullFlavor.exists()"/>
            <source
                    value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
          </constraint>
        </element>
        <element
                 id="Observation.entryRelationship:problem-status.typeId.nullFlavor">
          <path value="Observation.entryRelationship.typeId.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element
                 id="Observation.entryRelationship:problem-status.typeId.assigningAuthorityName">
          <path
                value="Observation.entryRelationship.typeId.assigningAuthorityName"/>
          <representation value="xmlAttr"/>
          <label value="Assigning Authority Name"/>
          <definition
                      value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.assigningAuthorityName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:problem-status.typeId.displayable">
          <path value="Observation.entryRelationship.typeId.displayable"/>
          <representation value="xmlAttr"/>
          <label value="Displayable"/>
          <definition
                      value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.displayable"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status.typeId.root">
          <path value="Observation.entryRelationship.typeId.root"/>
          <representation value="xmlAttr"/>
          <label value="Root"/>
          <definition value="Identifies the type as an HL7 Registered model"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.root"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
          </type>
          <fixedString value="2.16.840.1.113883.1.3"/>
        </element>
        <element
                 id="Observation.entryRelationship:problem-status.typeId.extension">
          <path value="Observation.entryRelationship.typeId.extension"/>
          <representation value="xmlAttr"/>
          <label value="Extension"/>
          <definition
                      value="A character string as a unique identifier within the scope of the identifier root."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.extension"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status.templateId">
          <path value="Observation.entryRelationship.templateId"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="InfrastructureRoot.templateId"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status.typeCode">
          <path value="Observation.entryRelationship.typeCode"/>
          <representation value="xmlAttr"/>
          <comment
                   value="SHALL contain exactly one [1..1] @typeCode=&quot;REFR&quot; Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.typeCode"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <fixedCode value="REFR"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"/>
          </binding>
        </element>
        <element id="Observation.entryRelationship:problem-status.inversionInd">
          <path value="Observation.entryRelationship.inversionInd"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The entryRelationship.inversionInd can be set to &quot;true&quot; to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.inversionInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
          <fixedBoolean value="false"/>
        </element>
        <element
                 id="Observation.entryRelationship:problem-status.contextConductionInd">
          <path value="Observation.entryRelationship.contextConductionInd"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at &quot;true&quot;, whereas here the value is defaulted to &quot;true&quot;, and can be changed to &quot;false&quot; when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.contextConductionInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
          <defaultValueBoolean value="true"/>
        </element>
        <element id="Observation.entryRelationship:problem-status.negationInd">
          <path value="Observation.entryRelationship.negationInd"/>
          <representation value="xmlAttr"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.negationInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:problem-status.sequenceNumber">
          <path value="Observation.entryRelationship.sequenceNumber"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.sequenceNumber"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/INT"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:problem-status.seperatableInd">
          <path value="Observation.entryRelationship.seperatableInd"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.seperatableInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status.act">
          <path value="Observation.entryRelationship.act"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.act"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/Act"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status.encounter">
          <path value="Observation.entryRelationship.encounter"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.encounter"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Encounter"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status.observation">
          <path value="Observation.entryRelationship.observation"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.observation"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
            <profile
                     value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Problem.Status.Observation"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:problem-status.observationMedia">
          <path value="Observation.entryRelationship.observationMedia"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.observationMedia"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status.organizer">
          <path value="Observation.entryRelationship.organizer"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.organizer"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Organizer"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status.procedure">
          <path value="Observation.entryRelationship.procedure"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.procedure"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Procedure"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:problem-status.regionOfInterest">
          <path value="Observation.entryRelationship.regionOfInterest"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.regionOfInterest"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:problem-status.substanceAdministration">
          <path value="Observation.entryRelationship.substanceAdministration"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.substanceAdministration"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status.supply">
          <path value="Observation.entryRelationship.supply"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.supply"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Supply"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status">
          <path value="Observation.entryRelationship"/>
          <sliceName value="health-status"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.entryRelationship"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.entryRelationship:health-status.nullFlavor">
          <path value="Observation.entryRelationship.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.entryRelationship:health-status.realmCode">
          <path value="Observation.entryRelationship.realmCode"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="InfrastructureRoot.realmCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.typeId">
          <path value="Observation.entryRelationship.typeId"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="InfrastructureRoot.typeId"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
          <constraint>
            <key value="II-1"/>
            <severity value="error"/>
            <human
                   value="An II instance must have either a root or an nullFlavor."/>
            <expression value="root.exists() or nullFlavor.exists()"/>
            <source
                    value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
          </constraint>
        </element>
        <element
                 id="Observation.entryRelationship:health-status.typeId.nullFlavor">
          <path value="Observation.entryRelationship.typeId.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element
                 id="Observation.entryRelationship:health-status.typeId.assigningAuthorityName">
          <path
                value="Observation.entryRelationship.typeId.assigningAuthorityName"/>
          <representation value="xmlAttr"/>
          <label value="Assigning Authority Name"/>
          <definition
                      value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.assigningAuthorityName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:health-status.typeId.displayable">
          <path value="Observation.entryRelationship.typeId.displayable"/>
          <representation value="xmlAttr"/>
          <label value="Displayable"/>
          <definition
                      value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.displayable"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.typeId.root">
          <path value="Observation.entryRelationship.typeId.root"/>
          <representation value="xmlAttr"/>
          <label value="Root"/>
          <definition value="Identifies the type as an HL7 Registered model"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.root"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
          </type>
          <fixedString value="2.16.840.1.113883.1.3"/>
        </element>
        <element
                 id="Observation.entryRelationship:health-status.typeId.extension">
          <path value="Observation.entryRelationship.typeId.extension"/>
          <representation value="xmlAttr"/>
          <label value="Extension"/>
          <definition
                      value="A character string as a unique identifier within the scope of the identifier root."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.extension"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.templateId">
          <path value="Observation.entryRelationship.templateId"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="InfrastructureRoot.templateId"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.typeCode">
          <path value="Observation.entryRelationship.typeCode"/>
          <representation value="xmlAttr"/>
          <comment
                   value="SHALL contain exactly one [1..1] @typeCode=&quot;REFR&quot; Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.typeCode"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <fixedCode value="REFR"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"/>
          </binding>
        </element>
        <element id="Observation.entryRelationship:health-status.inversionInd">
          <path value="Observation.entryRelationship.inversionInd"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The entryRelationship.inversionInd can be set to &quot;true&quot; to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.inversionInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
          <fixedBoolean value="false"/>
        </element>
        <element
                 id="Observation.entryRelationship:health-status.contextConductionInd">
          <path value="Observation.entryRelationship.contextConductionInd"/>
          <representation value="xmlAttr"/>
          <definition
                      value="The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at &quot;true&quot;, whereas here the value is defaulted to &quot;true&quot;, and can be changed to &quot;false&quot; when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.contextConductionInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
          <defaultValueBoolean value="true"/>
        </element>
        <element id="Observation.entryRelationship:health-status.negationInd">
          <path value="Observation.entryRelationship.negationInd"/>
          <representation value="xmlAttr"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.negationInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.sequenceNumber">
          <path value="Observation.entryRelationship.sequenceNumber"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.sequenceNumber"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/INT"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.seperatableInd">
          <path value="Observation.entryRelationship.seperatableInd"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.seperatableInd"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.act">
          <path value="Observation.entryRelationship.act"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.act"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/Act"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.encounter">
          <path value="Observation.entryRelationship.encounter"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.encounter"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Encounter"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.observation">
          <path value="Observation.entryRelationship.observation"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.observation"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
            <profile
                     value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Health.Status.Observation"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element
                 id="Observation.entryRelationship:health-status.observationMedia">
          <path value="Observation.entryRelationship.observationMedia"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.observationMedia"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.organizer">
          <path value="Observation.entryRelationship.organizer"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.organizer"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Organizer"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.procedure">
          <path value="Observation.entryRelationship.procedure"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.procedure"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Procedure"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:health-status.regionOfInterest">
          <path value="Observation.entryRelationship.regionOfInterest"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.regionOfInterest"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"/>
          </type>
        </element>
        <element
                 id="Observation.entryRelationship:health-status.substanceAdministration">
          <path value="Observation.entryRelationship.substanceAdministration"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.substanceAdministration"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status.supply">
          <path value="Observation.entryRelationship.supply"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="EntryRelationship.supply"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Supply"/>
          </type>
        </element>
        <element id="Observation.reference">
          <path value="Observation.reference"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.reference"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Reference"/>
          </type>
        </element>
        <element id="Observation.precondition">
          <path value="Observation.precondition"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.precondition"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Precondition"/>
          </type>
        </element>
        <element id="Observation.sdtcPrecondition2">
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
            <valueUri value="urn:hl7-org:sdtc"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
            <valueString value="precondition2"/>
          </extension>
          <path value="Observation.sdtcPrecondition2"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.sdtcPrecondition2"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Precondition2"/>
          </type>
        </element>
        <element id="Observation.referenceRange">
          <path value="Observation.referenceRange"/>
          <definition
                      value="Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.referenceRange"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
          </type>
        </element>
        <element id="Observation.referenceRange.nullFlavor">
          <path value="Observation.referenceRange.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.referenceRange.realmCode">
          <path value="Observation.referenceRange.realmCode"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="InfrastructureRoot.realmCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
          </type>
        </element>
        <element id="Observation.referenceRange.typeId">
          <path value="Observation.referenceRange.typeId"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="InfrastructureRoot.typeId"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
          <constraint>
            <key value="II-1"/>
            <severity value="error"/>
            <human
                   value="An II instance must have either a root or an nullFlavor."/>
            <expression value="root.exists() or nullFlavor.exists()"/>
            <source
                    value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
          </constraint>
        </element>
        <element id="Observation.referenceRange.typeId.nullFlavor">
          <path value="Observation.referenceRange.typeId.nullFlavor"/>
          <representation value="xmlAttr"/>
          <label value="Exceptional Value Detail"/>
          <definition
                      value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="ANY.nullFlavor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
          </binding>
        </element>
        <element id="Observation.referenceRange.typeId.assigningAuthorityName">
          <path value="Observation.referenceRange.typeId.assigningAuthorityName"/>
          <representation value="xmlAttr"/>
          <label value="Assigning Authority Name"/>
          <definition
                      value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.assigningAuthorityName"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.referenceRange.typeId.displayable">
          <path value="Observation.referenceRange.typeId.displayable"/>
          <representation value="xmlAttr"/>
          <label value="Displayable"/>
          <definition
                      value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="II.displayable"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
          </type>
        </element>
        <element id="Observation.referenceRange.typeId.root">
          <path value="Observation.referenceRange.typeId.root"/>
          <representation value="xmlAttr"/>
          <label value="Root"/>
          <definition value="Identifies the type as an HL7 Registered model"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.root"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
          </type>
          <fixedString value="2.16.840.1.113883.1.3"/>
        </element>
        <element id="Observation.referenceRange.typeId.extension">
          <path value="Observation.referenceRange.typeId.extension"/>
          <representation value="xmlAttr"/>
          <label value="Extension"/>
          <definition
                      value="A character string as a unique identifier within the scope of the identifier root."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="II.extension"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
          </type>
        </element>
        <element id="Observation.referenceRange.templateId">
          <path value="Observation.referenceRange.templateId"/>
          <definition
                      value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="InfrastructureRoot.templateId"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
          </type>
        </element>
        <element id="Observation.referenceRange.typeCode">
          <path value="Observation.referenceRange.typeCode"/>
          <representation value="xmlAttr"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Observation.referenceRange.typeCode"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
            <profile
                     value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
          </type>
          <fixedCode value="REFV"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType"/>
          </binding>
        </element>
        <element id="Observation.referenceRange.observationRange">
          <path value="Observation.referenceRange.observationRange"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Observation.referenceRange.observationRange"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange"/>
          </type>
        </element>
        <element id="Observation.sdtcInFulfillmentOf1">
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
            <valueUri value="urn:hl7-org:sdtc"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
            <valueString value="inFulfillmentOf1"/>
          </extension>
          <path value="Observation.sdtcInFulfillmentOf1"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Observation.sdtcInFulfillmentOf1"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"/>
          </type>
        </element>
      </snapshot>
      <differential>
        <element id="Observation">
          <path value="Observation"/>
          <constraint>
            <key value="should-text-ref-value"/>
            <severity value="warning"/>
            <human value="SHOULD contain text/reference/@value"/>
            <expression value="text.reference.value.exists()"/>
            <source
                    value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry"/>
          </constraint>
          <constraint>
            <key value="should-author"/>
            <severity value="warning"/>
            <human value="SHOULD contain author"/>
            <expression value="author.exists()"/>
            <source
                    value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry"/>
          </constraint>
        </element>
        <element id="Observation.templateId">
          <path value="Observation.templateId"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="root"/>
            </discriminator>
            <discriminator>
              <type value="value"/>
              <path value="extension"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <min value="2"/>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.templateId:problem-obs">
          <path value="Observation.templateId"/>
          <sliceName value="problem-obs"/>
          <min value="1"/>
          <max value="1"/>
        </element>
        <element id="Observation.templateId:problem-obs.root">
          <path value="Observation.templateId.root"/>
          <min value="1"/>
          <patternString value="2.16.840.1.113883.10.20.1.28"/>
        </element>
        <element id="Observation.templateId:problem-entry">
          <path value="Observation.templateId"/>
          <sliceName value="problem-entry"/>
          <min value="1"/>
          <max value="1"/>
        </element>
        <element id="Observation.templateId:problem-entry.root">
          <path value="Observation.templateId.root"/>
          <min value="1"/>
          <patternString value="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>
        </element>
        <element id="Observation.moodCode">
          <path value="Observation.moodCode"/>
          <comment
                   value="SHALL contain exactly one [1..1] @moodCode=&quot;EVN&quot; Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042)."/>
          <fixedCode value="EVN"/>
        </element>
        <element id="Observation.negationInd">
          <path value="Observation.negationInd"/>
          <short
                 value="The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of &quot;true&quot; coupled with an observation/value of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions."/>
          <comment
                   value="MAY contain zero or one [0..1] @negationInd (CONF:1198-10139)."/>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.id">
          <path value="Observation.id"/>
          <comment
                   value="SHALL contain at least one [1..*] id (CONF:1198-9043)."/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.code">
          <path value="Observation.code"/>
          <comment
                   value="The &lt;code&gt; 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."/>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.text">
          <path value="Observation.text"/>
          <short
                 value="SHOULD reference the portion of section narrative text corresponding to this entry"/>
          <comment
                   value="The &lt;text&gt; element is required and points to the text describing the problem being recorded; including any dates, comments, et cetera. The &lt;reference&gt; 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 value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.text.reference">
          <path value="Observation.text.reference"/>
          <constraint>
            <key value="value-starts-octothorpe"/>
            <severity value="error"/>
            <human
                   value="If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative"/>
            <expression value="value.exists() implies value.startsWith('#')"/>
            <source
                    value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Problem.Entry"/>
          </constraint>
        </element>
        <element id="Observation.statusCode">
          <path value="Observation.statusCode"/>
          <comment
                   value="SHALL contain exactly one [1..1] statusCode (CONF:1198-9049)."/>
          <min value="1"/>
        </element>
        <element id="Observation.statusCode.code">
          <path value="Observation.statusCode.code"/>
          <comment
                   value="A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the &lt;statusCode&gt; shall always have code='completed'."/>
          <min value="1"/>
          <fixedCode value="completed"/>
        </element>
        <element id="Observation.effectiveTime">
          <path value="Observation.effectiveTime"/>
          <short
                 value="If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved."/>
          <comment
                   value="SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050)."/>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.effectiveTime.low">
          <path value="Observation.effectiveTime.low"/>
          <short
                 value="The effectiveTime/low (a.k.a. &quot;onset date&quot;) asserts when the condition became biologically active."/>
          <comment
                   value="This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603)."/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.effectiveTime.high">
          <path value="Observation.effectiveTime.high"/>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.value">
          <path value="Observation.value"/>
          <comment
                   value="The &lt;value&gt; 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 value="1"/>
          <type>
            <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.value.code">
          <path value="Observation.value.code"/>
          <short
                 value="A negationInd of &quot;true&quot; coupled with an observation/value/@code of SNOMED code 64572001 &quot;Disease (disorder)&quot; indicates that the patient has no known conditions.  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
                   value="This value MAY contain zero or one [0..1] @code (CONF:1198-31871)."/>
        </element>
        <element id="Observation.value.qualifier">
          <path value="Observation.value.qualifier"/>
          <short
                 value="The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined.

     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
                   value="This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870)."/>
        </element>
        <element id="Observation.entryRelationship">
          <path value="Observation.entryRelationship"/>
          <slicing>
            <discriminator>
              <type value="profile"/>
              <path value="observation"/>
            </discriminator>
            <discriminator>
              <type value="profile"/>
              <path value="act"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.entryRelationship:severity-entry">
          <path value="Observation.entryRelationship"/>
          <sliceName value="severity-entry"/>
          <comment
                   value="MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it"/>
          <min value="0"/>
          <max value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.entryRelationship:severity-entry.typeCode">
          <path value="Observation.entryRelationship.typeCode"/>
          <fixedCode value="SUBJ"/>
        </element>
        <element id="Observation.entryRelationship:severity-entry.inversionInd">
          <path value="Observation.entryRelationship.inversionInd"/>
          <comment
                   value="SHALL contain exactly one [1..1] @inversionInd=&quot;true&quot; True (CONF:1198-9069)."/>
          <min value="1"/>
          <fixedBoolean value="true"/>
        </element>
        <element id="Observation.entryRelationship:severity-entry.observation">
          <path value="Observation.entryRelationship.observation"/>
          <min value="1"/>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
            <profile
                     value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Severity.Entry"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:problem-status">
          <path value="Observation.entryRelationship"/>
          <sliceName value="problem-status"/>
          <min value="0"/>
          <max value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.entryRelationship:problem-status.typeCode">
          <path value="Observation.entryRelationship.typeCode"/>
          <comment
                   value="SHALL contain exactly one [1..1] @typeCode=&quot;REFR&quot; Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531)."/>
          <fixedCode value="REFR"/>
        </element>
        <element id="Observation.entryRelationship:problem-status.inversionInd">
          <path value="Observation.entryRelationship.inversionInd"/>
          <fixedBoolean value="false"/>
        </element>
        <element id="Observation.entryRelationship:problem-status.observation">
          <path value="Observation.entryRelationship.observation"/>
          <min value="1"/>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
            <profile
                     value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Problem.Status.Observation"/>
          </type>
        </element>
        <element id="Observation.entryRelationship:health-status">
          <path value="Observation.entryRelationship"/>
          <sliceName value="health-status"/>
          <min value="0"/>
          <max value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="Observation.entryRelationship:health-status.typeCode">
          <path value="Observation.entryRelationship.typeCode"/>
          <comment
                   value="SHALL contain exactly one [1..1] @typeCode=&quot;REFR&quot; Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532)."/>
          <fixedCode value="REFR"/>
        </element>
        <element id="Observation.entryRelationship:health-status.inversionInd">
          <path value="Observation.entryRelationship.inversionInd"/>
          <fixedBoolean value="false"/>
        </element>
        <element id="Observation.entryRelationship:health-status.observation">
          <path value="Observation.entryRelationship.observation"/>
          <min value="1"/>
          <type>
            <code
                  value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
            <profile
                     value="https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Health.Status.Observation"/>
          </type>
          <mustSupport value="true"/>
        </element>
      </differential>
    </StructureDefinition>