| 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-2.16.840.1.113883.10.20.22.4.4.html |
| Url | http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.4 |
| Version | 2.2 |
| Status | active |
| Date | 2022-05-13T15:50:12+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 resolved. If the problem is known to be resolved, 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 | Observation |
| Kind | resource |
| StructureDefinition | |
http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.113  | Prognosis Observation |
| 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/2.16.840.1.113883.10.20.22.4.31 | Age Observation |
| http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.6 | Problem Status |
Note: links and images are rebased to the (stated) source
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 1..1 | CDAR2.Observation | ||
  classCode | 1..1 | code | Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| negationInd | 0..1 | boolean | 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. | |
 Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:primary | 1..1 | II | ||
  root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.4 | |
  extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | I | 1..1 | CD | Binding: Problem Type (SNOMEDCT) (preferred) 1198-32950: If code is selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 **DYNAMIC**, then it **SHALL** have at least one [1..*] translation, which **SHOULD** be selected from ValueSet Problem Type (LOINC) urn:oid:2.16.840.1.113762.1.4.1099.28 **DYNAMIC** (CONF:1198-32950) (CONF:1198-32950). |
| statusCode | 1..1 | CS | ||
 code | 1..1 | string | Required Pattern: 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 | TS | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | |
| high | 0..1 | TS | The effectiveTime/high (a.k.a. "resolution date") asserts when the condition became biologically resolved. | |
| value | 1..1 | CD | Binding: Problem (preferred) | |
| code | 0..1 | string | A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. | |
| 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.
For example, SNOMED CT allows constructing concepts as a combination of multiple codes. SNOMED CT defines a concept "pneumonia (disorder)" (233604007) an attribute "finding site" (363698007) and another concept "left lower lobe of lung (body structure)" (41224006). SNOMED CT allows one to combine these codes in a code phrase, as shown in the sample XML. | |
| Slices for translation | 0..* | CD | Slice: Unordered, Open by | |
| translation:alt | 0..* | CD | ||
| code | 0..1 | string | ||
| author | 0..* | AuthorParticipation | ||
| Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:observation | |
 entryRelationship:age | 0..1 | Element | ||
 typeCode | 1..1 | code | Required Pattern: SUBJ | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| observation | 1..1 | AgeObservation | ||
| entryRelationship:prognosis | 0..1 | Element | ||
| typeCode | 1..1 | code | Required Pattern: REFR | |
| observation | 1..1 | PrognosisObservation | ||
| entryRelationship:priority | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: REFR | |
| observation | 1..1 | PriorityPreference | ||
| entryRelationship:status | 0..1 | Element | ||
| typeCode | 1..1 | code | Required Pattern: REFR | |
| observation | 1..1 | ProblemStatus | ||
| Documentation for this format | ||||
FHIR{
"resourceType" : "StructureDefinition",
"id" : "2.16.840.1.113883.10.20.22.4.4",
"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_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.4-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\"/><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-Observation.html\">CDAR2.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\"/></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-2.16.840.1.113883.10.20.22.4.4-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\">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\">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-2.16.840.1.113883.10.20.22.4.4-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\">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_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-2.16.840.1.113883.10.20.22.4.4-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\">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/fhir/R4/datatypes.html#boolean\">boolean</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_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.templateId\">Slices for templateId</a><a name=\"Observation.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\"><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: white; 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: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:root, value:extension</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_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: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.templateId:primary\" title=\"Slice primary\">templateId:primary</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\">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-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_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: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.templateId:primary.root\">root</a><a name=\"Observation.templateId.root\"> </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\">2.16.840.1.113883.10.20.22.4.4</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_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: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.templateId:primary.extension\">extension</a><a name=\"Observation.templateId.extension\"> </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\">2015-08-01</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-2.16.840.1.113883.10.20.22.4.4-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..*</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_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-2.16.840.1.113883.10.20.22.4.4-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\"><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants (1198-32950)\">I</span></td><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-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://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.7.2/expansion\">Problem Type (SNOMEDCT)</a> (<a href=\"http://hl7.org/fhir/R4/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>)<br/><span style=\"font-weight:bold\">1198-32950: </span>If code is selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 **DYNAMIC**, then it **SHALL** have at least one [1..*] translation, which **SHOULD** be selected from ValueSet Problem Type (LOINC) urn:oid:2.16.840.1.113762.1.4.1099.28 **DYNAMIC** (CONF:1198-32950) (CONF:1198-32950).</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-2.16.840.1.113883.10.20.22.4.4-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..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-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-2.16.840.1.113883.10.20.22.4.4-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..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\">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-2.16.840.1.113883.10.20.22.4.4-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..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-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-2.16.840.1.113883.10.20.22.4.4-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..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/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-2.16.840.1.113883.10.20.22.4.4-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\">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=\"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/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-2.16.840.1.113883.10.20.22.4.4-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=\"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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.7.4/expansion\">Problem</a> (<a href=\"http://hl7.org/fhir/R4/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-2.16.840.1.113883.10.20.22.4.4-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\">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/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\">A negationInd of "true" coupled with an observation/value/@code 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: #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-2.16.840.1.113883.10.20.22.4.4-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\">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=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//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\nFor example, SNOMED CT allows constructing concepts as a combination of multiple codes. SNOMED CT defines a concept "pneumonia (disorder)" (233604007) an attribute "finding site" (363698007) and another concept "left lower lobe of lung (body structure)" (41224006). SNOMED CT allows one to combine these codes in a code phrase, as shown in the sample XML.<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.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_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.value.translation\">Slices for translation</a><a name=\"Observation.value.translation\"> </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=\"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: white; 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-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\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by </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_bck1025.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_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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.value.translation:alt\" title=\"Slice alt\">translation:alt</a><a name=\"Observation.value.translation\"> </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=\"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: #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_bck10240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.value.translation:alt.code\">code</a><a name=\"Observation.value.translation.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\">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/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\"/></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_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.author\">author</a><a name=\"Observation.author\"> </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 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: #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_bck03.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship\">Slices for entryRelationship</a><a name=\"Observation.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\"><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: white; 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: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:observation</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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:age\" title=\"Slice age\">entryRelationship:age</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\">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\"><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_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-2.16.840.1.113883.10.20.22.4.4-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: 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\">SUBJ</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_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-2.16.840.1.113883.10.20.22.4.4-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: #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#boolean\">boolean</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\">true</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-2.16.840.1.113883.10.20.22.4.4-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: 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-2.16.840.1.113883.10.20.22.4.31.html\" title=\"http://hl7.org/fhir/cda/StructureDefinition/Observation\">AgeObservation</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_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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:prognosis\" title=\"Slice prognosis\">entryRelationship:prognosis</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\">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\"><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_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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:prognosis.typeCode\">typeCode</a><a name=\"Observation.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_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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:prognosis.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..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-2.16.840.1.113883.10.20.22.4.113.html\" title=\"http://hl7.org/fhir/cda/StructureDefinition/Observation\">PrognosisObservation</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_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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:priority\" title=\"Slice priority\">entryRelationship:priority</a><a name=\"Observation.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\">0..*</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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:priority.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\">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\">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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:priority.observation\">observation</a><a name=\"Observation.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-2.16.840.1.113883.10.20.22.4.143.html\" title=\"http://hl7.org/fhir/cda/StructureDefinition/Observation\">PriorityPreference</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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:status\" title=\"Slice status\">entryRelationship:status</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\">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\"><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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:status.typeCode\">typeCode</a><a name=\"Observation.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-2.16.840.1.113883.10.20.22.4.4-definitions.html#Observation.entryRelationship:status.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..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-2.16.840.1.113883.10.20.22.4.6.html\" title=\"http://hl7.org/fhir/cda/StructureDefinition/Observation\">ProblemStatus</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/2.16.840.1.113883.10.20.22.4.4",
"identifier" : [
{
"value" : "urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01"
}
],
"version" : "2.2",
"name" : "ProblemObservation",
"title" : "Problem Observation",
"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 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. \r\n\r\nThe effectiveTime of the Problem Observation is the definitive indication of whether or not the underlying condition is resolved. If the problem is known to be resolved, 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" : "4.0.1",
"kind" : "resource",
"abstract" : false,
"type" : "Observation",
"baseDefinition" : "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "Observation",
"path" : "Observation",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false
},
{
"id" : "Observation.classCode",
"path" : "Observation.classCode",
"representation" : [
"xmlAttr"
],
"requirements" : "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"
}
],
"patternCode" : "OBS",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActClassObservation"
}
},
{
"id" : "Observation.moodCode",
"path" : "Observation.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:1198-9042).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.moodCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"patternCode" : "EVN"
},
{
"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.",
"requirements" : "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"
}
]
},
{
"id" : "Observation.realmCode",
"path" : "Observation.realmCode",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
}
]
},
{
"id" : "Observation.typeId",
"path" : "Observation.typeId",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"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" : 0,
"max" : "*",
"base" : {
"path" : "Observation.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id" : "Observation.templateId:primary",
"path" : "Observation.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:1198-14926) such that it",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id" : "Observation.templateId:primary.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"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id" : "Observation.templateId:primary.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"
}
]
},
{
"id" : "Observation.templateId:primary.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"
}
]
},
{
"id" : "Observation.templateId:primary.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.",
"requirements" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.4\" (CONF:1198-14927).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"patternString" : "2.16.840.1.113883.10.20.22.4.4"
},
{
"id" : "Observation.templateId:primary.extension",
"path" : "Observation.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:1198-32508).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"patternString" : "2015-08-01"
},
{
"id" : "Observation.id",
"path" : "Observation.id",
"requirements" : "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/fhir/cda/StructureDefinition/II"
}
]
},
{
"id" : "Observation.code",
"path" : "Observation.code",
"representation" : [
"typeAttr"
],
"requirements" : "SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 DYNAMIC (CONF:1198-9045).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.code",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"constraint" : [
{
"key" : "1198-32950",
"severity" : "error",
"human" : "If code is selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 **DYNAMIC**, then it **SHALL** have at least one [1..*] translation, which **SHOULD** be selected from ValueSet Problem Type (LOINC) urn:oid:2.16.840.1.113762.1.4.1099.28 **DYNAMIC** (CONF:1198-32950) (CONF:1198-32950)."
}
],
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.7.2"
}
},
{
"id" : "Observation.derivationExpr",
"path" : "Observation.derivationExpr",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.derivationExpr",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ST"
}
]
},
{
"id" : "Observation.text",
"path" : "Observation.text",
"representation" : [
"typeAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id" : "Observation.statusCode",
"path" : "Observation.statusCode",
"requirements" : "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/fhir/cda/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"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"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.",
"requirements" : "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" : "string"
}
],
"patternString" : "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"
}
]
},
{
"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"
}
]
},
{
"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"
}
]
},
{
"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"
}
]
},
{
"id" : "Observation.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" : "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"
}
]
},
{
"id" : "Observation.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" : "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"
}
]
},
{
"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/fhir/cda/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/fhir/cda/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/fhir/cda/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.",
"requirements" : "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/fhir/cda/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"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id" : "Observation.effectiveTime.value",
"extension" : [
{
"url" : "http://www.healthintersections.com.au/fhir/StructureDefinition/elementdefinition-dateformat",
"valueString" : "v3"
}
],
"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"
}
]
},
{
"id" : "Observation.effectiveTime.inclusive",
"path" : "Observation.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" : "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"
}
]
},
{
"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.",
"requirements" : "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/fhir/cda/StructureDefinition/TS"
}
]
},
{
"id" : "Observation.effectiveTime.high",
"path" : "Observation.effectiveTime.high",
"label" : "High Boundary",
"short" : "The effectiveTime/high (a.k.a. \"resolution date\") asserts when the condition became biologically resolved.",
"definition" : "This is the high limit of the interval.",
"requirements" : "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/fhir/cda/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/fhir/cda/StructureDefinition/PQ"
}
]
},
{
"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/fhir/cda/StructureDefinition/TS"
}
]
},
{
"id" : "Observation.priorityCode",
"path" : "Observation.priorityCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.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" : "Observation.repeatNumber",
"path" : "Observation.repeatNumber",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.repeatNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-INT"
}
]
},
{
"id" : "Observation.languageCode",
"path" : "Observation.languageCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.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" : "Observation.value",
"path" : "Observation.value",
"representation" : [
"typeAttr"
],
"requirements" : "SHALL contain exactly one [1..1] value with @xsi:type=\"CD\", where the code SHOULD be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:1198-9058).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.value",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.7.4"
}
},
{
"id" : "Observation.value.nullFlavor",
"path" : "Observation.value.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" : "Observation.value.code",
"path" : "Observation.value.code",
"representation" : [
"xmlAttr"
],
"label" : "Code",
"short" : "A negationInd of \"true\" coupled with an observation/value/@code of SNOMED code 64572001 \"Disease (disorder)\" indicates that the patient has no known conditions.",
"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 value MAY contain zero or one [0..1] @code (CONF:1198-31871).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Observation.value.codeSystem",
"path" : "Observation.value.codeSystem",
"representation" : [
"xmlAttr"
],
"label" : "Code System",
"definition" : "Specifies the code system that defines the code.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.codeSystem",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Observation.value.codeSystemName",
"path" : "Observation.value.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" : "Observation.value.codeSystemVersion",
"path" : "Observation.value.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" : "Observation.value.displayName",
"path" : "Observation.value.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" : "Observation.value.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" : "Observation.value.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" : "Observation.value.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" : "Observation.value.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" : "Observation.value.originalText",
"path" : "Observation.value.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" : "Observation.value.qualifier",
"path" : "Observation.value.qualifier",
"label" : "Qualifier",
"short" : "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\nFor example, SNOMED CT allows constructing concepts as a combination of multiple codes. SNOMED CT defines a concept \"pneumonia (disorder)\" (233604007) an attribute \"finding site\" (363698007) and another concept \"left lower lobe of lung (body structure)\" (41224006). SNOMED CT allows one to combine these codes in a code phrase, as shown in the sample XML.",
"definition" : "Specifies additional codes that increase the specificity of the the primary code.",
"requirements" : "This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CD.qualifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CR"
}
]
},
{
"id" : "Observation.value.translation",
"path" : "Observation.value.translation",
"representation" : [
"typeAttr"
],
"label" : "Translation",
"slicing" : {
"rules" : "open"
},
"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" : "Observation.value.translation:alt",
"path" : "Observation.value.translation",
"representation" : [
"typeAttr"
],
"sliceName" : "alt",
"label" : "Translation",
"definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"requirements" : "This value MAY contain zero or more [0..*] translation (CONF:1198-16749) such that it",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CD.translation",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
]
},
{
"id" : "Observation.value.translation:alt.nullFlavor",
"path" : "Observation.value.translation.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" : "Observation.value.translation:alt.code",
"path" : "Observation.value.translation.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" : "MAY contain zero or one [0..1] @code (CodeSystem: ICD-10-CM urn:oid:2.16.840.1.113883.6.90 STATIC) (CONF:1198-16750).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Observation.value.translation:alt.codeSystem",
"path" : "Observation.value.translation.codeSystem",
"representation" : [
"xmlAttr"
],
"label" : "Code System",
"definition" : "Specifies the code system that defines the code.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.codeSystem",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Observation.value.translation:alt.codeSystemName",
"path" : "Observation.value.translation.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" : "Observation.value.translation:alt.codeSystemVersion",
"path" : "Observation.value.translation.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" : "Observation.value.translation:alt.displayName",
"path" : "Observation.value.translation.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" : "Observation.value.translation:alt.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" : "Observation.value.translation.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" : "Observation.value.translation:alt.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" : "Observation.value.translation.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" : "Observation.value.translation:alt.originalText",
"path" : "Observation.value.translation.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" : "Observation.value.translation:alt.qualifier",
"path" : "Observation.value.translation.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" : "Observation.value.translation:alt.translation",
"path" : "Observation.value.translation.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" : "Observation.interpretationCode",
"path" : "Observation.interpretationCode",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.interpretationCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"
}
},
{
"id" : "Observation.methodCode",
"path" : "Observation.methodCode",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.methodCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationMethod"
}
},
{
"id" : "Observation.targetSiteCode",
"path" : "Observation.targetSiteCode",
"definition" : "Drawn from concept domain ActSite",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.targetSiteCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
]
},
{
"id" : "Observation.subject",
"path" : "Observation.subject",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.subject",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Element"
}
]
},
{
"id" : "Observation.subject.typeCode",
"path" : "Observation.subject.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.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" : "Observation.subject.contextControlCode",
"path" : "Observation.subject.contextControlCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.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" : "Observation.subject.awarenessCode",
"path" : "Observation.subject.awarenessCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.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" : "Observation.subject.relatedSubject",
"path" : "Observation.subject.relatedSubject",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.subject.relatedSubject",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"
}
]
},
{
"id" : "Observation.specimen",
"path" : "Observation.specimen",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.specimen",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Specimen"
}
]
},
{
"id" : "Observation.performer",
"path" : "Observation.performer",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.performer",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Performer2"
}
]
},
{
"id" : "Observation.author",
"path" : "Observation.author",
"requirements" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31147).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.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" : "Observation.informant",
"path" : "Observation.informant",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.informant",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Element"
}
]
},
{
"id" : "Observation.informant.typeCode",
"path" : "Observation.informant.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.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" : "Observation.informant.contextControlCode",
"path" : "Observation.informant.contextControlCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.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" : "Observation.informant.assignedEntity",
"path" : "Observation.informant.assignedEntity",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.informant.assignedEntity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
}
]
},
{
"id" : "Observation.informant.relatedEntity",
"path" : "Observation.informant.relatedEntity",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.informant.relatedEntity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"
}
]
},
{
"id" : "Observation.participant",
"path" : "Observation.participant",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.participant",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Participant2"
}
]
},
{
"id" : "Observation.entryRelationship",
"path" : "Observation.entryRelationship",
"slicing" : {
"discriminator" : [
{
"type" : "profile",
"path" : "observation"
}
],
"rules" : "open"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.entryRelationship",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Element"
}
],
"constraint" : [
{
"key" : "obs-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/Observation"
}
]
},
{
"id" : "Observation.entryRelationship.typeCode",
"path" : "Observation.entryRelationship.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.typeCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
]
},
{
"id" : "Observation.entryRelationship.inversionInd",
"path" : "Observation.entryRelationship.inversionInd",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.inversionInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Observation.entryRelationship.contextConductionInd",
"path" : "Observation.entryRelationship.contextConductionInd",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.contextConductionInd",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"defaultValueBoolean" : true
},
{
"id" : "Observation.entryRelationship.sequenceNumber",
"path" : "Observation.entryRelationship.sequenceNumber",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.sequenceNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id" : "Observation.entryRelationship.negationInd",
"path" : "Observation.entryRelationship.negationInd",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.negationInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Observation.entryRelationship.seperatableInd",
"path" : "Observation.entryRelationship.seperatableInd",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.seperatableInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id" : "Observation.entryRelationship.observation",
"path" : "Observation.entryRelationship.observation",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.observation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Observation"
}
]
},
{
"id" : "Observation.entryRelationship.regionOfInterest",
"path" : "Observation.entryRelationship.regionOfInterest",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.regionOfInterest",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id" : "Observation.entryRelationship.observationMedia",
"path" : "Observation.entryRelationship.observationMedia",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.observationMedia",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id" : "Observation.entryRelationship.substanceAdministration",
"path" : "Observation.entryRelationship.substanceAdministration",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.substanceAdministration",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id" : "Observation.entryRelationship.supply",
"path" : "Observation.entryRelationship.supply",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.supply",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id" : "Observation.entryRelationship.procedure",
"path" : "Observation.entryRelationship.procedure",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.procedure",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id" : "Observation.entryRelationship.encounter",
"path" : "Observation.entryRelationship.encounter",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.encounter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id" : "Observation.entryRelationship.organizer",
"path" : "Observation.entryRelationship.organizer",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.organizer",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id" : "Observation.entryRelationship.act",
"path" : "Observation.entryRelationship.act",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.act",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id" : "Observation.entryRelationship:age",
"path" : "Observation.entryRelationship",
"sliceName" : "age",
"requirements" : "MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Element"
}
],
"constraint" : [
{
"key" : "obs-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/Observation"
}
]
},
{
"id" : "Observation.entryRelationship:age.typeCode",
"path" : "Observation.entryRelationship.typeCode",
"representation" : [
"xmlAttr"
],
"requirements" : "SHALL contain exactly one [1..1] @typeCode=\"SUBJ\" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9060).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.typeCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"patternCode" : "SUBJ"
},
{
"id" : "Observation.entryRelationship:age.inversionInd",
"path" : "Observation.entryRelationship.inversionInd",
"representation" : [
"xmlAttr"
],
"requirements" : "SHALL contain exactly one [1..1] @inversionInd=\"true\" True (CONF:1198-9069).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.inversionInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"patternBoolean" : true
},
{
"id" : "Observation.entryRelationship:age.contextConductionInd",
"path" : "Observation.entryRelationship.contextConductionInd",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.contextConductionInd",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"defaultValueBoolean" : true
},
{
"id" : "Observation.entryRelationship:age.sequenceNumber",
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"base" : {
"path" : "Observation.entryRelationship.sequenceNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id" : "Observation.entryRelationship:status.negationInd",
"path" : "Observation.entryRelationship.negationInd",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.negationInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Observation.entryRelationship:status.seperatableInd",
"path" : "Observation.entryRelationship.seperatableInd",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.seperatableInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id" : "Observation.entryRelationship:status.observation",
"path" : "Observation.entryRelationship.observation",
"requirements" : "SHALL contain exactly one [1..1] Problem Status (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.6:2019-06-20) (CONF:1198-15591).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.entryRelationship.observation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile" : [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.6"
]
}
],
"isModifier" : false
},
{
"id" : "Observation.entryRelationship:status.regionOfInterest",
"path" : "Observation.entryRelationship.regionOfInterest",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Observation.entryRelationship.regionOfInterest",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id" : "Observation.entryRelationship:status.observationMedia",
"path" : "Observation.entryRelationship.observationMedia",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Observation.entryRelationship.observationMedia",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id" : "Observation.entryRelationship:status.substanceAdministration",
"path" : "Observation.entryRelationship.substanceAdministration",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Observation.entryRelationship.substanceAdministration",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id" : "Observation.entryRelationship:status.supply",
"path" : "Observation.entryRelationship.supply",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Observation.entryRelationship.supply",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id" : "Observation.entryRelationship:status.procedure",
"path" : "Observation.entryRelationship.procedure",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Observation.entryRelationship.procedure",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id" : "Observation.entryRelationship:status.encounter",
"path" : "Observation.entryRelationship.encounter",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Observation.entryRelationship.encounter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id" : "Observation.entryRelationship:status.organizer",
"path" : "Observation.entryRelationship.organizer",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Observation.entryRelationship.organizer",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id" : "Observation.entryRelationship:status.act",
"path" : "Observation.entryRelationship.act",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Observation.entryRelationship.act",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id" : "Observation.reference",
"path" : "Observation.reference",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.reference",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Element"
}
]
},
{
"id" : "Observation.reference.typeCode",
"path" : "Observation.reference.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.reference.typeCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
]
},
{
"id" : "Observation.reference.seperatableInd",
"path" : "Observation.reference.seperatableInd",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.reference.seperatableInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id" : "Observation.reference.externalAct",
"path" : "Observation.reference.externalAct",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.reference.externalAct",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"
}
]
},
{
"id" : "Observation.reference.externalObservation",
"path" : "Observation.reference.externalObservation",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.reference.externalObservation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"
}
]
},
{
"id" : "Observation.reference.externalProcedure",
"path" : "Observation.reference.externalProcedure",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.reference.externalProcedure",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"
}
]
},
{
"id" : "Observation.reference.externalDocument",
"path" : "Observation.reference.externalDocument",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.reference.externalDocument",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"
}
]
},
{
"id" : "Observation.precondition",
"path" : "Observation.precondition",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.precondition",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Precondition"
}
]
},
{
"id" : "Observation.referenceRange",
"path" : "Observation.referenceRange",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.referenceRange",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Element"
}
]
},
{
"id" : "Observation.referenceRange.typeCode",
"path" : "Observation.referenceRange.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.referenceRange.typeCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"defaultValueCode" : "REFV",
"fixedCode" : "REFV",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActRelationshipPertains"
}
},
{
"id" : "Observation.referenceRange.observationRange",
"path" : "Observation.referenceRange.observationRange",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.referenceRange.observationRange",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ObservationRange"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Observation",
"path" : "Observation"
},
{
"id" : "Observation.classCode",
"path" : "Observation.classCode",
"requirements" : "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",
"patternCode" : "OBS"
},
{
"id" : "Observation.moodCode",
"path" : "Observation.moodCode",
"requirements" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042).",
"min" : 1,
"max" : "1",
"patternCode" : "EVN"
},
{
"id" : "Observation.negationInd",
"path" : "Observation.negationInd",
"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.",
"requirements" : "MAY contain zero or one [0..1] @negationInd (CONF:1198-10139).",
"min" : 0,
"max" : "1"
},
{
"id" : "Observation.templateId",
"path" : "Observation.templateId",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "root"
},
{
"type" : "value",
"path" : "extension"
}
],
"rules" : "open"
}
},
{
"id" : "Observation.templateId:primary",
"path" : "Observation.templateId",
"sliceName" : "primary",
"requirements" : "SHALL contain exactly one [1..1] templateId (CONF:1198-14926) such that it",
"min" : 1,
"max" : "1"
},
{
"id" : "Observation.templateId:primary.root",
"path" : "Observation.templateId.root",
"requirements" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.4\" (CONF:1198-14927).",
"min" : 1,
"max" : "1",
"patternString" : "2.16.840.1.113883.10.20.22.4.4"
},
{
"id" : "Observation.templateId:primary.extension",
"path" : "Observation.templateId.extension",
"requirements" : "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32508).",
"min" : 1,
"max" : "1",
"patternString" : "2015-08-01"
},
{
"id" : "Observation.id",
"path" : "Observation.id",
"requirements" : "SHALL contain at least one [1..*] id (CONF:1198-9043).",
"min" : 1,
"max" : "*"
},
{
"id" : "Observation.code",
"path" : "Observation.code",
"requirements" : "SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 DYNAMIC (CONF:1198-9045).",
"min" : 1,
"max" : "1",
"constraint" : [
{
"key" : "1198-32950",
"severity" : "error",
"human" : "If code is selected from ValueSet Problem Type (SNOMEDCT) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 **DYNAMIC**, then it **SHALL** have at least one [1..*] translation, which **SHOULD** be selected from ValueSet Problem Type (LOINC) urn:oid:2.16.840.1.113762.1.4.1099.28 **DYNAMIC** (CONF:1198-32950) (CONF:1198-32950)."
}
],
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.7.2"
}
},
{
"id" : "Observation.statusCode",
"path" : "Observation.statusCode",
"requirements" : "SHALL contain exactly one [1..1] statusCode (CONF:1198-9049).",
"min" : 1,
"max" : "1"
},
{
"id" : "Observation.statusCode.code",
"path" : "Observation.statusCode.code",
"requirements" : "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",
"patternString" : "completed"
},
{
"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.",
"requirements" : "SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050).",
"min" : 1,
"max" : "1"
},
{
"id" : "Observation.effectiveTime.low",
"path" : "Observation.effectiveTime.low",
"short" : "The effectiveTime/low (a.k.a. \"onset date\") asserts when the condition became biologically active.",
"requirements" : "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603).",
"min" : 1,
"max" : "1"
},
{
"id" : "Observation.effectiveTime.high",
"path" : "Observation.effectiveTime.high",
"short" : "The effectiveTime/high (a.k.a. \"resolution date\") asserts when the condition became biologically resolved.",
"requirements" : "This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-15604).",
"min" : 0,
"max" : "1"
},
{
"id" : "Observation.value",
"path" : "Observation.value",
"requirements" : "SHALL contain exactly one [1..1] value with @xsi:type=\"CD\", where the code SHOULD be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:1198-9058).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.7.4"
}
},
{
"id" : "Observation.value.code",
"path" : "Observation.value.code",
"short" : "A negationInd of \"true\" coupled with an observation/value/@code of SNOMED code 64572001 \"Disease (disorder)\" indicates that the patient has no known conditions.",
"requirements" : "This value MAY contain zero or one [0..1] @code (CONF:1198-31871).",
"min" : 0,
"max" : "1"
},
{
"id" : "Observation.value.qualifier",
"path" : "Observation.value.qualifier",
"short" : "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\nFor example, SNOMED CT allows constructing concepts as a combination of multiple codes. SNOMED CT defines a concept \"pneumonia (disorder)\" (233604007) an attribute \"finding site\" (363698007) and another concept \"left lower lobe of lung (body structure)\" (41224006). SNOMED CT allows one to combine these codes in a code phrase, as shown in the sample XML.",
"requirements" : "This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870).",
"min" : 0,
"max" : "*"
},
{
"id" : "Observation.value.translation",
"path" : "Observation.value.translation",
"slicing" : {
"rules" : "open"
}
},
{
"id" : "Observation.value.translation:alt",
"path" : "Observation.value.translation",
"sliceName" : "alt",
"requirements" : "This value MAY contain zero or more [0..*] translation (CONF:1198-16749) such that it",
"min" : 0,
"max" : "*"
},
{
"id" : "Observation.value.translation:alt.code",
"path" : "Observation.value.translation.code",
"requirements" : "MAY contain zero or one [0..1] @code (CodeSystem: ICD-10-CM urn:oid:2.16.840.1.113883.6.90 STATIC) (CONF:1198-16750).",
"min" : 0,
"max" : "1"
},
{
"id" : "Observation.author",
"path" : "Observation.author",
"requirements" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31147).",
"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" : "Observation.entryRelationship",
"path" : "Observation.entryRelationship",
"slicing" : {
"discriminator" : [
{
"type" : "profile",
"path" : "observation"
}
],
"rules" : "open"
}
},
{
"id" : "Observation.entryRelationship:age",
"path" : "Observation.entryRelationship",
"sliceName" : "age",
"requirements" : "MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it",
"min" : 0,
"max" : "1"
},
{
"id" : "Observation.entryRelationship:age.typeCode",
"path" : "Observation.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:1198-9060).",
"min" : 1,
"max" : "1",
"patternCode" : "SUBJ"
},
{
"id" : "Observation.entryRelationship:age.inversionInd",
"path" : "Observation.entryRelationship.inversionInd",
"requirements" : "SHALL contain exactly one [1..1] @inversionInd=\"true\" True (CONF:1198-9069).",
"min" : 1,
"max" : "1",
"patternBoolean" : true
},
{
"id" : "Observation.entryRelationship:age.observation",
"path" : "Observation.entryRelationship.observation",
"requirements" : "SHALL contain exactly one [1..1] Age Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.31) (CONF:1198-15590).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile" : [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.31"
]
}
]
},
{
"id" : "Observation.entryRelationship:prognosis",
"path" : "Observation.entryRelationship",
"sliceName" : "prognosis",
"requirements" : "MAY contain zero or one [0..1] entryRelationship (CONF:1198-29951) such that it",
"min" : 0,
"max" : "1"
},
{
"id" : "Observation.entryRelationship:prognosis.typeCode",
"path" : "Observation.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:1198-31531).",
"min" : 1,
"max" : "1",
"patternCode" : "REFR"
},
{
"id" : "Observation.entryRelationship:prognosis.observation",
"path" : "Observation.entryRelationship.observation",
"requirements" : "SHALL contain exactly one [1..1] Prognosis Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.113) (CONF:1198-29952).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile" : [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.113"
]
}
]
},
{
"id" : "Observation.entryRelationship:priority",
"path" : "Observation.entryRelationship",
"sliceName" : "priority",
"requirements" : "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31063) such that it",
"min" : 0,
"max" : "*"
},
{
"id" : "Observation.entryRelationship:priority.typeCode",
"path" : "Observation.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:1198-31532).",
"min" : 1,
"max" : "1",
"patternCode" : "REFR"
},
{
"id" : "Observation.entryRelationship:priority.observation",
"path" : "Observation.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:1198-31064).",
"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"
]
}
]
},
{
"id" : "Observation.entryRelationship:status",
"path" : "Observation.entryRelationship",
"sliceName" : "status",
"requirements" : "MAY contain zero or one [0..1] entryRelationship (CONF:1198-9063) such that it",
"min" : 0,
"max" : "1"
},
{
"id" : "Observation.entryRelationship:status.typeCode",
"path" : "Observation.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:1198-9068).",
"min" : 1,
"max" : "1",
"patternCode" : "REFR"
},
{
"id" : "Observation.entryRelationship:status.observation",
"path" : "Observation.entryRelationship.observation",
"requirements" : "SHALL contain exactly one [1..1] Problem Status (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.6:2019-06-20) (CONF:1198-15591).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile" : [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.6"
]
}
]
}
]
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.