| Package | hl7.cda.us.ccdar2dot2 |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R4 |
| Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.4.3.html |
| Url | http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.3 |
| Version | 2.2 |
| Status | active |
| Date | 2022-05-13T15:50:12+00:00 |
| Name | ProblemConcernAct |
| Title | Problem Concern Act |
| Experimental | False |
| Realm | us |
| Authority | hl7 |
| Description | This template reflects an ongoing concern on behalf of the provider that placed the concern on a patients problem list. So long as the underlying condition is of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is active. Only when the underlying condition is no longer of concern is the statusCode set to completed. The effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, the clinician may remain concerned about a prior heart attack). The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved. The effectiveTime/low of the Problem Concern Act asserts when the concern became active. The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition). A Problem Concern Act can contain many Problem Observations (templateId 2.16.840.1.113883.10.20.22.4.4). Each Problem Observation is a discrete observation of a condition, and therefore will have a statusCode of completed. The many Problem Observations nested under a Problem Concern Act reflect the change in the clinical understanding of a condition over time. For instance, a Concern may initially contain a Problem Observation of chest pain: - Problem Concern 1 --- Problem Observation: Chest Pain Later, a new Problem Observation of esophagitis will be added, reflecting a better understanding of the nature of the chest pain. The later problem observation will have a more recent author time stamp. - Problem Concern 1 --- Problem Observation (author/time Jan 3, 2012): Chest Pain --- Problem Observation (author/time Jan 6, 2012): Esophagitis Many systems display the nested Problem Observation with the most recent author time stamp, and provide a mechanism for viewing prior observations. |
| Type | Act |
| Kind | resource |
| StructureDefinition | |
http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.5  | Problem Section (entries optional) |
| http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.132 | Health Concern Act |
| http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.136 | Risk Concern Act |
| StructureDefinition | |
| http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119 | Author Participation |
| http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.143 | Priority Preference |
| http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.4 | Problem Observation |
Note: links and images are rebased to the (stated) source
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Act | 1..1 | CDAR2.Act | ||
 classCode | 1..1 | code | Required Pattern: ACT | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
 Slices for templateId | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
   templateId:primary | 1..1 | II | ||
  root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.3 | |
  extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | 1..1 | CD | ||
| code | 1..1 | string | Required Pattern: CONC | |
 codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.6 | |
| statusCode | 1..1 | CS | The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved. | |
| code | 1..1 | string | The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved. Binding: ProblemAct statusCode (required) | |
| effectiveTime | 1..1 | IVL_TS | ||
| low | 1..1 | TS | The effectiveTime/low of the Problem Concern Act asserts when the concern became active. | |
| high | 0..1 | TS | The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition). | |
 author | 0..* | AuthorParticipation | ||
| Slices for entryRelationship | 0..* | Element | The following entryRelationship represents the importance of the concern to a provider. Slice: Unordered, Open by profile:observation | |
 entryRelationship:problem | 1..* | Element | ||
 typeCode | 1..1 | code | Required Pattern: SUBJ | |
| observation | 1..1 | ProblemObservation | ||
| entryRelationship:priority | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: REFR | |
| observation | 1..1 | PriorityPreference | ||
| Documentation for this format | ||||
FHIR{
"resourceType" : "StructureDefinition",
"id" : "2.16.840.1.113883.10.20.22.4.3",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act\">Act</a><a name=\"Act\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">CDAR2.Act</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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.classCode\">classCode</a><a name=\"Act.classCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.moodCode\">moodCode</a><a name=\"Act.moodCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">EVN</span></td></tr>\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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.templateId\">Slices for templateId</a><a name=\"Act.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=\"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=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:extension, value:root</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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.templateId:primary\" title=\"Slice primary\">templateId:primary</a><a name=\"Act.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.templateId:primary.root\">root</a><a name=\"Act.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..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.10.20.22.4.3</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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.templateId:primary.extension\">extension</a><a name=\"Act.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..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2015-08-01</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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.id\">id</a><a name=\"Act.id\"> </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..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.code\">code</a><a name=\"Act.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\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html\">CD</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_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.code.code\">code</a><a name=\"Act.code.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">CONC</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_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.code.codeSystem\">codeSystem</a><a name=\"Act.code.codeSystem\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.5.6</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_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.statusCode\">statusCode</a><a name=\"Act.statusCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CS.html\">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\">The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.</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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.statusCode.code\">code</a><a name=\"Act.statusCode.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\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.19/expansion\">ProblemAct statusCode</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</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_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.effectiveTime\">effectiveTime</a><a name=\"Act.effectiveTime\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-IVL-TS.html\">IVL_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\"/></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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.effectiveTime.low\">low</a><a name=\"Act.effectiveTime.low\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-TS.html\">TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The effectiveTime/low of the Problem Concern Act asserts when the concern became active.</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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.effectiveTime.high\">high</a><a name=\"Act.effectiveTime.high\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-TS.html\">TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).</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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.author\">author</a><a name=\"Act.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\">0..*</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-2.16.840.1.113883.10.20.22.4.119.html\" title=\"http://hl7.org/fhir/cda/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\"/></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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship\">Slices for entryRelationship</a><a name=\"Act.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\"><span style=\"opacity: 0.5; font-style: italic\">Element</span></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-style: italic\">The following entryRelationship represents the importance of the concern to a provider.</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:observation</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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:problem\" title=\"Slice problem\">entryRelationship:problem</a><a name=\"Act.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\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Element</span></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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:problem.typeCode\">typeCode</a><a name=\"Act.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\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">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_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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:problem.observation\">observation</a><a name=\"Act.entryRelationship.observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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 href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.4.html\" title=\"http://hl7.org/fhir/cda/StructureDefinition/Observation\">ProblemObservation</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_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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:priority\" title=\"Slice priority\">entryRelationship:priority</a><a name=\"Act.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\">0..*</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\">Element</span></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_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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:priority.typeCode\">typeCode</a><a name=\"Act.entryRelationship.typeCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">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_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-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:priority.observation\">observation</a><a name=\"Act.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..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=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.143.html\" title=\"http://hl7.org/fhir/cda/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\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"url" : "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.3",
"identifier" : [
{
"value" : "urn:hl7ii:2.16.840.1.113883.10.20.22.4.3:2015-08-01"
}
],
"version" : "2.2",
"name" : "ProblemConcernAct",
"title" : "Problem Concern Act",
"status" : "active",
"date" : "2022-05-13T15:50:12+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 an ongoing concern on behalf of the provider that placed the concern on a patients problem list. So long as the underlying condition is of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is active. Only when the underlying condition is no longer of concern is the statusCode set to completed. The effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, the clinician may remain concerned about a prior heart attack).\n\nThe statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.\n\nThe effectiveTime/low of the Problem Concern Act asserts when the concern became active. The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).\n\nA Problem Concern Act can contain many Problem Observations (templateId 2.16.840.1.113883.10.20.22.4.4). Each Problem Observation is a discrete observation of a condition, and therefore will have a statusCode of completed. The many Problem Observations nested under a Problem Concern Act reflect the change in the clinical understanding of a condition over time. For instance, a Concern may initially contain a Problem Observation of chest pain:\n - Problem Concern 1\n --- Problem Observation: Chest Pain \nLater, a new Problem Observation of esophagitis will be added, reflecting a better understanding of the nature of the chest pain. The later problem observation will have a more recent author time stamp. \n - Problem Concern 1\n --- Problem Observation (author/time Jan 3, 2012): Chest Pain \n --- Problem Observation (author/time Jan 6, 2012): Esophagitis\nMany systems display the nested Problem Observation with the most recent author time stamp, and provide a mechanism for viewing prior observations.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"fhirVersion" : "4.0.1",
"kind" : "resource",
"abstract" : false,
"type" : "Act",
"baseDefinition" : "http://hl7.org/fhir/cda/StructureDefinition/Act",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "Act",
"path" : "Act",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false
},
{
"id" : "Act.classCode",
"path" : "Act.classCode",
"representation" : [
"xmlAttr"
],
"requirements" : "SHALL contain exactly one [1..1] @classCode=\"ACT\" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9024).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.classCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"patternCode" : "ACT"
},
{
"id" : "Act.moodCode",
"path" : "Act.moodCode",
"representation" : [
"xmlAttr"
],
"requirements" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9025).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.moodCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"patternCode" : "EVN"
},
{
"id" : "Act.realmCode",
"path" : "Act.realmCode",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Act.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
}
]
},
{
"id" : "Act.typeId",
"path" : "Act.typeId",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Act.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id" : "Act.templateId",
"path" : "Act.templateId",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "extension"
},
{
"type" : "value",
"path" : "root"
}
],
"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" : 0,
"max" : "*",
"base" : {
"path" : "Act.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id" : "Act.templateId:primary",
"path" : "Act.templateId",
"sliceName" : "primary",
"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",
"requirements" : "SHALL contain exactly one [1..1] templateId (CONF:1198-16772) such that it",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id" : "Act.templateId:primary.nullFlavor",
"path" : "Act.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"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id" : "Act.templateId:primary.assigningAuthorityName",
"path" : "Act.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"
}
]
},
{
"id" : "Act.templateId:primary.displayable",
"path" : "Act.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"
}
]
},
{
"id" : "Act.templateId:primary.root",
"path" : "Act.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.",
"requirements" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.3\" (CONF:1198-16773).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"patternString" : "2.16.840.1.113883.10.20.22.4.3"
},
{
"id" : "Act.templateId:primary.extension",
"path" : "Act.templateId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"requirements" : "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32509).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"patternString" : "2015-08-01"
},
{
"id" : "Act.id",
"path" : "Act.id",
"requirements" : "SHALL contain at least one [1..*] id (CONF:1198-9026).",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Act.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id" : "Act.code",
"path" : "Act.code",
"requirements" : "SHALL contain exactly one [1..1] code (CONF:1198-9027).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.code",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
}
},
{
"id" : "Act.code.nullFlavor",
"path" : "Act.code.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"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id" : "Act.code.code",
"path" : "Act.code.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.",
"requirements" : "This code SHALL contain exactly one [1..1] @code=\"CONC\" Concern (CONF:1198-19184).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CD.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"patternString" : "CONC"
},
{
"id" : "Act.code.codeSystem",
"path" : "Act.code.codeSystem",
"representation" : [
"xmlAttr"
],
"label" : "Code System",
"definition" : "Specifies the code system that defines the code.",
"requirements" : "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.5.6\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32168).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CD.codeSystem",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"patternString" : "2.16.840.1.113883.5.6"
},
{
"id" : "Act.code.codeSystemName",
"path" : "Act.code.codeSystemName",
"representation" : [
"xmlAttr"
],
"label" : "Code System Name",
"definition" : "The common name of the coding system.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.codeSystemName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Act.code.codeSystemVersion",
"path" : "Act.code.codeSystemVersion",
"representation" : [
"xmlAttr"
],
"label" : "Code System Version",
"definition" : "If applicable, a version descriptor defined specifically for the given code system.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.codeSystemVersion",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Act.code.displayName",
"path" : "Act.code.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" : "1",
"base" : {
"path" : "CD.displayName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Act.code.sdtcValueSet",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "valueSet"
}
],
"path" : "Act.code.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"
}
]
},
{
"id" : "Act.code.sdtcValueSetVersion",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "valueSetVersion"
}
],
"path" : "Act.code.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"
}
]
},
{
"id" : "Act.code.originalText",
"path" : "Act.code.originalText",
"label" : "Original Text",
"definition" : "The text or phrase used as the basis for the coding.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.originalText",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id" : "Act.code.qualifier",
"path" : "Act.code.qualifier",
"label" : "Qualifier",
"definition" : "Specifies additional codes that increase the specificity of the the primary code.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CD.qualifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CR"
}
]
},
{
"id" : "Act.code.translation",
"path" : "Act.code.translation",
"representation" : [
"typeAttr"
],
"label" : "Translation",
"definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CD.translation",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
]
},
{
"id" : "Act.negationInd",
"path" : "Act.negationInd",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Act.negationInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Act.text",
"path" : "Act.text",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Act.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id" : "Act.statusCode",
"path" : "Act.statusCode",
"short" : "The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.",
"requirements" : "SHALL contain exactly one [1..1] statusCode (CONF:1198-9029).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.statusCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActStatus"
}
},
{
"id" : "Act.statusCode.nullFlavor",
"path" : "Act.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"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id" : "Act.statusCode.code",
"path" : "Act.statusCode.code",
"representation" : [
"xmlAttr"
],
"label" : "Code",
"short" : "The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.",
"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.",
"requirements" : "This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-31525).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CD.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19"
}
},
{
"id" : "Act.statusCode.codeSystem",
"path" : "Act.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"
}
]
},
{
"id" : "Act.statusCode.codeSystemName",
"path" : "Act.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"
}
]
},
{
"id" : "Act.statusCode.codeSystemVersion",
"path" : "Act.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"
}
]
},
{
"id" : "Act.statusCode.displayName",
"path" : "Act.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"
}
]
},
{
"id" : "Act.statusCode.sdtcValueSet",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "valueSet"
}
],
"path" : "Act.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"
}
]
},
{
"id" : "Act.statusCode.sdtcValueSetVersion",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "valueSetVersion"
}
],
"path" : "Act.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"
}
]
},
{
"id" : "Act.statusCode.originalText",
"path" : "Act.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/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id" : "Act.statusCode.qualifier",
"path" : "Act.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/fhir/cda/StructureDefinition/CR"
}
]
},
{
"id" : "Act.statusCode.translation",
"path" : "Act.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/fhir/cda/StructureDefinition/CD"
}
]
},
{
"id" : "Act.effectiveTime",
"path" : "Act.effectiveTime",
"requirements" : "SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9030).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.effectiveTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
}
]
},
{
"id" : "Act.effectiveTime.nullFlavor",
"path" : "Act.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"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id" : "Act.effectiveTime.value",
"extension" : [
{
"url" : "http://www.healthintersections.com.au/fhir/StructureDefinition/elementdefinition-dateformat",
"valueString" : "v3"
}
],
"path" : "Act.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"
}
]
},
{
"id" : "Act.effectiveTime.inclusive",
"path" : "Act.effectiveTime.inclusive",
"representation" : [
"xmlAttr"
],
"definition" : "Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TS.inclusive",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Act.effectiveTime.operator",
"path" : "Act.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"
}
]
},
{
"id" : "Act.effectiveTime.low",
"path" : "Act.effectiveTime.low",
"label" : "The effectiveTime/low of the Problem Concern Act asserts when the concern became active.",
"short" : "The effectiveTime/low of the Problem Concern Act asserts when the concern became active.",
"definition" : "This is the low limit of the interval.",
"requirements" : "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-9032).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "IVL_TS.low",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
}
]
},
{
"id" : "Act.effectiveTime.high",
"path" : "Act.effectiveTime.high",
"label" : "The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).",
"short" : "The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).",
"definition" : "This is the high limit of the interval.",
"requirements" : "This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-9033).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "IVL_TS.high",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
}
]
},
{
"id" : "Act.effectiveTime.width",
"path" : "Act.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/fhir/cda/StructureDefinition/PQ"
}
]
},
{
"id" : "Act.effectiveTime.center",
"path" : "Act.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/fhir/cda/StructureDefinition/TS"
}
]
},
{
"id" : "Act.priorityCode",
"path" : "Act.priorityCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Act.priorityCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPriority"
}
},
{
"id" : "Act.languageCode",
"path" : "Act.languageCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Act.languageCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-HumanLanguage"
}
},
{
"id" : "Act.subject",
"path" : "Act.subject",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Act.subject",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Element"
}
]
},
{
"id" : "Act.subject.typeCode",
"path" : "Act.subject.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.subject.typeCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"defaultValueCode" : "SBJ",
"fixedCode" : "SBJ",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"
}
},
{
"id" : "Act.subject.contextControlCode",
"path" : "Act.subject.contextControlCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.subject.contextControlCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"defaultValueCode" : "OP",
"fixedCode" : "OP",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
}
},
{
"id" : "Act.subject.awarenessCode",
"path" : "Act.subject.awarenessCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Act.subject.awarenessCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-TargetAwareness"
}
},
{
"id" : "Act.subject.relatedSubject",
"path" : "Act.subject.relatedSubject",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.subject.relatedSubject",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"
}
]
},
{
"id" : "Act.specimen",
"path" : "Act.specimen",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Act.specimen",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Specimen"
}
]
},
{
"id" : "Act.performer",
"path" : "Act.performer",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Act.performer",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Performer2"
}
]
},
{
"id" : "Act.author",
"path" : "Act.author",
"requirements" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31146).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Act.author",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Author",
"profile" : [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"
]
}
],
"isModifier" : false
},
{
"id" : "Act.informant",
"path" : "Act.informant",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Act.informant",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Element"
}
]
},
{
"id" : "Act.informant.typeCode",
"path" : "Act.informant.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.informant.typeCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"defaultValueCode" : "INF",
"fixedCode" : "INF",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"
}
},
{
"id" : "Act.informant.contextControlCode",
"path" : "Act.informant.contextControlCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.informant.contextControlCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"defaultValueCode" : "OP",
"fixedCode" : "OP",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
}
},
{
"id" : "Act.informant.assignedEntity",
"path" : "Act.informant.assignedEntity",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Act.informant.assignedEntity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
}
]
},
{
"id" : "Act.informant.relatedEntity",
"path" : "Act.informant.relatedEntity",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Act.informant.relatedEntity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"
}
]
},
{
"id" : "Act.participant",
"path" : "Act.participant",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Act.participant",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Participant2"
}
]
},
{
"id" : "Act.entryRelationship",
"path" : "Act.entryRelationship",
"slicing" : {
"discriminator" : [
{
"type" : "profile",
"path" : "observation"
}
],
"rules" : "open"
},
"short" : "The following entryRelationship represents the importance of the concern to a provider.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Act.entryRelationship",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Element"
}
],
"constraint" : [
{
"key" : "act-er-1",
"severity" : "error",
"human" : "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression" : "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source" : "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id" : "Act.entryRelationship.typeCode",
"path" : "Act.entryRelationship.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Act.entryRelationship.typeCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
]
},
{
"id" : "Act.entryRelationship.inversionInd",
"path" : "Act.entryRelationship.inversionInd",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Act.entryRelationship.inversionInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Act.entryRelationship.contextConductionInd",
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"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Precondition"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Act",
"path" : "Act"
},
{
"id" : "Act.classCode",
"path" : "Act.classCode",
"requirements" : "SHALL contain exactly one [1..1] @classCode=\"ACT\" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9024).",
"min" : 1,
"max" : "1",
"patternCode" : "ACT"
},
{
"id" : "Act.moodCode",
"path" : "Act.moodCode",
"requirements" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9025).",
"min" : 1,
"max" : "1",
"patternCode" : "EVN"
},
{
"id" : "Act.templateId",
"path" : "Act.templateId",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "extension"
},
{
"type" : "value",
"path" : "root"
}
],
"rules" : "open"
}
},
{
"id" : "Act.templateId:primary",
"path" : "Act.templateId",
"sliceName" : "primary",
"requirements" : "SHALL contain exactly one [1..1] templateId (CONF:1198-16772) such that it",
"min" : 1,
"max" : "1"
},
{
"id" : "Act.templateId:primary.root",
"path" : "Act.templateId.root",
"requirements" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.3\" (CONF:1198-16773).",
"min" : 1,
"max" : "1",
"patternString" : "2.16.840.1.113883.10.20.22.4.3"
},
{
"id" : "Act.templateId:primary.extension",
"path" : "Act.templateId.extension",
"requirements" : "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32509).",
"min" : 1,
"max" : "1",
"patternString" : "2015-08-01"
},
{
"id" : "Act.id",
"path" : "Act.id",
"requirements" : "SHALL contain at least one [1..*] id (CONF:1198-9026).",
"min" : 1,
"max" : "*"
},
{
"id" : "Act.code",
"path" : "Act.code",
"requirements" : "SHALL contain exactly one [1..1] code (CONF:1198-9027).",
"min" : 1,
"max" : "1"
},
{
"id" : "Act.code.code",
"path" : "Act.code.code",
"requirements" : "This code SHALL contain exactly one [1..1] @code=\"CONC\" Concern (CONF:1198-19184).",
"min" : 1,
"max" : "1",
"patternString" : "CONC"
},
{
"id" : "Act.code.codeSystem",
"path" : "Act.code.codeSystem",
"requirements" : "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.5.6\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32168).",
"min" : 1,
"max" : "1",
"patternString" : "2.16.840.1.113883.5.6"
},
{
"id" : "Act.statusCode",
"path" : "Act.statusCode",
"short" : "The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.",
"requirements" : "SHALL contain exactly one [1..1] statusCode (CONF:1198-9029).",
"min" : 1,
"max" : "1"
},
{
"id" : "Act.statusCode.code",
"path" : "Act.statusCode.code",
"short" : "The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.",
"requirements" : "This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-31525).",
"min" : 1,
"max" : "1",
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19"
}
},
{
"id" : "Act.effectiveTime",
"path" : "Act.effectiveTime",
"requirements" : "SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9030).",
"min" : 1,
"max" : "1"
},
{
"id" : "Act.effectiveTime.low",
"path" : "Act.effectiveTime.low",
"label" : "The effectiveTime/low of the Problem Concern Act asserts when the concern became active.",
"short" : "The effectiveTime/low of the Problem Concern Act asserts when the concern became active.",
"requirements" : "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-9032).",
"min" : 1,
"max" : "1"
},
{
"id" : "Act.effectiveTime.high",
"path" : "Act.effectiveTime.high",
"label" : "The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).",
"short" : "The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).",
"requirements" : "This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-9033).",
"min" : 0,
"max" : "1"
},
{
"id" : "Act.author",
"path" : "Act.author",
"requirements" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31146).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Author",
"profile" : [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"
]
}
]
},
{
"id" : "Act.entryRelationship",
"path" : "Act.entryRelationship",
"slicing" : {
"discriminator" : [
{
"type" : "profile",
"path" : "observation"
}
],
"rules" : "open"
},
"short" : "The following entryRelationship represents the importance of the concern to a provider."
},
{
"id" : "Act.entryRelationship:problem",
"path" : "Act.entryRelationship",
"sliceName" : "problem",
"requirements" : "SHALL contain at least one [1..*] entryRelationship (CONF:1198-9034) such that it",
"min" : 1,
"max" : "*"
},
{
"id" : "Act.entryRelationship:problem.typeCode",
"path" : "Act.entryRelationship.typeCode",
"requirements" : "SHALL contain exactly one [1..1] @typeCode=\"SUBJ\" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9035).",
"min" : 1,
"max" : "1",
"patternCode" : "SUBJ"
},
{
"id" : "Act.entryRelationship:problem.observation",
"path" : "Act.entryRelationship.observation",
"requirements" : "SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15980).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile" : [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.4"
]
}
]
},
{
"id" : "Act.entryRelationship:priority",
"path" : "Act.entryRelationship",
"sliceName" : "priority",
"requirements" : "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31638) such that it",
"min" : 0,
"max" : "*"
},
{
"id" : "Act.entryRelationship:priority.typeCode",
"path" : "Act.entryRelationship.typeCode",
"requirements" : "SHALL contain exactly one [1..1] @typeCode=\"REFR\" refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31639).",
"min" : 1,
"max" : "1",
"patternCode" : "REFR"
},
{
"id" : "Act.entryRelationship:priority.observation",
"path" : "Act.entryRelationship.observation",
"requirements" : "SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31640).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile" : [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.143"
]
}
]
}
]
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.