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-ProblemObservation.html |
Url | http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation |
Version | 3.0.0 |
Status | draft |
Date | 2024-07-23T20:00:48+00:00 |
Name | ProblemObservation |
Title | Problem Observation |
Experimental | False |
Realm | us |
Authority | hl7 |
Description | This template reflects a discrete observation about a patient's problem. Because it is a discrete observation, it will have a statusCode of "completed". The effectiveTime, also referred to as the "biologically relevant time" is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of heart attack that occurred five years ago, the effectiveTime is five years ago. The effectiveTime of the Problem Observation is the definitive indication of whether or not the underlying condition is inactive. If the problem is known to be resolved, in remission, or otherwise inactive, then an effectiveTime/high would be present. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK". |
Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation |
Kind | logical |
StructureDefinition | |
ComplicationsSection | Complications Section |
DeceasedObservation | Deceased Observation |
EncounterDiagnosis | Encounter Diagnosis |
HealthConcernAct | Health Concern Act |
HospitalAdmissionDiagnosis | Hospital Admission Diagnosis |
HospitalDischargeDiagnosis | Hospital Discharge Diagnosis |
LongitudinalCareWoundObservation | Longitudinal Care Wound Observation |
PastMedicalHistory | Past Medical History |
PostprocedureDiagnosis | Postprocedure Diagnosis |
PreoperativeDiagnosis | Preoperative Diagnosis |
ProblemConcernAct | Problem Concern Act |
ProcedureFindingsSection | Procedure Findings Section |
RiskConcernAct | Risk Concern Act |
StructureDefinition | |
http://hl7.org/cda/stds/core/StructureDefinition/Act | Act (CDA Class) |
http://hl7.org/cda/stds/core/StructureDefinition/Author | Author (CDA Class) |
http://hl7.org/cda/stds/core/StructureDefinition/CD | CD: ConceptDescriptor (V3 Data Type) |
http://hl7.org/cda/stds/core/StructureDefinition/Observation | Observation (CDA Class) |
AgeObservation | Age Observation |
AssessmentScaleObservation | Assessment Scale Observation |
AuthorParticipation | Author Participation |
DateOfDiagnosisAct | Date of Diagnosis Act |
EntryReference | Entry Reference |
PriorityPreference | Priority Preference |
ProblemStatus | Problem Status |
PrognosisObservation | Prognosis Observation |
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code | US Core Condition Codes |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ProblemObservation
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, 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) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author | ||||||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||
templateId:problem-obs | 1..1 | II | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.4 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
@classCode | 1..1 | cs | Fixed Value: OBS | |||||||
@moodCode | 1..1 | cs | Fixed Value: EVN | |||||||
@negationInd | 0..1 | bl | The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. | |||||||
id | 1..* | II | ||||||||
code | 1..1 | CD | Binding: https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1 (preferred) | |||||||
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||||||
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | ||||||
statusCode | 1..1 | CS | ||||||||
@code | 1..1 | cs | Fixed Value: completed | |||||||
effectiveTime | 1..1 | IVL_TS | If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved. | |||||||
low | 1..1 | IVXB_TS | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | |||||||
high | 0..1 | IVXB_TS | (USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved. | |||||||
value | 1..1 | CD | (USCDI) SDOH Problems/Health Concerns Binding: US Core Condition Codes (preferred) | |||||||
@code | 0..1 | cs | A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951). Binding: (unbound) (example): See additional binding
| |||||||
qualifier | 0..* | CR | The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML. | |||||||
author | 0..* | AuthorParticipation | Base for all types and resources | |||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:act | |||||||
entryRelationship:age | 0..1 | EntryRelationship | ||||||||
@typeCode | 1..1 | cs | Fixed Value: SUBJ | |||||||
@inversionInd | 1..1 | bl | Fixed Value: true | |||||||
observation | 1..1 | AgeObservation | Base for all types and resources | |||||||
entryRelationship:prognosis | 0..1 | EntryRelationship | ||||||||
@typeCode | 1..1 | cs | Fixed Value: REFR | |||||||
observation | 1..1 | PrognosisObservation | Base for all types and resources | |||||||
entryRelationship:priority | 0..* | EntryRelationship | ||||||||
@typeCode | 1..1 | cs | Fixed Value: REFR | |||||||
observation | 1..1 | PriorityPreference | Base for all types and resources | |||||||
entryRelationship:status | 0..1 | EntryRelationship | ||||||||
@typeCode | 1..1 | cs | Fixed Value: REFR | |||||||
observation | 1..1 | ProblemStatus | Base for all types and resources | |||||||
entryRelationship:reference | 0..1 | EntryRelationship | ||||||||
@typeCode | 1..1 | cs | Fixed Value: SPRT | |||||||
act | 1..1 | EntryReference | Base for all types and resources | |||||||
entryRelationship:assessment | 0..1 | EntryRelationship | ||||||||
@typeCode | 1..1 | cs | Fixed Value: SPRT | |||||||
observation | 1..1 | AssessmentScaleObservation | Base for all types and resources | |||||||
entryRelationship:dateOfDiagnosis | 0..1 | EntryRelationship | (USCDI) Date of Diagnosis | |||||||
@typeCode | 1..1 | cs | Fixed Value: COMP | |||||||
act | 1..1 | DateOfDiagnosisAct | Base for all types and resources | |||||||
Documentation for this format |
{
"resourceType" : "StructureDefinition",
"id" : "ProblemObservation",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition ProblemObservation</b></p><a name=\"ProblemObservation\"> </a><a name=\"hcProblemObservation\"> </a><a name=\"ProblemObservation-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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" 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=\"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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" 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 : 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-ProblemObservation-definitions.html#Observation\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-text-ref-value, should-author )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">Observation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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/2.0.0-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/2.0.0-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/2.0.0-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/2.0.0-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/2.0.0-sd/StructureDefinition-Observation.html\">@classCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">@moodCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">@negationInd</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">id</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">code</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">derivationExpr</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">text</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">statusCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">effectiveTime</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">priorityCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">repeatNumber</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">languageCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">value</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">interpretationCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">methodCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\" title=\"Drawn from concept domain ActSite\">targetSiteCode</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">subject</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">specimen</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">performer</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">author</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">informant</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">participant</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">entryRelationship</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">reference</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">precondition</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html\">sdtcPrecondition2</a>, <a href=\"http://hl7.org/cda/stds/core/2.0.0-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/2.0.0-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/2.0.0-sd/StructureDefinition-ClinicalDocument.html\">ClinicalDocument (CDA Class)</a><br/><span style=\"font-weight:bold\">should-text-ref-value: </span>SHOULD contain text/reference/@value<br/><span style=\"font-weight:bold\">should-author: </span>SHOULD contain author</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 : 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\" href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.templateId\">Slices for templateId</a><a name=\"Observation.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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 : 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-ProblemObservation-definitions.html#Observation.templateId:problem-obs\" title=\"Slice problem-obs\">templateId:problem-obs</a><a name=\"Observation.templateId.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-ProblemObservation-definitions.html#Observation.templateId:problem-obs.root\">@root</a><a name=\"Observation.templateId.root\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-oid.html\" title=\"string\">oid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-uuid.html\" title=\"string\">uuid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ruid.html\" title=\"string\">ruid</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.10.20.22.4.4</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 : 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-ProblemObservation-definitions.html#Observation.templateId:problem-obs.extension\">@extension</a><a name=\"Observation.templateId.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-st-simple.html\" title=\"string\">st</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2024-05-01</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 : 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-ProblemObservation-definitions.html#Observation.classCode\">@classCode</a><a name=\"Observation.classCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">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 : 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-ProblemObservation-definitions.html#Observation.moodCode\">@moodCode</a><a name=\"Observation.moodCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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 : 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-ProblemObservation-definitions.html#Observation.negationInd\">@negationInd</a><a name=\"Observation.negationInd\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-bl-simple.html\" title=\"boolean\">bl</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.</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 : 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-ProblemObservation-definitions.html#Observation.id\">id</a><a name=\"Observation.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1\">https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1</a> (<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.\">preferred</a>)</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 : 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-ProblemObservation-definitions.html#Observation.text\">text</a><a name=\"Observation.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ED.html\">ED</a></td><td style=\"vertical-align: top; text-align : 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 : 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-ProblemObservation-definitions.html#Observation.text.reference\">reference</a><a name=\"Observation.text.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"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 : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-TEL.html\">TEL</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">value-starts-octothorpe: </span>If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative</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 : 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-ProblemObservation-definitions.html#Observation.statusCode\">statusCode</a><a name=\"Observation.statusCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CS.html\">CS</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.statusCode.code\">@code</a><a name=\"Observation.statusCode.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">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 : 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-ProblemObservation-definitions.html#Observation.effectiveTime\">effectiveTime</a><a name=\"Observation.effectiveTime\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-IVL-TS.html\">IVL_TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.effectiveTime.low\">low</a><a name=\"Observation.effectiveTime.low\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-IVXB-TS.html\">IVXB_TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.</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 : 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-ProblemObservation-definitions.html#Observation.effectiveTime.high\">high</a><a name=\"Observation.effectiveTime.high\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-IVXB-TS.html\">IVXB_TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">(USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved.</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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.value\">value</a><a name=\"Observation.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">(USCDI) SDOH Problems/Health Concerns<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/us/core/STU7/ValueSet-us-core-condition-code.html\" title=\"http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code\">US Core Condition Codes</a> (<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.\">preferred</a>)</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 : 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-ProblemObservation-definitions.html#Observation.value.code\">@code</a><a name=\"Observation.value.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951).<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R5/terminologies.html#unbound\">(unbound)</a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#example\" title=\"Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.\">example</a>): See additional binding<br/><br/><table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Additional Bindings</b></td><td style=\"font-size: 11px\">Purpose</td><td style=\"font-size: 11px\">Documentation</td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.788\">Social Determinants of Health Conditions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R5/valueset-additional-binding-purpose.html#additional-binding-purpose-preferred\" title=\"This is the value set that is recommended (documentation should explain why)\">Preferred</a></td><td style=\"font-size: 11px\"><div>Social Determinant of Health Observations</div></td></tr></table></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 : 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-ProblemObservation-definitions.html#Observation.value.qualifier\">qualifier</a><a name=\"Observation.value.qualifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CR.html\">CR</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined.\n\n In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo -\nUsing SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.author\">author</a><a name=\"Observation.author\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-AuthorParticipation.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Author\">AuthorParticipation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</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 : left; background-color: #F7F7F7; 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: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship\">Slices for entryRelationship</a><a name=\"Observation.entryRelationship\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:observation, profile:act</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:age\" title=\"Slice age\">entryRelationship:age</a><a name=\"Observation.entryRelationship.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:age.typeCode\">@typeCode</a><a name=\"Observation.entryRelationship.typeCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">SUBJ</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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:age.inversionInd\">@inversionInd</a><a name=\"Observation.entryRelationship.inversionInd\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-bl-simple.html\" title=\"boolean\">bl</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">true</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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:age.observation\">observation</a><a name=\"Observation.entryRelationship.observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-AgeObservation.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Observation\">AgeObservation</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:prognosis\" title=\"Slice prognosis\">entryRelationship:prognosis</a><a name=\"Observation.entryRelationship.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:prognosis.typeCode\">@typeCode</a><a name=\"Observation.entryRelationship.typeCode.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">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: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:prognosis.observation\">observation</a><a name=\"Observation.entryRelationship.observation.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-PrognosisObservation.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Observation\">PrognosisObservation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:priority\" title=\"Slice priority\">entryRelationship:priority</a><a name=\"Observation.entryRelationship.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:priority.typeCode\">@typeCode</a><a name=\"Observation.entryRelationship.typeCode.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:priority.observation\">observation</a><a name=\"Observation.entryRelationship.observation.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-PriorityPreference.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Observation\">PriorityPreference</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:status\" title=\"Slice status\">entryRelationship:status</a><a name=\"Observation.entryRelationship.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:status.typeCode\">@typeCode</a><a name=\"Observation.entryRelationship.typeCode.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">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: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:status.observation\">observation</a><a name=\"Observation.entryRelationship.observation.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-ProblemStatus.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Observation\">ProblemStatus</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:reference\" title=\"Slice reference\">entryRelationship:reference</a><a name=\"Observation.entryRelationship.6\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:reference.typeCode\">@typeCode</a><a name=\"Observation.entryRelationship.typeCode.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">SPRT</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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:reference.act\">act</a><a name=\"Observation.entryRelationship.act\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-EntryReference.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Act\">EntryReference</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:assessment\" title=\"Slice assessment\">entryRelationship:assessment</a><a name=\"Observation.entryRelationship.7\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:assessment.typeCode\">@typeCode</a><a name=\"Observation.entryRelationship.typeCode.6\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">SPRT</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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:assessment.observation\">observation</a><a name=\"Observation.entryRelationship.observation.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-AssessmentScaleObservation.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Observation\">AssessmentScaleObservation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</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 : 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-ProblemObservation-definitions.html#Observation.entryRelationship:dateOfDiagnosis\" title=\"Slice dateOfDiagnosis\">entryRelationship:dateOfDiagnosis</a><a name=\"Observation.entryRelationship.8\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">(USCDI) Date of Diagnosis</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 : 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-ProblemObservation-definitions.html#Observation.entryRelationship:dateOfDiagnosis.typeCode\">@typeCode</a><a name=\"Observation.entryRelationship.typeCode.7\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">COMP</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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ProblemObservation-definitions.html#Observation.entryRelationship:dateOfDiagnosis.act\">act</a><a name=\"Observation.entryRelationship.act.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-DateOfDiagnosisAct.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Act\">DateOfDiagnosisAct</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</span></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",
"valueUri" : "cda"
}
],
"url" : "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2024-05-01"
}
],
"version" : "3.0.0",
"name" : "ProblemObservation",
"title" : "Problem Observation",
"status" : "draft",
"date" : "2024-07-23T20:00:48+00:00",
"publisher" : "Health Level Seven",
"contact" : [
{
"name" : "HL7 International - Structured Documents",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/structure"
}
]
}
],
"description" : "This template reflects a discrete observation about a patient's problem. Because it is a discrete observation, it will have a statusCode of \"completed\". The effectiveTime, also referred to as the \"biologically relevant time\" is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of heart attack that occurred five years ago, the effectiveTime is five years ago. \n\nThe effectiveTime of the Problem Observation is the definitive indication of whether or not the underlying condition is inactive. If the problem is known to be resolved, in remission, or otherwise inactive, then an effectiveTime/high would be present. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of \"UNK\".",
"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" : {
"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/ProblemObservation"
},
{
"key" : "should-author",
"severity" : "warning",
"human" : "SHOULD contain author",
"expression" : "author.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation"
}
],
"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"
}
]
},
{
"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:problem-obs",
"path" : "Observation.templateId",
"sliceName" : "problem-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:problem-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:problem-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:problem-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:problem-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" : "2.16.840.1.113883.10.20.22.4.4"
},
{
"id" : "Observation.templateId:problem-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" : "2024-05-01"
},
{
"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) (CONF:1198-9041).",
"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) (CONF:1198-9042).",
"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"
],
"short" : "The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of \"true\" coupled with an observation/value of SNOMED code 64572001 \"Disease (disorder)\" indicates that the patient has no known conditions.",
"comment" : "MAY contain zero or one [0..1] @negationInd (CONF:1198-10139).",
"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 (CONF:1198-9043).",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Observation.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Observation.code",
"path" : "Observation.code",
"representation" : [
"typeAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.code",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
],
"binding" : {
"strength" : "preferred",
"valueSet" : "https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1"
}
},
{
"id" : "Observation.derivationExpr",
"path" : "Observation.derivationExpr",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.derivationExpr",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ST"
}
]
},
{
"id" : "Observation.text",
"path" : "Observation.text",
"representation" : [
"typeAttr"
],
"short" : "SHOULD reference the portion of section narrative text corresponding to this entry",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "Observation.text.nullFlavor",
"path" : "Observation.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.text.compression",
"path" : "Observation.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.text.integrityCheck",
"path" : "Observation.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.text.integrityCheckAlgorithm",
"path" : "Observation.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.text.language",
"path" : "Observation.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.text.mediaType",
"path" : "Observation.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.text.representation",
"path" : "Observation.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.text.xmlText",
"path" : "Observation.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.text.reference",
"path" : "Observation.text.reference",
"label" : "Reference",
"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.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ED.reference",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
}
],
"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/ProblemObservation"
}
]
},
{
"id" : "Observation.text.thumbnail",
"path" : "Observation.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.statusCode",
"path" : "Observation.statusCode",
"comment" : "SHALL contain exactly one [1..1] statusCode (CONF:1198-9049).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.statusCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActStatus"
}
},
{
"id" : "Observation.statusCode.nullFlavor",
"path" : "Observation.statusCode.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.statusCode.code",
"path" : "Observation.statusCode.code",
"representation" : [
"xmlAttr"
],
"label" : "Code",
"definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
"comment" : "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19112).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CD.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "completed"
},
{
"id" : "Observation.statusCode.codeSystem",
"path" : "Observation.statusCode.codeSystem",
"representation" : [
"xmlAttr"
],
"label" : "Code System",
"definition" : "Specifies the code system that defines the code.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.codeSystem",
"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"
]
}
]
},
{
"id" : "Observation.statusCode.codeSystemName",
"path" : "Observation.statusCode.codeSystemName",
"representation" : [
"xmlAttr"
],
"label" : "Code System Name",
"definition" : "The common name of the coding system.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.codeSystemName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.statusCode.codeSystemVersion",
"path" : "Observation.statusCode.codeSystemVersion",
"representation" : [
"xmlAttr"
],
"label" : "Code System Version",
"definition" : "If applicable, a version descriptor defined specifically for the given code system.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.codeSystemVersion",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.statusCode.displayName",
"path" : "Observation.statusCode.displayName",
"representation" : [
"xmlAttr"
],
"label" : "Display Name",
"definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.displayName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.statusCode.sdtcValueSet",
"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" : "valueSet"
}
],
"path" : "Observation.statusCode.sdtcValueSet",
"representation" : [
"xmlAttr"
],
"definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.valueSet",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid"
]
}
]
},
{
"id" : "Observation.statusCode.sdtcValueSetVersion",
"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" : "valueSetVersion"
}
],
"path" : "Observation.statusCode.sdtcValueSetVersion",
"representation" : [
"xmlAttr"
],
"definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.sdtcValueSetVersion",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Observation.statusCode.originalText",
"path" : "Observation.statusCode.originalText",
"label" : "Original Text",
"definition" : "The text or phrase used as the basis for the coding.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.originalText",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "Observation.statusCode.qualifier",
"path" : "Observation.statusCode.qualifier",
"label" : "Qualifier",
"definition" : "Specifies additional codes that increase the specificity of the the primary code.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.qualifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CR"
}
]
},
{
"id" : "Observation.statusCode.translation",
"path" : "Observation.statusCode.translation",
"representation" : [
"typeAttr"
],
"label" : "Translation",
"definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.translation",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
]
},
{
"id" : "Observation.effectiveTime",
"path" : "Observation.effectiveTime",
"short" : "If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.",
"comment" : "SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.effectiveTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
}
]
},
{
"id" : "Observation.effectiveTime.nullFlavor",
"path" : "Observation.effectiveTime.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.effectiveTime.value",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format",
"valueString" : "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules",
"valueString" : "year-valid"
}
],
"path" : "Observation.effectiveTime.value",
"representation" : [
"xmlAttr"
],
"definition" : "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TS.value",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"
]
}
]
},
{
"id" : "Observation.effectiveTime.operator",
"path" : "Observation.effectiveTime.operator",
"representation" : [
"xmlAttr"
],
"definition" : "A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "SXCM_TS.operator",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"defaultValueCode" : "I",
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDASetOperator"
}
},
{
"id" : "Observation.effectiveTime.low",
"path" : "Observation.effectiveTime.low",
"label" : "Low Boundary",
"short" : "The effectiveTime/low (a.k.a. \"onset date\") asserts when the condition became biologically active.",
"definition" : "This is the low limit of the interval.",
"comment" : "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "IVL_TS.low",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"
}
]
},
{
"id" : "Observation.effectiveTime.center",
"path" : "Observation.effectiveTime.center",
"label" : "Central Value",
"definition" : "The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "IVL_TS.center",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
}
]
},
{
"id" : "Observation.effectiveTime.width",
"path" : "Observation.effectiveTime.width",
"label" : "Width",
"definition" : "The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "IVL_TS.width",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PQ"
}
]
},
{
"id" : "Observation.effectiveTime.high",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "Observation.effectiveTime.high",
"label" : "High Boundary",
"short" : "(USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved.",
"definition" : "This is the high limit of the interval.",
"comment" : "This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-15604).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "IVL_TS.high",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"
}
]
},
{
"id" : "Observation.priorityCode",
"path" : "Observation.priorityCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.priorityCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
&n