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Resource StructureDefinition/FHIR Server from package hl7.cda.us.ccda#current (172 ms)

Package hl7.cda.us.ccda
Type StructureDefinition
Id Id
FHIR Version R5
Source http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda/StructureDefinition-TobaccoUse.html
Url http://hl7.org/cda/us/ccda/StructureDefinition/TobaccoUse
Version 4.0.0-ballot
Status retired
Date 2024-12-11T22:59:59+00:00
Name TobaccoUse
Title Tobacco Use (Deprecated)
Experimental False
Realm us
Authority hl7
Description This template represents a patient's tobacco use. All the types of tobacco use are represented using the codes from the tobacco use and exposure-finding hierarchy in SNOMED CT, including codes required for recording smoking status in Meaningful Use Stage 2. The effectiveTime element is used to describe dates associated with the patient's tobacco use. Whereas the Smoking Status - Meaningful Use template (2.16.840.1.113883.10.20.22.4.78:2014-06-09) represents a "snapshot in time" observation, simply reflecting what the patient's current smoking status is at the time of the observation, this Tobacco Use template uses effectiveTime to represent the biologically relevant time of the observation. Thus, to record a former smoker, an observation of "cigarette smoker" will have an effectiveTime/low defining the time the patient started to smoke cigarettes and an effectiveTime/high defining the time the patient ceased to smoke cigarettes. To record a current smoker, the effectiveTime/low will define the time the patient started smoking and will have no effectiveTime/high to indicated that the patient is still smoking.
Type http://hl7.org/cda/stds/core/StructureDefinition/Observation
Kind logical

Resources that use this resource

StructureDefinition
HealthConcernAct Health Concern Act

Resources that this resource uses

StructureDefinition
http://hl7.org/cda/stds/core/StructureDefinition/Author Author (CDA Class)
http://hl7.org/cda/stds/core/StructureDefinition/CD CD: ConceptDescriptor (V3 Data Type)
http://hl7.org/cda/stds/core/StructureDefinition/Observation Observation (CDA Class)
AuthorParticipation Author Participation


Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition TobaccoUse

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C1..1ObservationXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:tobacco-use 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.85
..... @extension 1..1stRequired Pattern: 2014-06-09
... @classCode 1..1csFixed Value: OBS
... @moodCode 1..1csFixed Value: EVN
... id 1..*II
... code 1..1CD
.... @code 1..1csRequired Pattern: 11367-0
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CS
.... @code 1..1csFixed Value: completed
... effectiveTime 1..1IVL_TSThe effectiveTime represents the biologically relevant time of the observation. A "former smoker" is recorded with the proper code "current smoker" with an effectiveTime/low and effectiveTime/high defining the time during which the patient was a smoker.
.... low 1..1IVXB_TS
.... high 0..1IVXB_TS
... value 1..1CD
.... @nullFlavor 0..0
.... @code 1..1csBinding: Tobacco Use . (required)
... author 0..*AuthorParticipationBase for all types and resources

doco Documentation for this format

Source

{
  "resourceType" : "StructureDefinition",
  "id" : "TobaccoUse",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition TobaccoUse</b></p><a name=\"TobaccoUse\"> </a><a name=\"hcTobaccoUse\"> </a><a name=\"TobaccoUse-en-US\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-text-ref-value, should-author )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">Observation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">XML Namespace: </span>urn:hl7-org:v3<br/>Elements defined in Ancestors:<a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ANY.html\" title=\"If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.\">@nullFlavor</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-InfrastructureRoot.html\" title=\"When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question\">realmCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-InfrastructureRoot.html\" title=\"When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.\">typeId</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-InfrastructureRoot.html\" title=\"When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question\">templateId</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">@classCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">@moodCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">@negationInd</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">id</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">sdtcCategory</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">code</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">derivationExpr</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">text</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">statusCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">effectiveTime</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">priorityCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">repeatNumber</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">languageCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">value</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">interpretationCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">methodCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\" title=\"Drawn from concept domain ActSite\">targetSiteCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">subject</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">specimen</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">performer</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">author</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">informant</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">participant</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">entryRelationship</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">reference</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">precondition</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">sdtcPrecondition2</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\" title=\"Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.\">referenceRange</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Observation.html\">sdtcInFulfillmentOf1</a><br/><span style=\"opacity: 0.5\">Base for all types and resources</span><br/><span style=\"font-weight:bold\">Instance of this type are validated by templateId</span><br/><span style=\"font-weight:bold\" title=\"The root class that contains instances of this class\">Logical Container: </span><a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">ClinicalDocument (CDA Class)</a><br/><span style=\"font-weight:bold\">should-text-ref-value: </span>SHOULD contain text/reference/@value<br/><span style=\"font-weight:bold\">should-author: </span>SHOULD contain author</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.templateId\">Slices for templateId</a><a name=\"Observation.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:root, value:extension</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.templateId:tobacco-use\" title=\"Slice tobacco-use\">templateId:tobacco-use</a><a name=\"Observation.templateId.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.templateId:tobacco-use.root\">@root</a><a name=\"Observation.templateId.root\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-oid.html\" title=\"string\">oid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-uuid.html\" title=\"string\">uuid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ruid.html\" title=\"string\">ruid</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.10.20.22.4.85</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.templateId:tobacco-use.extension\">@extension</a><a name=\"Observation.templateId.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-st-simple.html\" title=\"string\">st</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2014-06-09</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-TobaccoUse-definitions.html#Observation.classCode\">@classCode</a><a name=\"Observation.classCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">OBS</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.moodCode\">@moodCode</a><a name=\"Observation.moodCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">EVN</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.id\">id</a><a name=\"Observation.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></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-TobaccoUse-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.code.code\">@code</a><a name=\"Observation.code.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">11367-0</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.code.codeSystem\">@codeSystem</a><a name=\"Observation.code.codeSystem\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-oid.html\" title=\"string\">oid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-uuid.html\" title=\"string\">uuid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ruid.html\" title=\"string\">ruid</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\">2.16.840.1.113883.6.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.text\">text</a><a name=\"Observation.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ED.html\">ED</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">SHOULD reference the portion of section narrative text corresponding to this entry</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: 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-TobaccoUse-definitions.html#Observation.text.reference\">reference</a><a name=\"Observation.text.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( value-starts-octothorpe )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-TEL.html\">TEL</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\">value-starts-octothorpe: </span>If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.statusCode\">statusCode</a><a name=\"Observation.statusCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CS.html\">CS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></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-TobaccoUse-definitions.html#Observation.statusCode.code\">@code</a><a name=\"Observation.statusCode.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">completed</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.effectiveTime\">effectiveTime</a><a name=\"Observation.effectiveTime\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-IVL-TS.html\">IVL_TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The effectiveTime represents the biologically relevant time of the observation. A &quot;former smoker&quot; is recorded with the proper code &quot;current smoker&quot; with an effectiveTime/low and effectiveTime/high defining the time during which the patient was a smoker.</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-TobaccoUse-definitions.html#Observation.effectiveTime.low\">low</a><a name=\"Observation.effectiveTime.low\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-IVXB-TS.html\">IVXB_TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></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-TobaccoUse-definitions.html#Observation.effectiveTime.high\">high</a><a name=\"Observation.effectiveTime.high\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-IVXB-TS.html\">IVXB_TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></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_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-definitions.html#Observation.value\">value</a><a name=\"Observation.value\"> </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=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"text-decoration:line-through\">@nullFlavor</span><a name=\"Observation.value.nullFlavor\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : 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\"/></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-TobaccoUse-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\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.41/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.41\">Tobacco Use <img src=\"external.png\" alt=\".\"/></a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.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_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TobaccoUse-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\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-AuthorParticipation.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Author\">AuthorParticipation</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
      "_valueBoolean" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "not-applicable"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
      "valueUri" : "urn:hl7-org:v3"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
      "valueString" : "observation"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
      "valueUri" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
      "valueUri" : "cda"
    }
  ],
  "url" : "http://hl7.org/cda/us/ccda/StructureDefinition/TobaccoUse",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:hl7ii:2.16.840.1.113883.10.20.22.4.85:2014-06-09"
    }
  ],
  "version" : "4.0.0-ballot",
  "name" : "TobaccoUse",
  "title" : "Tobacco Use (Deprecated)",
  "status" : "retired",
  "date" : "2024-12-11T22:59:59+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 represents a patient's tobacco use. \n\nAll the types of tobacco use are represented using the codes from the tobacco use and exposure-finding hierarchy in SNOMED CT, including codes required for recording smoking status in Meaningful Use Stage 2. \n\nThe effectiveTime element is used to describe dates associated with the patient's tobacco use. Whereas the Smoking Status - Meaningful Use template (2.16.840.1.113883.10.20.22.4.78:2014-06-09) represents a \"snapshot in time\" observation, simply reflecting what the patient's current smoking status is at the time of the observation, this Tobacco Use template uses effectiveTime to represent the biologically relevant time of the observation. Thus, to record a former smoker, an observation of \"cigarette smoker\" will have an effectiveTime/low defining the time the patient started to smoke cigarettes and an effectiveTime/high defining the time the patient ceased to smoke cigarettes. To record a current smoker, the effectiveTime/low will define the time the patient started smoking and will have no effectiveTime/high to indicated that the patient is still smoking.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "fhirVersion" : "5.0.0",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
  "baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "short" : "Base for all types and resources",
        "definition" : "Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "should-text-ref-value",
            "severity" : "warning",
            "human" : "SHOULD contain text/reference/@value",
            "expression" : "text.reference.value.exists()",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/TobaccoUse"
          },
          {
            "key" : "should-author",
            "severity" : "warning",
            "human" : "SHOULD contain author",
            "expression" : "author.exists()",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/TobaccoUse"
          }
        ],
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation.nullFlavor",
        "path" : "Observation.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.realmCode",
        "path" : "Observation.realmCode",
        "definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.realmCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ]
      },
      {
        "id" : "Observation.typeId",
        "path" : "Observation.typeId",
        "definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "InfrastructureRoot.typeId",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ],
        "constraint" : [
          {
            "key" : "II-1",
            "severity" : "error",
            "human" : "An II instance must have either a root or an nullFlavor.",
            "expression" : "root.exists() or nullFlavor.exists()",
            "source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
          }
        ]
      },
      {
        "id" : "Observation.typeId.nullFlavor",
        "path" : "Observation.typeId.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.typeId.assigningAuthorityName",
        "path" : "Observation.typeId.assigningAuthorityName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Assigning Authority Name",
        "definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.assigningAuthorityName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.typeId.displayable",
        "path" : "Observation.typeId.displayable",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Displayable",
        "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.displayable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.typeId.root",
        "path" : "Observation.typeId.root",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Root",
        "definition" : "Identifies the type as an HL7 Registered model",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.root",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ],
        "fixedString" : "2.16.840.1.113883.1.3"
      },
      {
        "id" : "Observation.typeId.extension",
        "path" : "Observation.typeId.extension",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Extension",
        "definition" : "A character string as a unique identifier within the scope of the identifier root.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.templateId",
        "path" : "Observation.templateId",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "root"
            },
            {
              "type" : "value",
              "path" : "extension"
            }
          ],
          "rules" : "open"
        },
        "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.templateId:tobacco-use",
        "path" : "Observation.templateId",
        "sliceName" : "tobacco-use",
        "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "InfrastructureRoot.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.templateId:tobacco-use.nullFlavor",
        "path" : "Observation.templateId.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.templateId:tobacco-use.assigningAuthorityName",
        "path" : "Observation.templateId.assigningAuthorityName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Assigning Authority Name",
        "definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.assigningAuthorityName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.templateId:tobacco-use.displayable",
        "path" : "Observation.templateId.displayable",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Displayable",
        "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.displayable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.templateId:tobacco-use.root",
        "path" : "Observation.templateId.root",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Root",
        "definition" : "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.root",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ],
        "patternString" : "2.16.840.1.113883.10.20.22.4.85"
      },
      {
        "id" : "Observation.templateId:tobacco-use.extension",
        "path" : "Observation.templateId.extension",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Extension",
        "definition" : "A character string as a unique identifier within the scope of the identifier root.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ],
        "patternString" : "2014-06-09"
      },
      {
        "id" : "Observation.classCode",
        "path" : "Observation.classCode",
        "representation" : [
          "xmlAttr"
        ],
        "comment" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-16558).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.classCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "OBS",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation"
        }
      },
      {
        "id" : "Observation.moodCode",
        "path" : "Observation.moodCode",
        "representation" : [
          "xmlAttr"
        ],
        "comment" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-16559).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.moodCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "EVN",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0"
        }
      },
      {
        "id" : "Observation.negationInd",
        "path" : "Observation.negationInd",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.negationInd",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.id",
        "path" : "Observation.id",
        "comment" : "SHALL contain at least one [1..*] id (CONF:1098-32400).",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "Observation.id",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.sdtcCategory",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "category"
          }
        ],
        "path" : "Observation.sdtcCategory",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.sdtcCategory",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "representation" : [
          "typeAttr"
        ],
        "comment" : "SHALL contain exactly one [1..1] code (CONF:1098-19174).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.code",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationType"
        }
      },
      {
        "id" : "Observation.code.nullFlavor",
        "path" : "Observation.code.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.code.code",
        "path" : "Observation.code.code",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code",
        "definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
        "comment" : "This code SHALL contain exactly one [1..1] @code=\"11367-0\" History of tobacco use (CONF:1098-19175).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CD.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "patternCode" : "11367-0"
      },
      {
        "id" : "Observation.code.codeSystem",
        "path" : "Observation.code.codeSystem",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System",
        "definition" : "Specifies the code system that defines the code.",
        "comment" : "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32172).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystem",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ],
        "patternString" : "2.16.840.1.113883.6.1"
      },
      {
        "id" : "Observation.code.codeSystemName",
        "path" : "Observation.code.codeSystemName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Name",
        "definition" : "The common name of the coding system.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystemName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.code.codeSystemVersion",
        "path" : "Observation.code.codeSystemVersion",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Version",
        "definition" : "If applicable, a version descriptor defined specifically for the given code system.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystemVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.code.displayName",
        "path" : "Observation.code.displayName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Display Name",
        "definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.displayName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.code.sdtcValueSet",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "valueSet"
          }
        ],
        "path" : "Observation.code.sdtcValueSet",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.valueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid"
            ]
          }
        ]
      },
      {
        "id" : "Observation.code.sdtcValueSetVersion",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "valueSetVersion"
          }
        ],
        "path" : "Observation.code.sdtcValueSetVersion",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.sdtcValueSetVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.code.originalText",
        "path" : "Observation.code.originalText",
        "label" : "Original Text",
        "definition" : "The text or phrase used as the basis for the coding.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.originalText",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.code.qualifier",
        "path" : "Observation.code.qualifier",
        "label" : "Qualifier",
        "definition" : "Specifies additional codes that increase the specificity of the the primary code.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "CD.qualifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CR"
          }
        ]
      },
      {
        "id" : "Observation.code.translation",
        "path" : "Observation.code.translation",
        "representation" : [
          "typeAttr"
        ],
        "label" : "Translation",
        "definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "CD.translation",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.derivationExpr",
        "path" : "Observation.derivationExpr",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.derivationExpr",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ST"
          }
        ]
      },
      {
        "id" : "Observation.text",
        "path" : "Observation.text",
        "representation" : [
          "typeAttr"
        ],
        "short" : "SHOULD reference the portion of section narrative text corresponding to this entry",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.text.nullFlavor",
        "path" : "Observation.text.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.text.compression",
        "path" : "Observation.text.compression",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Compression",
        "definition" : "Indicates whether the raw byte data is compressed, and what compression algorithm was used.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.compression",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm"
        }
      },
      {
        "id" : "Observation.text.integrityCheck",
        "path" : "Observation.text.integrityCheck",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Integrity Check",
        "definition" : "The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.integrityCheck",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "base64Binary",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bin"
            ]
          }
        ]
      },
      {
        "id" : "Observation.text.integrityCheckAlgorithm",
        "path" : "Observation.text.integrityCheckAlgorithm",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Integrity Check Algorithm",
        "definition" : "Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.integrityCheckAlgorithm",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0"
        }
      },
      {
        "id" : "Observation.text.language",
        "path" : "Observation.text.language",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Language",
        "definition" : "For character based information the language property specifies the human language of the text.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.text.mediaType",
        "path" : "Observation.text.mediaType",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Media Type",
        "definition" : "Identifies the type of the encapsulated data and identifies a method to interpret or render the data.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.mediaType",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-MediaType"
        }
      },
      {
        "id" : "Observation.text.representation",
        "path" : "Observation.text.representation",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.representation",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding"
        }
      },
      {
        "id" : "Observation.text.xmlText",
        "path" : "Observation.text.xmlText",
        "representation" : [
          "xmlText"
        ],
        "short" : "Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.",
        "definition" : "Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)",
        "comment" : "This element is represented in XML as textual content. The actual name \"xmlText\" will not appear in a CDA instance.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.xmlText",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.text.reference",
        "path" : "Observation.text.reference",
        "label" : "Reference",
        "definition" : "A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.reference",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
          }
        ],
        "constraint" : [
          {
            "key" : "value-starts-octothorpe",
            "severity" : "error",
            "human" : "If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative",
            "expression" : "value.exists() implies value.startsWith('#')",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/TobaccoUse"
          }
        ]
      },
      {
        "id" : "Observation.text.thumbnail",
        "path" : "Observation.text.thumbnail",
        "label" : "Thumbnail",
        "definition" : "An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ED.thumbnail",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.statusCode",
        "path" : "Observation.statusCode",
        "comment" : "SHALL contain exactly one [1..1] statusCode (CONF:1098-16561).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.statusCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActStatus"
        }
      },
      {
        "id" : "Observation.statusCode.nullFlavor",
        "path" : "Observation.statusCode.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.statusCode.code",
        "path" : "Observation.statusCode.code",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code",
        "definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
        "comment" : "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19118).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CD.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "completed"
      },
      {
        "id" : "Observation.statusCode.codeSystem",
        "path" : "Observation.statusCode.codeSystem",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System",
        "definition" : "Specifies the code system that defines the code.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.codeSystem",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.codeSystemName",
        "path" : "Observation.statusCode.codeSystemName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Name",
        "definition" : "The common name of the coding system.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.codeSystemName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.codeSystemVersion",
        "path" : "Observation.statusCode.codeSystemVersion",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Version",
        "definition" : "If applicable, a version descriptor defined specifically for the given code system.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.codeSystemVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.displayName",
        "path" : "Observation.statusCode.displayName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Display Name",
        "definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.displayName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.sdtcValueSet",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "valueSet"
          }
        ],
        "path" : "Observation.statusCode.sdtcValueSet",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.valueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.sdtcValueSetVersion",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "valueSetVersion"
          }
        ],
        "path" : "Observation.statusCode.sdtcValueSetVersion",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.sdtcValueSetVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.statusCode.originalText",
        "path" : "Observation.statusCode.originalText",
        "label" : "Original Text",
        "definition" : "The text or phrase used as the basis for the coding.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.originalText",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.qualifier",
        "path" : "Observation.statusCode.qualifier",
        "label" : "Qualifier",
        "definition" : "Specifies additional codes that increase the specificity of the the primary code.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.qualifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CR"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.translation",
        "path" : "Observation.statusCode.translation",
        "representation" : [
          "typeAttr"
        ],
        "label" : "Translation",
        "definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.translation",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime",
        "path" : "Observation.effectiveTime",
        "short" : "The effectiveTime represents the biologically relevant time of the observation. A \"former smoker\" is recorded with the proper code \"current smoker\" with an effectiveTime/low and effectiveTime/high defining the time during which the patient was a smoker.",
        "comment" : "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-16564).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.effectiveTime",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.nullFlavor",
        "path" : "Observation.effectiveTime.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.effectiveTime.value",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format",
            "valueString" : "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules",
            "valueString" : "year-valid"
          }
        ],
        "path" : "Observation.effectiveTime.value",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "TS.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.operator",
        "path" : "Observation.effectiveTime.operator",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "SXCM_TS.operator",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "defaultValueCode" : "I",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDASetOperator"
        }
      },
      {
        "id" : "Observation.effectiveTime.low",
        "path" : "Observation.effectiveTime.low",
        "label" : "Low Boundary",
        "definition" : "This is the low limit of the interval.",
        "comment" : "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-16565).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "IVL_TS.low",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.center",
        "path" : "Observation.effectiveTime.center",
        "label" : "Central Value",
        "definition" : "The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IVL_TS.center",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.width",
        "path" : "Observation.effectiveTime.width",
        "label" : "Width",
        "definition" : "The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IVL_TS.width",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PQ"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.high",
        "path" : "Observation.effectiveTime.high",
        "label" : "High Boundary",
        "definition" : "This is the high limit of the interval.",
        "comment" : "This effectiveTime MAY contain zero or one [0..1] high (CONF:1098-31431).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "IVL_TS.high",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"
          }
        ]
      },
      {
        "id" : "Observation.priorityCode",
        "path" : "Observation.priorityCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.priorityCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "example",
          "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/cda/stds/core/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/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/ValueSet/all-languages"
        }
      },
      {
        "id" : "Observation.value",
        "path" : "Observation.value",
        "representation" : [
          "typeAttr"
        ],
        "comment" : "SHALL contain exactly one [1..1] value with @xsi:type=\"CD\" (CONF-1098-16562).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.value",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "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" : "0",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.value.code",
        "path" : "Observation.value.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.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CD.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.41"
        }
      },
      {
        "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",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ]
      },
      {
        "id" : "Observation.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",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "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",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "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",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.value.sdtcValueSet",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "valueSet"
          }
        ],
        "path" : "Observation.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",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid"
            ]
          }
        ]
      },
      {
        "id" : "Observation.value.sdtcValueSetVersion",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "valueSetVersion"
          }
        ],
        "path" : "Observation.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",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "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/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.value.qualifier",
        "path" : "Observation.value.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/cda/stds/core/StructureDefinition/CR"
          }
        ]
      },
      {
        "id" : "Observation.value.translation",
        "path" : "Observation.value.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/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode",
        "path" : "Observation.interpretationCode",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.interpretationCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation"
        }
      },
      {
        "id" : "Observation.methodCode",
        "path" : "Observation.methodCode",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.methodCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "example",
          "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/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.subject",
        "path" : "Observation.subject",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.subject",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
          }
        ]
      },
      {
        "id" : "Observation.specimen",
        "path" : "Observation.specimen",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.specimen",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Specimen"
          }
        ]
      },
      {
        "id" : "Observation.performer",
        "path" : "Observation.performer",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.performer",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Performer2"
          }
        ]
      },
      {
        "id" : "Observation.author",
        "path" : "Observation.author",
        "short" : "Base for all types and resources",
        "definition" : "Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.",
        "comment" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31152).",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Author",
            "profile" : [
              "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation"
            ]
          }
        ],
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation.informant",
        "path" : "Observation.informant",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.informant",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
          }
        ]
      },
      {
        "id" : "Observation.participant",
        "path" : "Observation.participant",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.participant",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
          }
        ]
      },
      {
        "id" : "Observation.entryRelationship",
        "path" : "Observation.entryRelationship",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.entryRelationship",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
          }
        ]
      },
      {
        "id" : "Observation.reference",
        "path" : "Observation.reference",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.reference",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id" : "Observation.precondition",
        "path" : "Observation.precondition",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.precondition",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Precondition"
          }
        ]
      },
      {
        "id" : "Observation.sdtcPrecondition2",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "precondition2"
          }
        ],
        "path" : "Observation.sdtcPrecondition2",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.sdtcPrecondition2",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Precondition2"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange",
        "path" : "Observation.referenceRange",
        "definition" : "Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.referenceRange",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.nullFlavor",
        "path" : "Observation.referenceRange.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.referenceRange.realmCode",
        "path" : "Observation.referenceRange.realmCode",
        "definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.realmCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.typeId",
        "path" : "Observation.referenceRange.typeId",
        "definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "InfrastructureRoot.typeId",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ],
        "constraint" : [
          {
            "key" : "II-1",
            "severity" : "error",
            "human" : "An II instance must have either a root or an nullFlavor.",
            "expression" : "root.exists() or nullFlavor.exists()",
            "source" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.typeId.nullFlavor",
        "path" : "Observation.referenceRange.typeId.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Observation.referenceRange.typeId.assigningAuthorityName",
        "path" : "Observation.referenceRange.typeId.assigningAuthorityName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Assigning Authority Name",
        "definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.assigningAuthorityName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.typeId.displayable",
        "path" : "Observation.referenceRange.typeId.displayable",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Displayable",
        "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.displayable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.typeId.root",
        "path" : "Observation.referenceRange.typeId.root",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Root",
        "definition" : "Identifies the type as an HL7 Registered model",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.root",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ],
        "fixedString" : "2.16.840.1.113883.1.3"
      },
      {
        "id" : "Observation.referenceRange.typeId.extension",
        "path" : "Observation.referenceRange.typeId.extension",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Extension",
        "definition" : "A character string as a unique identifier within the scope of the identifier root.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.templateId",
        "path" : "Observation.referenceRange.templateId",
        "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.typeCode",
        "path" : "Observation.referenceRange.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.referenceRange.typeCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "REFV",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange",
        "path" : "Observation.referenceRange.observationRange",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.referenceRange.observationRange",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange"
          }
        ]
      },
      {
        "id" : "Observation.sdtcInFulfillmentOf1",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "inFulfillmentOf1"
          }
        ],
        "path" : "Observation.sdtcInFulfillmentOf1",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.sdtcInFulfillmentOf1",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "constraint" : [
          {
            "key" : "should-text-ref-value",
            "severity" : "warning",
            "human" : "SHOULD contain text/reference/@value",
            "expression" : "text.reference.value.exists()",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/TobaccoUse"
          },
          {
            "key" : "should-author",
            "severity" : "warning",
            "human" : "SHOULD contain author",
            "expression" : "author.exists()",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/TobaccoUse"
          }
        ]
      },
      {
        "id" : "Observation.templateId",
        "path" : "Observation.templateId",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "root"
            },
            {
              "type" : "value",
              "path" : "extension"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Observation.templateId:tobacco-use",
        "path" : "Observation.templateId",
        "sliceName" : "tobacco-use",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.templateId:tobacco-use.root",
        "path" : "Observation.templateId.root",
        "min" : 1,
        "patternString" : "2.16.840.1.113883.10.20.22.4.85"
      },
      {
        "id" : "Observation.templateId:tobacco-use.extension",
        "path" : "Observation.templateId.extension",
        "min" : 1,
        "patternString" : "2014-06-09"
      },
      {
        "id" : "Observation.classCode",
        "path" : "Observation.classCode",
        "comment" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-16558).",
        "fixedCode" : "OBS"
      },
      {
        "id" : "Observation.moodCode",
        "path" : "Observation.moodCode",
        "comment" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-16559).",
        "fixedCode" : "EVN"
      },
      {
        "id" : "Observation.id",
        "path" : "Observation.id",
        "comment" : "SHALL contain at least one [1..*] id (CONF:1098-32400).",
        "min" : 1
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "comment" : "SHALL contain exactly one [1..1] code (CONF:1098-19174)."
      },
      {
        "id" : "Observation.code.code",
        "path" : "Observation.code.code",
        "comment" : "This code SHALL contain exactly one [1..1] @code=\"11367-0\" History of tobacco use (CONF:1098-19175).",
        "min" : 1,
        "patternCode" : "11367-0"
      },
      {
        "id" : "Observation.code.codeSystem",
        "path" : "Observation.code.codeSystem",
        "comment" : "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32172).",
        "min" : 1,
        "patternString" : "2.16.840.1.113883.6.1"
      },
      {
        "id" : "Observation.text",
        "path" : "Observation.text",
        "short" : "SHOULD reference the portion of section narrative text corresponding to this entry"
      },
      {
        "id" : "Observation.text.reference",
        "path" : "Observation.text.reference",
        "constraint" : [
          {
            "key" : "value-starts-octothorpe",
            "severity" : "error",
            "human" : "If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative",
            "expression" : "value.exists() implies value.startsWith('#')",
            "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/TobaccoUse"
          }
        ]
      },
      {
        "id" : "Observation.statusCode",
        "path" : "Observation.statusCode",
        "comment" : "SHALL contain exactly one [1..1] statusCode (CONF:1098-16561).",
        "min" : 1
      },
      {
        "id" : "Observation.statusCode.code",
        "path" : "Observation.statusCode.code",
        "comment" : "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19118).",
        "min" : 1,
        "fixedCode" : "completed"
      },
      {
        "id" : "Observation.effectiveTime",
        "path" : "Observation.effectiveTime",
        "short" : "The effectiveTime represents the biologically relevant time of the observation. A \"former smoker\" is recorded with the proper code \"current smoker\" with an effectiveTime/low and effectiveTime/high defining the time during which the patient was a smoker.",
        "comment" : "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-16564).",
        "min" : 1
      },
      {
        "id" : "Observation.effectiveTime.low",
        "path" : "Observation.effectiveTime.low",
        "comment" : "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-16565).",
        "min" : 1
      },
      {
        "id" : "Observation.effectiveTime.high",
        "path" : "Observation.effectiveTime.high",
        "comment" : "This effectiveTime MAY contain zero or one [0..1] high (CONF:1098-31431)."
      },
      {
        "id" : "Observation.value",
        "path" : "Observation.value",
        "comment" : "SHALL contain exactly one [1..1] value with @xsi:type=\"CD\" (CONF-1098-16562).",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.value.nullFlavor",
        "path" : "Observation.value.nullFlavor",
        "max" : "0"
      },
      {
        "id" : "Observation.value.code",
        "path" : "Observation.value.code",
        "min" : 1,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.41"
        }
      },
      {
        "id" : "Observation.author",
        "path" : "Observation.author",
        "comment" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31152).",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Author",
            "profile" : [
              "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation"
            ]
          }
        ]
      }
    ]
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.