| Package | hl7.cda.us.ccda |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R5 |
| Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda/StructureDefinition-AdvanceDirectiveObservation.html |
| Url | http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation |
| Version | 4.0.0 |
| Status | draft |
| Date | 2025-06-05T16:35:27+00:00 |
| Name | AdvanceDirectiveObservation |
| Title | Advance Directive Observation |
| Experimental | False |
| Realm | us |
| Authority | hl7 |
| Description | The Advance Directive Observation template is nested within the Advance Directive Existence Observation, which indicates whether the individual has any advance directive documents. Each Advance Directive Observation template provides details about one type of advance directive document and may also include information about the documentβs author, as well as any individuals who discussed and verified its contents with the patient or their designated healthcare agent. The Advance Directive Observation template also can be nested within an Intervention Act to serve as documentation explaining why an intervention was planned/performed or not. |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation |
| Kind | logical |
| StructureDefinition | |
AdvanceDirectiveExistenceObservation  | Advance Directive Existence Observation |
| AdvanceDirectiveOrganizer | Advance Directive Organizer (deprecated) |
| InterventionAct | Intervention Act |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition AdvanceDirectiveObservation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-author, should-informant |
  Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:advance-directive-obs | 1..1 | II | ||
  @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.48 | |
  @extension | 1..1 | st | Required Pattern: 2025-05-01 | |
| @classCode | 1..1 | cs | Fixed Value: OBS | |
| @moodCode | 1..1 | cs | Fixed Value: EVN | |
| id | 1..* | II | ||
| code | C | 1..1 | CD | Advance Directive Constraints: should-translation |
| @code | 1..1 | cs | Required Pattern: 75320-2 | |
| @codeSystem | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
 translation | 0..* | CD | 헨헦헖헗헜: Advance Directive Type Binding: Advance Healthcare Directive Categories LOINC  (preferred) | |
| text | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe |
| statusCode | 1..1 | CS | ||
| @code | 1..1 | cs | Fixed Value: completed | |
| effectiveTime | 1..1 | IVL_TS | ||
| low | 1..1 | IVXB_TS | ||
| high | C | 1..1 | IVXB_TS | Constraints: 1198-32449 |
 value | 0..1 | CD | Binding: Advance Healthcare Directive Document Types Grouper (preferred) | |
| author | 0..* | AuthorParticipation | ||
| informant | 0..* | Informant | SHOULD contain informant | |
| Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
 participant:verifier | C | 0..* | Participant2 | 헨헦헖헗헜: Verifier - The participant "VRF" represents the clinician(s) who verified the patient advance directive. Constraints: should-time |
 Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
 templateId:primary | 1..1 | II | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.58 | |
| @extension | 0..0 | |||
| @typeCode | 1..1 | cs | Fixed Value: VRF | |
| time | C | 0..1 | IVL_TS | Constraints: value-only |
| @value | 0..1 | ts | value should be used instead of low/high | |
| participantRole | C | 1..1 | ParticipantRole | Constraints: should-code |
| code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| addr | 0..* | USRealmAddress | ||
| playingEntity | 1..1 | PlayingEntity | ||
| name | 1..1 | USRealmPersonNamePNUSFIELDED | ||
| participant:custodian | 0..* | Participant2 | This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter. | |
| @typeCode | 1..1 | cs | Fixed Value: CST | |
| participantRole | C | 1..1 | ParticipantRole | Constraints: should-code, should-addr, should-telecom |
| @classCode | 1..1 | cs | Fixed Value: AGNT | |
| code | 0..1 | CE | Binding: Healthcare Agent or Proxy Choices (preferred) | |
| addr | 0..1 | USRealmAddress | ||
| telecom | 0..* | TEL | ||
| playingEntity | C | 1..1 | PlayingEntity | Constraints: should-code |
| code | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred) | |
| name | 1..1 | PN | The name of the healthcare agent. | |
| Slices for reference | 1..* | Reference | Slice: Unordered, Open by value:typeCode | |
| reference:reference1 | 1..* | Reference | ||
| @typeCode | 1..1 | cs | Fixed Value: REFR | |
| externalDocument | 1..1 | ExternalDocument | 헨헦헖헗헜: External Document | |
| id | 1..* | II | ||
| code | 1..1 | CD | Binding: Advance Healthcare Directive Document Types Grouper (preferred) | |
| text | 0..1 | ED | ||
| reference | C | 0..1 | TEL | The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698). Constraints: 1198-8699 |
| sdtcAuthor | 0..* | Author | XML Namespace: urn:hl7-org:sdtc 헨헦헖헗헜: Author XML: author (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
FHIR{
"resourceType" : "StructureDefinition",
"id" : "AdvanceDirectiveObservation",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition AdvanceDirectiveObservation</b></p><a name=\"AdvanceDirectiveObservation\"> </a><a name=\"hcAdvanceDirectiveObservation\"> </a><a name=\"AdvanceDirectiveObservation-en-US\"> </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 & 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,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\" 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-AdvanceDirectiveObservation-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, should-informant )\">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/>Elements defined in Ancestors:<a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-ANY.html\" title=\"If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.\">@nullFlavor</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-InfrastructureRoot.html\" title=\"When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question\">realmCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-InfrastructureRoot.html\" title=\"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.\">typeId</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-InfrastructureRoot.html\" title=\"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\">templateId</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">@classCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">@moodCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">@negationInd</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">id</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">sdtcCategory</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">code</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">derivationExpr</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">text</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">statusCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">effectiveTime</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">priorityCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">repeatNumber</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">languageCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">value</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">interpretationCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">methodCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\" title=\"Drawn from concept domain ActSite\">targetSiteCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">subject</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">specimen</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">performer</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">author</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">informant</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">participant</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">entryRelationship</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">reference</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">precondition</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">sdtcPrecondition2</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\" title=\"Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.\">referenceRange</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-Observation.html\">sdtcInFulfillmentOf1</a><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><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"SHOULD contain informant\" class=\"constraint\">should-informant</span></td></tr>\r\n<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-AdvanceDirectiveObservation-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\"/><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\">1</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>\r\n<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-AdvanceDirectiveObservation-definitions.html#Observation.templateId:advance-directive-obs\" title=\"Slice advance-directive-obs\">templateId:advance-directive-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>\r\n<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_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.templateId:advance-directive-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\">2.16.840.1.113883.10.20.22.4.48</span></td></tr>\r\n<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_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.templateId:advance-directive-obs.extension\">@extension</a><a name=\"Observation.templateId.extension\"> </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-st-simple.html\" title=\"string\">st</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\">Required Pattern: </span><span style=\"color: darkgreen\">2025-05-01</span></td></tr>\r\n<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-AdvanceDirectiveObservation-definitions.html#Observation.classCode\">@classCode</a><a name=\"Observation.classCode\"> </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\">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-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\">OBS</span></td></tr>\r\n<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-AdvanceDirectiveObservation-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>\r\n<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-AdvanceDirectiveObservation-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: #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\">*</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-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\"/></tr>\r\n<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-AdvanceDirectiveObservation-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: 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-translation )\">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 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: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Advance Directive<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"SHOULD contain translation\" class=\"constraint\">should-translation</span></td></tr>\r\n<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-AdvanceDirectiveObservation-definitions.html#Observation.code.code\">@code</a><a name=\"Observation.code.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\">Required Pattern: </span><span style=\"color: darkgreen\">75320-2</span></td></tr>\r\n<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-AdvanceDirectiveObservation-definitions.html#Observation.code.codeSystem\">@codeSystem</a><a name=\"Observation.code.codeSystem\"> </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-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: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">LOINC<br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.6.1</span></td></tr>\r\n<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-AdvanceDirectiveObservation-definitions.html#Observation.code.translation\">translation</a><a name=\"Observation.code.translation\"> </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-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\">𝗨𝗦𝗖𝗗𝗜: Advance Directive Type<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.69.4/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4\" class=\"binding\">Advance Healthcare Directive Categories LOINC <img src=\"external.png\" alt=\".\"/></a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span></td></tr>\r\n<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-AdvanceDirectiveObservation-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\"/><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>\r\n<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-AdvanceDirectiveObservation-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>\r\n<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-AdvanceDirectiveObservation-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>\r\n<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-AdvanceDirectiveObservation-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>\r\n<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-AdvanceDirectiveObservation-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\"/><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-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\"/></tr>\r\n<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-AdvanceDirectiveObservation-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\"/><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\"/></tr>\r\n<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-AdvanceDirectiveObservation-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\"><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 ( 1198-32449 )\">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\">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-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\"><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"If the Advance Directive does not have a specified ending time, the <high> element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449).\" class=\"constraint\">1198-32449</span></td></tr>\r\n<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_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AdvanceDirectiveObservation-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\"/><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>..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 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\"><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1115.41/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41\" class=\"binding\">Advance Healthcare Directive Document Types Grouper <img src=\"external.png\" alt=\".\"/></a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span></td></tr>\r\n<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_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.author\">author</a><a name=\"Observation.author\"> </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\">*</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-AuthorParticipation.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Author\">AuthorParticipation</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>\r\n<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-AdvanceDirectiveObservation-definitions.html#Observation.informant\">informant</a><a name=\"Observation.informant\"> </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-Informant.html\">Informant</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\">SHOULD contain informant</td></tr>\r\n<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_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic; font-style: italic\" href=\"StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant\">Slices for participant</a><a name=\"Observation.participant\"> </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=\"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-Participant2.html\">Participant2</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 value:typeCode</span></td></tr>\r\n<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_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: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier\" title=\"Slice verifier\">participant:verifier</a><a name=\"Observation.participant.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\"><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-time )\">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\">0..*</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-Participant2.html\">Participant2</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\">𝗨𝗦𝗖𝗗𝗜: Verifier - The participant "VRF" represents the clinician(s) who verified the patient advance directive.<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"SHOULD contain time\" class=\"constraint\">should-time</span><br/></td></tr>\r\n<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_bck1353.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_slice.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.templateId\">Slices for templateId</a><a name=\"Observation.participant.templateId\"> </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=\"font-style: italic\"/><span style=\"font-style: italic\">1</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: 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-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\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:root</span></td></tr>\r\n<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_bck13525.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_vline_slice.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.templateId:primary\" title=\"Slice primary\">templateId:primary</a><a name=\"Observation.participant.templateId.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..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-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\"/></tr>\r\n<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_bck135250.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_vline_slice.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.templateId:primary.root\">@root</a><a name=\"Observation.participant.templateId.root\"> </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-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: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.10.20.1.58</span></td></tr>\r\n<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_bck135240.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_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <span style=\"text-decoration:line-through\">@extension</span><a name=\"Observation.participant.templateId.extension\"> </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=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</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\"/><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>\r\n<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_bck1350.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_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-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.typeCode\">@typeCode</a><a name=\"Observation.participant.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\">VRF</span></td></tr>\r\n<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_bck1351.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_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-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.time\">time</a><a name=\"Observation.participant.time\"> </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-only )\">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-IVL-TS.html\">IVL_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\"><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Interval fields SHALL NOT be present\" class=\"constraint\">value-only</span></td></tr>\r\n<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_bck13500.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_vline_slice.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.time.value\">@value</a><a name=\"Observation.participant.time.value\"> </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-ts-simple.html\" title=\"dateTime\">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\">value should be used instead of low/high</td></tr>\r\n<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_bck1341.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.participantRole\">participantRole</a><a name=\"Observation.participant.participantRole\"> </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 ( should-code )\">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\">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-ParticipantRole.html\">ParticipantRole</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=\"SHOULD contain code\" class=\"constraint\">should-code</span></td></tr>\r\n<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_bck13410.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_blank.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.participantRole.code\">code</a><a name=\"Observation.participant.participantRole.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-CE.html\">CE</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\" title=\"null\" class=\"binding\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.1066/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066\" class=\"binding\">Healthcare Provider Taxonomy <img src=\"external.png\" alt=\".\"/></a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span></td></tr>\r\n<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_bck13410.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_blank.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.participantRole.addr\">addr</a><a name=\"Observation.participant.participantRole.addr\"> </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 href=\"StructureDefinition-USRealmAddress.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/AD\">USRealmAddress</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>\r\n<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_bck13401.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_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.participantRole.playingEntity\">playingEntity</a><a name=\"Observation.participant.participantRole.playingEntity\"> </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-PlayingEntity.html\">PlayingEntity</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>\r\n<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_bck134000.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_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.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.participantRole.playingEntity.name\">name</a><a name=\"Observation.participant.participantRole.playingEntity.name\"> </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..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 href=\"StructureDefinition-USRealmPersonNamePNUSFIELDED.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/PN\">USRealmPersonNamePNUSFIELDED</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>\r\n<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-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian\" title=\"Slice custodian\">participant:custodian</a><a name=\"Observation.participant.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\">0..*</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-Participant2.html\">Participant2</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\">This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter.<br/></td></tr>\r\n<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_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.typeCode\">@typeCode</a><a name=\"Observation.participant.typeCode.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\">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-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\">CST</span></td></tr>\r\n<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_bck1241.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: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole\">participantRole</a><a name=\"Observation.participant.participantRole.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\"><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-code, should-addr, should-telecom )\">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 style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.1-sd/StructureDefinition-ParticipantRole.html\">ParticipantRole</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 title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"SHOULD contain code\" class=\"constraint\">should-code</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"SHOULD contain addr\" class=\"constraint\">should-addr</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"SHOULD contain telecom\" class=\"constraint\">should-telecom</span></td></tr>\r\n<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_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.classCode\">@classCode</a><a name=\"Observation.participant.participantRole.classCode\"> </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\">AGNT</span></td></tr>\r\n<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_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.code\">code</a><a name=\"Observation.participant.participantRole.code.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\">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-CE.html\">CE</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\" title=\"null\" class=\"binding\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1046.35/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35\" class=\"binding\">Healthcare Agent or Proxy Choices <img src=\"external.png\" alt=\".\"/></a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span></td></tr>\r\n<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_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.addr\">addr</a><a name=\"Observation.participant.participantRole.addr.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>..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 href=\"StructureDefinition-USRealmAddress.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/AD\">USRealmAddress</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>\r\n<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_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.telecom\">telecom</a><a name=\"Observation.participant.participantRole.telecom\"> </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\">*</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-TEL.html\">TEL</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>\r\n<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_bck12401.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.playingEntity\">playingEntity</a><a name=\"Observation.participant.participantRole.playingEntity.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\"><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-code )\">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\">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-PlayingEntity.html\">PlayingEntity</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=\"SHOULD contain code\" class=\"constraint\">should-code</span></td></tr>\r\n<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_bck124010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.playingEntity.code\">code</a><a name=\"Observation.participant.participantRole.playingEntity.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-CE.html\">CE</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\" title=\"null\" class=\"binding\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1\" class=\"binding\">Personal And Legal Relationship Role Type <img src=\"external.png\" alt=\".\"/></a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span></td></tr>\r\n<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_bck124000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.playingEntity.name\">name</a><a name=\"Observation.participant.participantRole.playingEntity.name.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..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-PN.html\">PN</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 name of the healthcare agent.</td></tr>\r\n<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-AdvanceDirectiveObservation-definitions.html#Observation.reference\">Slices for reference</a><a name=\"Observation.reference\"> </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=\"font-style: italic\"/><span style=\"font-style: italic\">1</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: 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-Reference.html\">Reference</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 value:typeCode</span></td></tr>\r\n<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-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1\" title=\"Slice reference1\">reference:reference1</a><a name=\"Observation.reference.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..*</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-Reference.html\">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\"/></tr>\r\n<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-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.typeCode\">@typeCode</a><a name=\"Observation.reference.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\">REFR</span></td></tr>\r\n<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_bck0241.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_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.externalDocument\">externalDocument</a><a name=\"Observation.reference.externalDocument\"> </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-ExternalDocument.html\">ExternalDocument</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\">𝗨𝗦𝗖𝗗𝗜: External Document</td></tr>\r\n<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_bck02410.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_blank.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-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.externalDocument.id\">id</a><a name=\"Observation.reference.externalDocument.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\"/><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>\r\n<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_bck02410.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_blank.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-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.externalDocument.code\">code</a><a name=\"Observation.reference.externalDocument.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-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\"><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1115.41/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41\" class=\"binding\">Advance Healthcare Directive Document Types Grouper <img src=\"external.png\" alt=\".\"/></a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span></td></tr>\r\n<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_bck02411.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_blank.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-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.externalDocument.text\">text</a><a name=\"Observation.reference.externalDocument.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\"/><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-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\"/></tr>\r\n<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_bck024100.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_blank.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-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.externalDocument.text.reference\">reference</a><a name=\"Observation.reference.externalDocument.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 ( 1198-8699 )\">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\">The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698).<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699).\" class=\"constraint\">1198-8699</span></td></tr>\r\n<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_bck02400.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_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.externalDocument.sdtcAuthor\">sdtcAuthor</a><a name=\"Observation.reference.externalDocument.sdtcAuthor\"> </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\">*</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-Author.html\">Author</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:sdtc<br/>𝗨𝗦𝗖𝗗𝗜: Author<br/><span style=\"font-weight:bold\">XML: </span>author (urn:hl7-org:sdtc)</td></tr>\r\n<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,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
"_valueBoolean" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "not-applicable"
}
]
}
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:v3"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "observation"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
"valueUri" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
"valueCode" : "cda"
}
],
"url" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:hl7ii:2.16.840.1.113883.10.20.22.4.48:2025-05-01"
}
],
"version" : "4.0.0",
"name" : "AdvanceDirectiveObservation",
"title" : "Advance Directive Observation",
"status" : "draft",
"date" : "2025-06-05T16:35:27+00:00",
"publisher" : "Health Level Seven",
"contact" : [
{
"name" : "HL7 International - Structured Documents",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/structure"
}
]
}
],
"description" : "The Advance Directive Observation template is nested within the Advance Directive Existence Observation, which indicates whether the individual has any advance directive documents. Each Advance Directive Observation template provides details about one type of advance directive document and may also include information about the documentβs author, as well as any individuals who discussed and verified its contents with the patient or their designated healthcare agent.\n\nThe Advance Directive Observation template also can be nested within an Intervention Act to serve as documentation explaining why an intervention was planned/performed or not.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"fhirVersion" : "5.0.0",
"mapping" : [
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
"baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
"derivation" : "constraint",
"snapshot" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString" : "2.0.1-sd"
}
],
"element" : [
{
"id" : "Observation",
"path" : "Observation",
"short" : "Base for all types and resources",
"definition" : "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" : 1,
"max" : "1",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "should-text-ref-value",
"severity" : "warning",
"human" : "SHOULD contain text/reference/@value",
"expression" : "text.reference.value.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
},
{
"key" : "should-author",
"severity" : "warning",
"human" : "SHOULD contain author",
"expression" : "author.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
},
{
"key" : "should-informant",
"severity" : "warning",
"human" : "SHOULD contain informant",
"expression" : "informant.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Observation.nullFlavor",
"path" : "Observation.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.realmCode",
"path" : "Observation.realmCode",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "Observation.typeId",
"path" : "Observation.typeId",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "Observation.typeId.nullFlavor",
"path" : "Observation.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.typeId.assigningAuthorityName",
"path" : "Observation.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.typeId.displayable",
"path" : "Observation.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "Observation.typeId.root",
"path" : "Observation.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "Observation.typeId.extension",
"path" : "Observation.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.templateId",
"path" : "Observation.templateId",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "root"
},
{
"type" : "value",
"path" : "extension"
}
],
"rules" : "open"
},
"definition" : "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" : 1,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.templateId:advance-directive-obs",
"path" : "Observation.templateId",
"sliceName" : "advance-directive-obs",
"definition" : "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" : 1,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.templateId:advance-directive-obs.nullFlavor",
"path" : "Observation.templateId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.templateId:advance-directive-obs.assigningAuthorityName",
"path" : "Observation.templateId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.templateId:advance-directive-obs.displayable",
"path" : "Observation.templateId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "Observation.templateId:advance-directive-obs.root",
"path" : "Observation.templateId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"patternString" : "2.16.840.1.113883.10.20.22.4.48"
},
{
"id" : "Observation.templateId:advance-directive-obs.extension",
"path" : "Observation.templateId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
],
"patternString" : "2025-05-01"
},
{
"id" : "Observation.classCode",
"path" : "Observation.classCode",
"representation" : [
"xmlAttr"
],
"comment" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.classCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "OBS",
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation"
}
},
{
"id" : "Observation.moodCode",
"path" : "Observation.moodCode",
"representation" : [
"xmlAttr"
],
"comment" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.moodCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "EVN",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0"
}
},
{
"id" : "Observation.negationInd",
"path" : "Observation.negationInd",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.negationInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "Observation.id",
"path" : "Observation.id",
"comment" : "SHALL contain at least one [1..*] id.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Observation.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.sdtcCategory",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "category"
}
],
"path" : "Observation.sdtcCategory",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.sdtcCategory",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
]
},
{
"id" : "Observation.code",
"path" : "Observation.code",
" }
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"id" : "Observation.value",
"path" : "Observation.value",
"representation" : [
"typeAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.value",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
],
"binding" : {
&nb "path" : "Observation.participant.participantRole.playingEntity.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity.typeId.root",
"path" : "Observation.participant.participantRole.playingEntity.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity.typeId.extension",
"path" : "Observation.participant.participantRole.playingEntity.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity.templateId",
"path" : "Observation.participant.participantRole.playingEntity.templateId",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity.classCode",
"path" : "Observation.participant.participantRole.playingEntity.classCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "PlayingEntity.classCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"defaultValueCode" : "ENT",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityClassRoot"
}
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity.determinerCode",
"path" : "Observation.participant.participantRole.playingEntity.determinerCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "PlayingEntity.determinerCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "INSTANCE",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"
}
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity.code",
"path" : "Observation.participant.participantRole.playingEntity.code",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PlayingEntity.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "example",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode"
}
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity.quantity",
"path" : "Observation.participant.participantRole.playingEntity.quantity",
"min" : 0,
"max" : "*",
"base" : {
"path" : "PlayingEntity.quantity",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PQ"
}
]
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity.name",
"path" : "Observation.participant.participantRole.playingEntity.name",
"comment" : "The playingEntity SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-28454).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "PlayingEntity.name",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PN",
"profile" : [
"http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"
]
}
]
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity.sdtcBirthTime",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "birthTime"
}
],
"path" : "Observation.participant.participantRole.playingEntity.sdtcBirthTime",
"definition" : "The purpose of this extension is to allow the recording of the subscriber or member of a health plan in cases where the health plan eligibility system has different information on file than the provider does for the patient.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PlayingEntity.sdtcBirthTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
}
]
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity.desc",
"path" : "Observation.participant.participantRole.playingEntity.desc",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PlayingEntity.desc",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "Observation.participant:verifier.participantRole.scopingEntity",
"path" : "Observation.participant.participantRole.scopingEntity",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ParticipantRole.scopingEntity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Entity"
}
]
},
{
"id" : "Observation.participant:custodian",
"path" : "Observation.participant",
"sliceName" : "custodian",
"short" : "This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter.",
"comment" : "SHOULD contain zero or more [0..*] participant (CONF:1198-8667) such that it",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.participant",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
}
]
},
{
"id" : "Observation.participant:custodian.nullFlavor",
"path" : "Observation.participant.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.participant:custodian.realmCode",
"path" : "Observation.participant.realmCode",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "Observation.participant:custodian.typeId",
"path" : "Observation.participant.typeId",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "Observation.participant:custodian.typeId.nullFlavor",
"path" : "Observation.participant.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.participant:custodian.typeId.assigningAuthorityName",
"path" : "Observation.participant.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.participant:custodian.typeId.displayable",
"path" : "Observation.participant.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "Observation.participant:custodian.typeId.root",
"path" : "Observation.participant.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "Observation.participant:custodian.typeId.extension",
"path" : "Observation.participant.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.participant:custodian.templateId",
"path" : "Observation.participant.templateId",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.participant:custodian.typeCode",
"path" : "Observation.participant.typeCode",
"representation" : [
"xmlAttr"
],
"comment" : "SHALL contain exactly one [1..1] @typeCode=\"CST\" Custodian (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8668).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Participant2.typeCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "CST",
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"
}
},
{
"id" : "Observation.participant:custodian.contextControlCode",
"path" : "Observation.participant.contextControlCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Participant2.contextControlCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "OP",
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"
}
},
{
"id" : "Observation.participant:custodian.sdtcFunctionCode",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "functionCode"
}
],
"path" : "Observation.participant.sdtcFunctionCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Participant2.sdtcFunctionCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
]
},
{
"id" : "Observation.participant:custodian.time",
"path" : "Observation.participant.time",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Participant2.time",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
}
]
},
{
"id" : "Observation.participant:custodian.awarenessCode",
"path" : "Observation.participant.awarenessCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Participant2.awarenessCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole",
"path" : "Observation.participant.participantRole",
"comment" : "SHALL contain exactly one [1..1] participantRole (CONF:1198-8669).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Participant2.participantRole",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole"
}
],
"constraint" : [
{
"key" : "should-code",
"severity" : "warning",
"human" : "SHOULD contain code",
"expression" : "code.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
},
{
"key" : "should-addr",
"severity" : "warning",
"human" : "SHOULD contain addr",
"expression" : "addr.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
},
{
"key" : "should-telecom",
"severity" : "warning",
"human" : "SHOULD contain telecom",
"expression" : "telecom.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.nullFlavor",
"path" : "Observation.participant.participantRole.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.participant:custodian.participantRole.realmCode",
"path" : "Observation.participant.participantRole.realmCode",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.typeId",
"path" : "Observation.participant.participantRole.typeId",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.typeId.nullFlavor",
"path" : "Observation.participant.participantRole.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.participant:custodian.participantRole.typeId.assigningAuthorityName",
"path" : "Observation.participant.participantRole.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.typeId.displayable",
"path" : "Observation.participant.participantRole.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.typeId.root",
"path" : "Observation.participant.participantRole.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "Observation.participant:custodian.participantRole.typeId.extension",
"path" : "Observation.participant.participantRole.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.templateId",
"path" : "Observation.participant.participantRole.templateId",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.classCode",
"path" : "Observation.participant.participantRole.classCode",
"representation" : [
"xmlAttr"
],
"comment" : "This participantRole SHALL contain exactly one [1..1] @classCode=\"AGNT\" Agent (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1198-8670).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ParticipantRole.classCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"defaultValueCode" : "ROL",
"fixedCode" : "AGNT",
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot"
}
},
{
"id" : "Observation.participant:custodian.participantRole.id",
"path" : "Observation.participant.participantRole.id",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ParticipantRole.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.sdtcIdentifiedBy",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "identifiedBy"
}
],
"path" : "Observation.participant.participantRole.sdtcIdentifiedBy",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ParticipantRole.sdtcIdentifiedBy",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.code",
"path" : "Observation.participant.participantRole.code",
"comment" : "This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Agent or Proxy Choices urn:oid:2.16.840.1.113762.1.4.1046.35 DYNAMIC (CONF:1198-28440).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ParticipantRole.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35"
}
},
{
"id" : "Observation.participant:custodian.participantRole.addr",
"path" : "Observation.participant.participantRole.addr",
"comment" : "This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8671).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ParticipantRole.addr",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/AD",
"profile" : [
"http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
]
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.telecom",
"path" : "Observation.participant.participantRole.telecom",
"comment" : "This participantRole SHOULD contain zero or more [0..*] telecom (CONF:1198-8672).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ParticipantRole.telecom",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingDevice",
"path" : "Observation.participant.participantRole.playingDevice",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ParticipantRole.playingDevice",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Device"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity",
"path" : "Observation.participant.participantRole.playingEntity",
"comment" : "This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-8824).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ParticipantRole.playingEntity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity"
}
],
"constraint" : [
{
"key" : "should-code",
"severity" : "warning",
"human" : "SHOULD contain code",
"expression" : "code.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.nullFlavor",
"path" : "Observation.participant.participantRole.playingEntity.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.realmCode",
"path" : "Observation.participant.participantRole.playingEntity.realmCode",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.typeId",
"path" : "Observation.participant.participantRole.playingEntity.typeId",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.typeId.nullFlavor",
"path" : "Observation.participant.participantRole.playingEntity.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.typeId.assigningAuthorityName",
"path" : "Observation.participant.participantRole.playingEntity.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.typeId.displayable",
"path" : "Observation.participant.participantRole.playingEntity.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.typeId.root",
"path" : "Observation.participant.participantRole.playingEntity.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.typeId.extension",
"path" : "Observation.participant.participantRole.playingEntity.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.templateId",
"path" : "Observation.participant.participantRole.playingEntity.templateId",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.classCode",
"path" : "Observation.participant.participantRole.playingEntity.classCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "PlayingEntity.classCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"defaultValueCode" : "ENT",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityClassRoot"
}
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.determinerCode",
"path" : "Observation.participant.participantRole.playingEntity.determinerCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "PlayingEntity.determinerCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "INSTANCE",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"
}
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.code",
"path" : "Observation.participant.participantRole.playingEntity.code",
"comment" : "This playingEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal and Legal Relationship RoleType urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PlayingEntity.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"
}
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.quantity",
"path" : "Observation.participant.participantRole.playingEntity.quantity",
"min" : 0,
"max" : "*",
"base" : {
"path" : "PlayingEntity.quantity",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PQ"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.name",
"path" : "Observation.participant.participantRole.playingEntity.name",
"short" : "The name of the healthcare agent.",
"comment" : "This playingEntity SHALL contain exactly one [1..1] name (CONF:1198-8673).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "PlayingEntity.name",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PN"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.sdtcBirthTime",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "birthTime"
}
],
"path" : "Observation.participant.participantRole.playingEntity.sdtcBirthTime",
"definition" : "The purpose of this extension is to allow the recording of the subscriber or member of a health plan in cases where the health plan eligibility system has different information on file than the provider does for the patient.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PlayingEntity.sdtcBirthTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.desc",
"path" : "Observation.participant.participantRole.playingEntity.desc",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PlayingEntity.desc",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.scopingEntity",
"path" : "Observation.participant.participantRole.scopingEntity",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ParticipantRole.scopingEntity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Entity"
}
]
},
{
"id" : "Observation.entryRelationship",
"path" : "Observation.entryRelationship",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.entryRelationship",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
}
]
},
{
"id" : "Observation.reference",
"path" : "Observation.reference",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "typeCode"
}
],
"rules" : "open"
},
"min" : 1,
"max" : "*",
"base" : {
"path" : "Observation.reference",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
}
]
},
{
"id" : "Observation.reference:reference1",
"path" : "Observation.reference",
"sliceName" : "reference1",
"comment" : "SHOULD contain at least one [1..*] reference (CONF:1198-8692) such that it",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Observation.reference",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
}
]
},
{
"id" : "Observation.reference:reference1.nullFlavor",
"path" : "Observation.reference.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.reference:reference1.realmCode",
"path" : "Observation.reference.realmCode",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "Observation.reference:reference1.typeId",
"path" : "Observation.reference.typeId",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "Observation.reference:reference1.typeId.nullFlavor",
"path" : "Observation.reference.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.reference:reference1.typeId.assigningAuthorityName",
"path" : "Observation.reference.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.reference:reference1.typeId.displayable",
"path" : "Observation.reference.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "Observation.reference:reference1.typeId.root",
"path" : "Observation.reference.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "Observation.reference:reference1.typeId.extension",
"path" : "Observation.reference.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.reference:reference1.templateId",
"path" : "Observation.reference.templateId",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.reference:reference1.typeCode",
"path" : "Observation.reference.typeCode",
"representation" : [
"xmlAttr"
],
"comment" : "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8694).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Reference.typeCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "REFR",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference"
}
},
{
"id" : "Observation.reference:reference1.seperatableInd",
"path" : "Observation.reference.seperatableInd",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.seperatableInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/BL"
}
]
},
{
"id" : "Observation.reference:reference1.externalAct",
"path" : "Observation.reference.externalAct",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.externalAct",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalAct"
}
]
},
{
"id" : "Observation.reference:reference1.externalObservation",
"path" : "Observation.reference.externalObservation",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.externalObservation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalObservation"
}
]
},
{
"id" : "Observation.reference:reference1.externalProcedure",
"path" : "Observation.reference.externalProcedure",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.externalProcedure",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalProcedure"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "Observation.reference.externalDocument",
"short" : "π¨π¦πππ: External Document",
"comment" : "SHALL contain exactly one [1..1] externalDocument (CONF:1198-8693).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Reference.externalDocument",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.nullFlavor",
"path" : "Observation.reference.externalDocument.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.reference:reference1.externalDocument.realmCode",
"path" : "Observation.reference.externalDocument.realmCode",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.typeId",
"path" : "Observation.reference.externalDocument.typeId",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.typeId.nullFlavor",
"path" : "Observation.reference.externalDocument.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.reference:reference1.externalDocument.typeId.assigningAuthorityName",
"path" : "Observation.reference.externalDocument.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.typeId.displayable",
"path" : "Observation.reference.externalDocument.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.typeId.root",
"path" : "Observation.reference.externalDocument.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "Observation.reference:reference1.externalDocument.typeId.extension",
"path" : "Observation.reference.externalDocument.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.templateId",
"path" : "Observation.reference.externalDocument.templateId",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.classCode",
"path" : "Observation.reference.externalDocument.classCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ExternalDocument.classCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"defaultValueCode" : "DOC",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActClassDocument"
}
},
{
"id" : "Observation.reference:reference1.externalDocument.moodCode",
"path" : "Observation.reference.externalDocument.moodCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ExternalDocument.moodCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "EVN",
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAActMood"
}
},
{
"id" : "Observation.reference:reference1.externalDocument.id",
"path" : "Observation.reference.externalDocument.id",
"comment" : "This externalDocument SHALL contain at least one [1..*] id (CONF:1198-8695).",
"min" : 1,
"max" : "*",
"base" : {
"path" : "ExternalDocument.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.code",
"path" : "Observation.reference.externalDocument.code",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ExternalDocument.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
],
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41"
}
},
{
"id" : "Observation.reference:reference1.externalDocument.text",
"path" : "Observation.reference.externalDocument.text",
"comment" : "This externalDocument MAY contain zero or one [0..1] text (CONF:1198-8696).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ExternalDocument.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.text.nullFlavor",
"path" : "Observation.reference.externalDocument.text.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.reference:reference1.externalDocument.text.compression",
"path" : "Observation.reference.externalDocument.text.compression",
"representation" : [
"xmlAttr"
],
"label" : "Compression",
"definition" : "Indicates whether the raw byte data is compressed, and what compression algorithm was used.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ED.compression",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm"
}
},
{
"id" : "Observation.reference:reference1.externalDocument.text.integrityCheck",
"path" : "Observation.reference.externalDocument.text.integrityCheck",
"representation" : [
"xmlAttr"
],
"label" : "Integrity Check",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "ED.integrityCheck",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "base64Binary",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bin"
]
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.text.integrityCheckAlgorithm",
"path" : "Observation.reference.externalDocument.text.integrityCheckAlgorithm",
"representation" : [
"xmlAttr"
],
"label" : "Integrity Check Algorithm",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "ED.integrityCheckAlgorithm",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0"
}
},
{
"id" : "Observation.reference:reference1.externalDocument.text.language",
"path" : "Observation.reference.externalDocument.text.language",
"representation" : [
"xmlAttr"
],
"label" : "Language",
"definition" : "For character based information the language property specifies the human language of the text.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ED.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.text.mediaType",
"path" : "Observation.reference.externalDocument.text.mediaType",
"representation" : [
"xmlAttr"
],
"label" : "Media Type",
"definition" : "Identifies the type of the encapsulated data and identifies a method to interpret or render the data.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ED.mediaType",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "example",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-MediaType"
}
},
{
"id" : "Observation.reference:reference1.externalDocument.text.representation",
"path" : "Observation.reference.externalDocument.text.representation",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ED.representation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding"
}
},
{
"id" : "Observation.reference:reference1.externalDocument.text.xmlText",
"path" : "Observation.reference.externalDocument.text.xmlText",
"representation" : [
"xmlText"
],
"short" : "Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.",
"definition" : "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" : "This element is represented in XML as textual content. The actual name \"xmlText\" will not appear in a CDA instance.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ED.xmlText",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.text.reference",
"path" : "Observation.reference.externalDocument.text.reference",
"label" : "Reference",
"short" : "The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698).",
"definition" : "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.",
"comment" : "The text, if present, MAY contain zero or one [0..1] reference (CONF:1198-8697).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ED.reference",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
}
],
"constraint" : [
{
"key" : "1198-8699",
"severity" : "warning",
"human" : "If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699).",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.text.thumbnail",
"path" : "Observation.reference.externalDocument.text.thumbnail",
"label" : "Thumbnail",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "ED.thumbnail",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.setId",
"path" : "Observation.reference.externalDocument.setId",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ExternalDocument.setId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.versionNumber",
"path" : "Observation.reference.externalDocument.versionNumber",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ExternalDocument.versionNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/INT"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.sdtcAuthor",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "author"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "Observation.reference.externalDocument.sdtcAuthor",
"short" : "π¨π¦πππ: Author",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ExternalDocument.sdtcAuthor",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Author"
}
]
},
{
"id" : "Observation.precondition",
"path" : "Observation.precondition",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.precondition",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Precondition"
}
]
},
{
"id" : "Observation.sdtcPrecondition2",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "precondition2"
}
],
"path" : "Observation.sdtcPrecondition2",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.sdtcPrecondition2",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Precondition2"
}
]
},
{
"id" : "Observation.referenceRange",
"path" : "Observation.referenceRange",
"definition" : "Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.referenceRange",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "Observation.referenceRange.nullFlavor",
"path" : "Observation.referenceRange.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.referenceRange.realmCode",
"path" : "Observation.referenceRange.realmCode",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "Observation.referenceRange.typeId",
"path" : "Observation.referenceRange.typeId",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation"
}
]
},
{
"id" : "Observation.referenceRange.typeId.nullFlavor",
"path" : "Observation.referenceRange.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Observation.referenceRange.typeId.assigningAuthorityName",
"path" : "Observation.referenceRange.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.referenceRange.typeId.displayable",
"path" : "Observation.referenceRange.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "Observation.referenceRange.typeId.root",
"path" : "Observation.referenceRange.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "Observation.referenceRange.typeId.extension",
"path" : "Observation.referenceRange.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.referenceRange.templateId",
"path" : "Observation.referenceRange.templateId",
"definition" : "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" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.referenceRange.typeCode",
"path" : "Observation.referenceRange.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.referenceRange.typeCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "REFV",
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType"
}
},
{
"id" : "Observation.referenceRange.observationRange",
"path" : "Observation.referenceRange.observationRange",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.referenceRange.observationRange",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange"
}
]
},
{
"id" : "Observation.sdtcInFulfillmentOf1",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "inFulfillmentOf1"
}
],
"path" : "Observation.sdtcInFulfillmentOf1",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.sdtcInFulfillmentOf1",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Observation",
"path" : "Observation",
"constraint" : [
{
"key" : "should-text-ref-value",
"severity" : "warning",
"human" : "SHOULD contain text/reference/@value",
"expression" : "text.reference.value.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
},
{
"key" : "should-author",
"severity" : "warning",
"human" : "SHOULD contain author",
"expression" : "author.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
},
{
"key" : "should-informant",
"severity" : "warning",
"human" : "SHOULD contain informant",
"expression" : "informant.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.templateId",
"path" : "Observation.templateId",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "root"
},
{
"type" : "value",
"path" : "extension"
}
],
"rules" : "open"
},
"min" : 1
},
{
"id" : "Observation.templateId:advance-directive-obs",
"path" : "Observation.templateId",
"sliceName" : "advance-directive-obs",
"min" : 1,
"max" : "1"
},
{
"id" : "Observation.templateId:advance-directive-obs.root",
"path" : "Observation.templateId.root",
"min" : 1,
"patternString" : "2.16.840.1.113883.10.20.22.4.48"
},
{
"id" : "Observation.templateId:advance-directive-obs.extension",
"path" : "Observation.templateId.extension",
"min" : 1,
"patternString" : "2025-05-01"
},
{
"id" : "Observation.classCode",
"path" : "Observation.classCode",
"comment" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC).",
"fixedCode" : "OBS"
},
{
"id" : "Observation.moodCode",
"path" : "Observation.moodCode",
"comment" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC).",
"fixedCode" : "EVN"
},
{
"id" : "Observation.id",
"path" : "Observation.id",
"comment" : "SHALL contain at least one [1..*] id.",
"min" : 1
},
{
"id" : "Observation.code",
"path" : "Observation.code",
"short" : "Advance Directive",
"constraint" : [
{
"key" : "should-translation",
"severity" : "warning",
"human" : "SHOULD contain translation",
"expression" : "translation.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.code.code",
"path" : "Observation.code.code",
"min" : 1,
"patternCode" : "75320-2"
},
{
"id" : "Observation.code.codeSystem",
"path" : "Observation.code.codeSystem",
"short" : "LOINC",
"min" : 1,
"patternString" : "2.16.840.1.113883.6.1"
},
{
"id" : "Observation.code.translation",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "Observation.code.translation",
"short" : "π¨π¦πππ: Advance Directive Type",
"comment" : "This code SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Advance Directives Categories urn:oid:2.16.840.1.113883.11.20.9.69.4.",
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4"
}
},
{
"id" : "Observation.text",
"path" : "Observation.text",
"short" : "SHOULD reference the portion of section narrative text corresponding to this entry",
"min" : 1
},
{
"id" : "Observation.text.reference",
"path" : "Observation.text.reference",
"constraint" : [
{
"key" : "value-starts-octothorpe",
"severity" : "error",
"human" : "If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative",
"expression" : "value.exists() implies value.startsWith('#')",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.statusCode",
"path" : "Observation.statusCode",
"comment" : "SHALL contain exactly one [1..1] statusCode (CONF:1198-8652).",
"min" : 1
},
{
"id" : "Observation.statusCode.code",
"path" : "Observation.statusCode.code",
"comment" : "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19082).",
"min" : 1,
"fixedCode" : "completed"
},
{
"id" : "Observation.effectiveTime",
"path" : "Observation.effectiveTime",
"comment" : "SHALL contain exactly one [1..1] effectiveTime.",
"min" : 1
},
{
"id" : "Observation.effectiveTime.low",
"path" : "Observation.effectiveTime.low",
"comment" : "This effectiveTime SHALL contain exactly one [1..1] low.",
"min" : 1
},
{
"id" : "Observation.effectiveTime.high",
"path" : "Observation.effectiveTime.high",
"comment" : "This effectiveTime SHALL contain exactly one [1..1] high.",
"min" : 1,
"constraint" : [
{
"key" : "1198-32449",
"severity" : "error",
"human" : "If the Advance Directive does not have a specified ending time, the <high> element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449).",
"expression" : "value.exists() or nullFlavor = 'NA'",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.value",
"path" : "Observation.value",
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
],
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41"
}
},
{
"id" : "Observation.author",
"path" : "Observation.author",
"comment" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119).",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Author",
"profile" : [
"http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation"
]
}
]
},
{
"id" : "Observation.informant",
"path" : "Observation.informant",
"short" : "SHOULD contain informant"
},
{
"id" : "Observation.participant",
"path" : "Observation.participant",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "typeCode"
}
],
"rules" : "open"
}
},
{
"id" : "Observation.participant:verifier",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "Observation.participant",
"sliceName" : "verifier",
"short" : "π¨π¦πππ: Verifier - The participant \"VRF\" represents the clinician(s) who verified the patient advance directive.",
"comment" : "SHOULD contain zero or more [0..*] participant (CONF:1198-8662) such that it",
"min" : 0,
"max" : "*",
"constraint" : [
{
"key" : "should-time",
"severity" : "warning",
"human" : "SHOULD contain time",
"expression" : "time.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.participant:verifier.templateId",
"path" : "Observation.participant.templateId",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "root"
}
],
"rules" : "open"
},
"min" : 1
},
{
"id" : "Observation.participant:verifier.templateId:primary",
"path" : "Observation.participant.templateId",
"sliceName" : "primary",
"comment" : "SHALL contain exactly one [1..1] templateId (CONF:1198-8664) such that it",
"min" : 1,
"max" : "1"
},
{
"id" : "Observation.participant:verifier.templateId:primary.root",
"path" : "Observation.participant.templateId.root",
"comment" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.1.58\" (CONF:1198-10486).",
"min" : 1,
"patternString" : "2.16.840.1.113883.10.20.1.58"
},
{
"id" : "Observation.participant:verifier.templateId:primary.extension",
"path" : "Observation.participant.templateId.extension",
"comment" : "SHALL not contain [0..0] extension",
"max" : "0"
},
{
"id" : "Observation.participant:verifier.typeCode",
"path" : "Observation.participant.typeCode",
"comment" : "SHALL contain exactly one [1..1] @typeCode=\"VRF\" Verifier (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8663).",
"fixedCode" : "VRF"
},
{
"id" : "Observation.participant:verifier.time",
"path" : "Observation.participant.time",
"comment" : "SHOULD contain zero or one [0..1] time (CONF:1198-8665).",
"constraint" : [
{
"key" : "value-only",
"severity" : "error",
"human" : "Interval fields SHALL NOT be present",
"expression" : "(low | high | width | center).empty()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.participant:verifier.time.value",
"path" : "Observation.participant.time.value",
"short" : "value should be used instead of low/high"
},
{
"id" : "Observation.participant:verifier.participantRole",
"path" : "Observation.participant.participantRole",
"comment" : "SHALL contain exactly one [1..1] participantRole (CONF:1198-8825).",
"constraint" : [
{
"key" : "should-code",
"severity" : "warning",
"human" : "SHOULD contain code",
"expression" : "code.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.participant:verifier.participantRole.code",
"path" : "Observation.participant.participantRole.code",
"comment" : "This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-28446).",
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"
}
},
{
"id" : "Observation.participant:verifier.participantRole.addr",
"path" : "Observation.participant.participantRole.addr",
"comment" : "This participantRole MAY contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-28451).",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/AD",
"profile" : [
"http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
]
}
]
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity",
"path" : "Observation.participant.participantRole.playingEntity",
"comment" : "This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-28428).",
"min" : 1
},
{
"id" : "Observation.participant:verifier.participantRole.playingEntity.name",
"path" : "Observation.participant.participantRole.playingEntity.name",
"comment" : "The playingEntity SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-28454).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PN",
"profile" : [
"http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"
]
}
]
},
{
"id" : "Observation.participant:custodian",
"path" : "Observation.participant",
"sliceName" : "custodian",
"short" : "This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter.",
"comment" : "SHOULD contain zero or more [0..*] participant (CONF:1198-8667) such that it",
"min" : 0,
"max" : "*"
},
{
"id" : "Observation.participant:custodian.typeCode",
"path" : "Observation.participant.typeCode",
"comment" : "SHALL contain exactly one [1..1] @typeCode=\"CST\" Custodian (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8668).",
"fixedCode" : "CST"
},
{
"id" : "Observation.participant:custodian.participantRole",
"path" : "Observation.participant.participantRole",
"comment" : "SHALL contain exactly one [1..1] participantRole (CONF:1198-8669).",
"constraint" : [
{
"key" : "should-code",
"severity" : "warning",
"human" : "SHOULD contain code",
"expression" : "code.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
},
{
"key" : "should-addr",
"severity" : "warning",
"human" : "SHOULD contain addr",
"expression" : "addr.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
},
{
"key" : "should-telecom",
"severity" : "warning",
"human" : "SHOULD contain telecom",
"expression" : "telecom.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.classCode",
"path" : "Observation.participant.participantRole.classCode",
"comment" : "This participantRole SHALL contain exactly one [1..1] @classCode=\"AGNT\" Agent (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1198-8670).",
"min" : 1,
"fixedCode" : "AGNT"
},
{
"id" : "Observation.participant:custodian.participantRole.code",
"path" : "Observation.participant.participantRole.code",
"comment" : "This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Agent or Proxy Choices urn:oid:2.16.840.1.113762.1.4.1046.35 DYNAMIC (CONF:1198-28440).",
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35"
}
},
{
"id" : "Observation.participant:custodian.participantRole.addr",
"path" : "Observation.participant.participantRole.addr",
"comment" : "This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8671).",
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/AD",
"profile" : [
"http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
]
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.telecom",
"path" : "Observation.participant.participantRole.telecom",
"comment" : "This participantRole SHOULD contain zero or more [0..*] telecom (CONF:1198-8672)."
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity",
"path" : "Observation.participant.participantRole.playingEntity",
"comment" : "This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-8824).",
"min" : 1,
"constraint" : [
{
"key" : "should-code",
"severity" : "warning",
"human" : "SHOULD contain code",
"expression" : "code.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.code",
"path" : "Observation.participant.participantRole.playingEntity.code",
"comment" : "This playingEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal and Legal Relationship RoleType urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC.",
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"
}
},
{
"id" : "Observation.participant:custodian.participantRole.playingEntity.name",
"path" : "Observation.participant.participantRole.playingEntity.name",
"short" : "The name of the healthcare agent.",
"comment" : "This playingEntity SHALL contain exactly one [1..1] name (CONF:1198-8673).",
"min" : 1,
"max" : "1"
},
{
"id" : "Observation.reference",
"path" : "Observation.reference",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "typeCode"
}
],
"rules" : "open"
},
"min" : 1
},
{
"id" : "Observation.reference:reference1",
"path" : "Observation.reference",
"sliceName" : "reference1",
"comment" : "SHOULD contain at least one [1..*] reference (CONF:1198-8692) such that it",
"min" : 1,
"max" : "*"
},
{
"id" : "Observation.reference:reference1.typeCode",
"path" : "Observation.reference.typeCode",
"comment" : "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8694).",
"fixedCode" : "REFR"
},
{
"id" : "Observation.reference:reference1.externalDocument",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "Observation.reference.externalDocument",
"short" : "π¨π¦πππ: External Document",
"comment" : "SHALL contain exactly one [1..1] externalDocument (CONF:1198-8693).",
"min" : 1
},
{
"id" : "Observation.reference:reference1.externalDocument.id",
"path" : "Observation.reference.externalDocument.id",
"comment" : "This externalDocument SHALL contain at least one [1..*] id (CONF:1198-8695).",
"min" : 1
},
{
"id" : "Observation.reference:reference1.externalDocument.code",
"path" : "Observation.reference.externalDocument.code",
"min" : 1,
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41"
}
},
{
"id" : "Observation.reference:reference1.externalDocument.text",
"path" : "Observation.reference.externalDocument.text",
"comment" : "This externalDocument MAY contain zero or one [0..1] text (CONF:1198-8696)."
},
{
"id" : "Observation.reference:reference1.externalDocument.text.reference",
"path" : "Observation.reference.externalDocument.text.reference",
"short" : "The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698).",
"comment" : "The text, if present, MAY contain zero or one [0..1] reference (CONF:1198-8697).",
"constraint" : [
{
"key" : "1198-8699",
"severity" : "warning",
"human" : "If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699).",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"
}
]
},
{
"id" : "Observation.reference:reference1.externalDocument.sdtcAuthor",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "author"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "Observation.reference.externalDocument.sdtcAuthor",
"short" : "π¨π¦πππ: Author"
}
]
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.