Generated Narrative: StructureDefinition AdvanceDirectiveObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C1..1ObservationXML Namespace: urn:hl7-org:v3
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
Constraints: should-text-ref-value, should-author, should-informant
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:advance-directive-obs 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.48
..... @extension 1..1stRequired Pattern: 2025-05-01
... @classCode 1..1csFixed Value: OBS
... @moodCode 1..1csFixed Value: EVN
... id 1..*II
... code C1..1CDAdvance Directive
Constraints: should-translation
.... @code 1..1csRequired Pattern: 75320-2
.... @codeSystem 1..1oid, uuid, ruidLOINC
Required Pattern: 2.16.840.1.113883.6.1
.... translation 0..*CD𝗨𝗦𝗖𝗗𝗜: Advance Directive Type
Binding: Advance Healthcare Directive Categories LOINC . (preferred)
... text C1..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELConstraints: value-starts-octothorpe
... statusCode 1..1CS
.... @code 1..1csFixed Value: completed
... effectiveTime 1..1IVL_TS
.... low 1..1IVXB_TS
.... high 1..1IVXB_TSIf the Advance Directive does not have a specified ending time, use a nullFlavor of *NA*. If the ending time is unknown, use a nullFlavor of *UNK*.
... value 0..1CDBinding: Advance Healthcare Directive Document Types Grouper . (preferred)
... author C0..*AuthorParticipationSHOULD contain author
... informant C0..*InformantSHOULD contain informant
... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode
.... participant:verifier C0..*Participant2𝗨𝗦𝗖𝗗𝗜: Verifier - The participant "VRF" represents the clinician(s) who verified the patient advance directive.
Constraints: should-time
..... Slices for templateId 1..*IISlice: Unordered, Open by value:root
...... templateId:primary 1..1II
....... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.1.58
....... @extension 0..0
..... @typeCode 1..1csFixed Value: VRF
..... time C0..1IVL_TSConstraints: value-only
...... @value 0..1tsvalue should be used instead of low/high
..... participantRole C1..1ParticipantRoleConstraints: should-code
...... code 0..1CEBinding: Healthcare Provider Taxonomy . (preferred)
...... sdtcSpecialty 0..*CEBinding: PracticeSettingCodeValueSet (preferred)
...... addr 0..*USRealmAddress
...... playingEntity 1..1PlayingEntity
....... name 1..1USRealmPersonNamePNUSFIELDED
.... participant:healthcareAgent 0..*Participant2This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter.
..... @typeCode 1..1csFixed Value: CST
..... participantRole C1..1ParticipantRoleConstraints: should-code, should-addr, should-telecom
...... @classCode 1..1csFixed Value: AGNT
...... code 0..1CEBinding: Healthcare Agent or Proxy Choices . (preferred)
...... sdtcSpecialty 0..*CEBinding: PracticeSettingCodeValueSet (preferred)
...... addr 0..1USRealmAddress
...... telecom 0..*TEL
...... playingEntity C1..1PlayingEntityConstraints: should-code
....... code 0..1CEBinding: Personal And Legal Relationship Role Type . (preferred)
....... name 1..1PNThe name of the healthcare agent.
... Slices for reference 1..*ReferenceSlice: Unordered, Open by value:typeCode
.... reference:reference1 1..*Reference
..... @typeCode 1..1csFixed Value: REFR
..... externalDocument 1..1ExternalDocument𝗨𝗦𝗖𝗗𝗜: External Document
...... id 1..*II
...... code 1..1CDBinding: Advance Healthcare Directive Document Types Grouper . (preferred)
...... text 0..1ED
....... reference C0..1TELThe URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698).
Constraints: 1198-8699
...... sdtcAuthor 0..*AuthorXML Namespace: urn:hl7-org:sdtc
𝗨𝗦𝗖𝗗𝗜: Author
XML: author (urn:hl7-org:sdtc)

doco Documentation for this format
 <status value="draft"/> <date value="2025-12-13T10:23:13+11:00"/> <publisher value="Health Level Seven"/> <contact> <name value="HL7 International - Structured Documents"/> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/structure"/> </telecom> </contact> <description value="The Advance Directive Observation template is nested within the Advance Directive Existence Observation, which indicates whether the individual has any advance directive documents. Each Advance Directive Observation template provides details about one type of advance directive document and may also include information about the document’s author, as well as any individuals who discussed and verified its contents with the patient or their designated healthcare agent. The Advance Directive Observation template also can be nested within an Intervention Act to serve as documentation explaining why an intervention was planned/performed or not."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <fhirVersion value="5.0.0"/> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="logical"/> <abstract value="false"/> <type value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/> <baseDefinition value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="2.0.2-sd"/> </extension> <element id="Observation"> <path value="Observation"/> <short value="Base for all types and resources"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="Base"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="should-text-ref-value"/> <severity value="warning"/> <human value="SHOULD contain text/reference/@value"/> <expression value="text.reference.value.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> <constraint> <key value="should-author"/> <severity value="warning"/> <human value="SHOULD contain author"/> <expression value="author.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> <constraint> <key value="should-informant"/> <severity value="warning"/> <human value="SHOULD contain informant"/> <expression value="informant.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.nullFlavor"> <path value="Observation.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.realmCode"> <path value="Observation.realmCode"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.realmCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> </element> <element id="Observation.typeId"> <path value="Observation.typeId"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="InfrastructureRoot.typeId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> <constraint> <key value="II-1"/> <severity value="error"/> <human value="An II instance must have either a root or an nullFlavor."/> <expression value="root.exists() or nullFlavor.exists()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/> </constraint> </element> <element id="Observation.typeId.nullFlavor"> <path value="Observation.typeId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.typeId.assigningAuthorityName"> <path value="Observation.typeId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.typeId.displayable"> <path value="Observation.typeId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.typeId.root"> <path value="Observation.typeId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="Identifies the type as an HL7 Registered model"/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <fixedString value="2.16.840.1.113883.1.3"/> </element> <element id="Observation.typeId.extension"> <path value="Observation.typeId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <min value="1"/> <max value="1"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.templateId"> <path value="Observation.templateId"/> <slicing> <discriminator> <type value="value"/> <path value="root"/> </discriminator> <discriminator> <type value="value"/> <path value="extension"/> </discriminator> <rules value="open"/> </slicing> <definition value="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 value="1"/> <max value="*"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.templateId:advance-directive-obs"> <path value="Observation.templateId"/> <sliceName value="advance-directive-obs"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.templateId:advance-directive-obs.nullFlavor"> <path value="Observation.templateId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.templateId:advance-directive-obs.assigningAuthorityName"> <path value="Observation.templateId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.templateId:advance-directive-obs.displayable"> <path value="Observation.templateId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.templateId:advance-directive-obs.root"> <path value="Observation.templateId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <patternString value="2.16.840.1.113883.10.20.22.4.48"/> </element> <element id="Observation.templateId:advance-directive-obs.extension"> <path value="Observation.templateId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <min value="1"/> <max value="1"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> <patternString value="2025-05-01"/> </element> <element id="Observation.classCode"> <path value="Observation.classCode"/> <representation value="xmlAttr"/> <comment value="SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC)."/> <min value="1"/> <max value="1"/> <base> <path value="Observation.classCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="OBS"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation"/> </binding> </element> <element id="Observation.moodCode"> <path value="Observation.moodCode"/> <representation value="xmlAttr"/> <comment value="SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC)."/> <min value="1"/> <max value="1"/> <base> <path value="Observation.moodCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="EVN"/> <binding> <strength value="required"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0"/> </binding> </element> <element id="Observation.negationInd"> <path value="Observation.negationInd"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="Observation.negationInd"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.id"> <path value="Observation.id"/> <comment value="SHALL contain at least one [1..*] id."/> <min value="1"/> <max value="*"/> <base> <path value="Observation.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.sdtcCategory"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="category"/> </extension> <path value="Observation.sdtcCategory"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.sdtcCategory"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/> </type> </element> <element id="Observation.code"> <path value="Observation.code"/> <representation value="typeAttr"/> <short value="Advance Directive"/> <min value="1"/> <max value="1"/> <base> <path value="Observation.code"/> <min value="1"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/> </type> <constraint> <key value="should-translation"/> <severity value="warning"/> <human value="SHOULD contain translation"/> <expression value="translation.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> <binding> <strength value="example"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationType"/> </binding> </element> <element id="Observation.code.nullFlavor"> <path value="Observation.code.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.code.code"> <path value="Observation.code.code"/> <representation value="xmlAttr"/> <label value="Code"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="CD.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <patternCode value="75320-2"/> </element> <element id="Observation.code.codeSystem"> <path value="Observation.code.codeSystem"/> <representation value="xmlAttr"/> <label value="Code System"/> <short value="LOINC"/> <definition value="Specifies the code system that defines the code."/> <min value="1"/> <max value="1"/> <base> <path value="CD.codeSystem"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <patternString value="2.16.840.1.113883.6.1"/> </element> <element id="Observation.code.codeSystemName"> <path value="Observation.code.codeSystemName"/> <representation value="xmlAttr"/> <label value="Code System Name"/> <definition value="The common name of the coding system."/> <min value="0"/> <max value="1"/> <base> <path value="CD.codeSystemName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.code.codeSystemVersion"> <path value="Observation.code.codeSystemVersion"/> <representation value="xmlAttr"/> <label value="Code System Version"/> <definition value="If applicable, a version descriptor defined specifically for the given code system."/> <min value="0"/> <max value="1"/> <base> <path value="CD.codeSystemVersion"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.code.displayName"> <path value="Observation.code.displayName"/> <representation value="xmlAttr"/> <label value="Display Name"/> <definition value="A name or title for the code, under which the sending system shows the code value to its users."/> <min value="0"/> <max value="1"/> <base> <path value="CD.displayName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.code.sdtcValueSet"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="valueSet"/> </extension> <path value="Observation.code.sdtcValueSet"/> <representation value="xmlAttr"/> <definition value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/> <min value="0"/> <max value="1"/> <base> <path value="CD.valueSet"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> </type> </element> <element id="Observation.code.sdtcValueSetVersion"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="valueSetVersion"/> </extension> <path value="Observation.code.sdtcValueSetVersion"/> <representation value="xmlAttr"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="CD.sdtcValueSetVersion"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.code.originalText"> <path value="Observation.code.originalText"/> <label value="Original Text"/> <definition value="The text or phrase used as the basis for the coding."/> <min value="0"/> <max value="1"/> <base> <path value="CD.originalText"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/> </type> </element> <element id="Observation.code.qualifier"> <path value="Observation.code.qualifier"/> <label value="Qualifier"/> <definition value="Specifies additional codes that increase the specificity of the the primary code."/> <min value="0"/> <max value="*"/> <base> <path value="CD.qualifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/> </type> </element> <element id="Observation.code.translation"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true"/> </extension> <path value="Observation.code.translation"/> <representation value="typeAttr"/> <label value="Translation"/> <short value="𝗨𝗦𝗖𝗗𝗜: Advance Directive Type"/> <definition value="A set of other concept descriptors that translate this concept descriptor into other code systems."/> <comment value="This code SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Advance Directives Categories urn:oid:2.16.840.1.113883.11.20.9.69.4."/> <min value="0"/> <max value="*"/> <base> <path value="CD.translation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/> </type> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4"/> </binding> </element> <element id="Observation.derivationExpr"> <path value="Observation.derivationExpr"/> <min value="0"/> <max value="1"/> <base> <path value="Observation.derivationExpr"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/> </type> </element> <element id="Observation.text"> <path value="Observation.text"/> <representation value="typeAttr"/> <short value="SHOULD reference the portion of section narrative text corresponding to this entry"/> <min value="1"/> <max value="1"/> <base> <path value="Observation.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/> </type> <condition value="should-text-ref-value"/> </element> <element id="Observation.text.nullFlavor"> <path value="Observation.text.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.text.compression"> <path value="Observation.text.compression"/> <representation value="xmlAttr"/> <label value="Compression"/> <definition value="Indicates whether the raw byte data is compressed, and what compression algorithm was used."/> <min value="0"/> <max value="1"/> <base> <path value="ED.compression"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm"/> </binding> </element> <element id="Observation.text.integrityCheck"> <path value="Observation.text.integrityCheck"/> <representation value="xmlAttr"/> <label value="Integrity Check"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="ED.integrityCheck"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bin"/> </type> </element> <element id="Observation.text.integrityCheckAlgorithm"> <path value="Observation.text.integrityCheckAlgorithm"/> <representation value="xmlAttr"/> <label value="Integrity Check Algorithm"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="ED.integrityCheckAlgorithm"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0"/> </binding> </element> <element id="Observation.text.language"> <path value="Observation.text.language"/> <representation value="xmlAttr"/> <label value="Language"/> <definition value="For character based information the language property specifies the human language of the text."/> <min value="0"/> <max value="1"/> <base> <path value="ED.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> </element> <element id="Observation.text.mediaType"> <path value="Observation.text.mediaType"/> <representation value="xmlAttr"/> <label value="Media Type"/> <definition value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/> <min value="0"/> <max value="1"/> <base> <path value="ED.mediaType"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="example"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-MediaType"/> </binding> </element> <element id="Observation.text.representation"> <path value="Observation.text.representation"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="ED.representation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding"/> </binding> </element> <element id="Observation.text.xmlText"> <path value="Observation.text.xmlText"/> <representation value="xmlText"/> <short value="Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string."/> <definition value="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 value="This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance."/> <min value="0"/> <max value="1"/> <base> <path value="ED.xmlText"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.text.reference"> <path value="Observation.text.reference"/> <label value="Reference"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="ED.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/> </type> <constraint> <key value="value-starts-octothorpe"/> <severity value="error"/> <human value="If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative"/> <expression value="value.exists() implies value.startsWith('#')"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.text.thumbnail"> <path value="Observation.text.thumbnail"/> <label value="Thumbnail"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="ED.thumbnail"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/> </type> <constraint> <key value="ED-1"/> <severity value="error"/> <human value="Thumbnails cannot contain their own thumbnails"/> <expression value="thumbnail.empty()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/> </constraint> </element> <element id="Observation.statusCode"> <path value="Observation.statusCode"/> <comment value="SHALL contain exactly one [1..1] statusCode (CONF:1198-8652)."/> <min value="1"/> <max value="1"/> <base> <path value="Observation.statusCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> <binding> <strength value="required"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/> </binding> </element> <element id="Observation.statusCode.nullFlavor"> <path value="Observation.statusCode.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.statusCode.code"> <path value="Observation.statusCode.code"/> <representation value="xmlAttr"/> <label value="Code"/> <definition value="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 value="This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19082)."/> <min value="1"/> <max value="1"/> <base> <path value="CD.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="completed"/> </element> <element id="Observation.statusCode.codeSystem"> <path value="Observation.statusCode.codeSystem"/> <representation value="xmlAttr"/> <label value="Code System"/> <definition value="Specifies the code system that defines the code."/> <min value="0"/> <max value="0"/> <base> <path value="CD.codeSystem"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> </element> <element id="Observation.statusCode.codeSystemName"> <path value="Observation.statusCode.codeSystemName"/> <representation value="xmlAttr"/> <label value="Code System Name"/> <definition value="The common name of the coding system."/> <min value="0"/> <max value="0"/> <base> <path value="CD.codeSystemName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.statusCode.codeSystemVersion"> <path value="Observation.statusCode.codeSystemVersion"/> <representation value="xmlAttr"/> <label value="Code System Version"/> <definition value="If applicable, a version descriptor defined specifically for the given code system."/> <min value="0"/> <max value="0"/> <base> <path value="CD.codeSystemVersion"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.statusCode.displayName"> <path value="Observation.statusCode.displayName"/> <representation value="xmlAttr"/> <label value="Display Name"/> <definition value="A name or title for the code, under which the sending system shows the code value to its users."/> <min value="0"/> <max value="0"/> <base> <path value="CD.displayName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.statusCode.sdtcValueSet"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="valueSet"/> </extension> <path value="Observation.statusCode.sdtcValueSet"/> <representation value="xmlAttr"/> <definition value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/> <min value="0"/> <max value="1"/> <base> <path value="CD.valueSet"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> </type> </element> <element id="Observation.statusCode.sdtcValueSetVersion"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="valueSetVersion"/> </extension> <path value="Observation.statusCode.sdtcValueSetVersion"/> <representation value="xmlAttr"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="CD.sdtcValueSetVersion"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.statusCode.originalText"> <path value="Observation.statusCode.originalText"/> <label value="Original Text"/> <definition value="The text or phrase used as the basis for the coding."/> <min value="0"/> <max value="0"/> <base> <path value="CD.originalText"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/> </type> </element> <element id="Observation.statusCode.qualifier"> <path value="Observation.statusCode.qualifier"/> <label value="Qualifier"/> <definition value="Specifies additional codes that increase the specificity of the the primary code."/> <min value="0"/> <max value="0"/> <base> <path value="CD.qualifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/> </type> </element> <element id="Observation.statusCode.translation"> <path value="Observation.statusCode.translation"/> <representation value="typeAttr"/> <label value="Translation"/> <definition value="A set of other concept descriptors that translate this concept descriptor into other code systems."/> <min value="0"/> <max value="0"/> <base> <path value="CD.translation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/> </type> </element> <element id="Observation.effectiveTime"> <path value="Observation.effectiveTime"/> <comment value="SHALL contain exactly one [1..1] effectiveTime."/> <min value="1"/> <max value="1"/> <base> <path value="Observation.effectiveTime"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/> </type> </element> <element id="Observation.effectiveTime.nullFlavor"> <path value="Observation.effectiveTime.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.effectiveTime.value"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format"> <valueString value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules"> <valueString value="year-valid"/> </extension> <path value="Observation.effectiveTime.value"/> <representation value="xmlAttr"/> <definition value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/> <min value="0"/> <max value="1"/> <base> <path value="TS.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"/> </type> </element> <element id="Observation.effectiveTime.operator"> <path value="Observation.effectiveTime.operator"/> <representation value="xmlAttr"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="SXCM_TS.operator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <defaultValueCode value="I"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDASetOperator"/> </binding> </element> <element id="Observation.effectiveTime.low"> <path value="Observation.effectiveTime.low"/> <label value="Low Boundary"/> <definition value="This is the low limit of the interval."/> <comment value="This effectiveTime SHALL contain exactly one [1..1] low."/> <min value="1"/> <max value="1"/> <base> <path value="IVL_TS.low"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/> </type> </element> <element id="Observation.effectiveTime.center"> <path value="Observation.effectiveTime.center"/> <label value="Central Value"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="IVL_TS.center"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/> </type> </element> <element id="Observation.effectiveTime.width"> <path value="Observation.effectiveTime.width"/> <label value="Width"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="IVL_TS.width"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/PQ"/> </type> </element> <element id="Observation.effectiveTime.high"> <path value="Observation.effectiveTime.high"/> <label value="High Boundary"/> <short value="If the Advance Directive does not have a specified ending time, use a nullFlavor of *NA*. If the ending time is unknown, use a nullFlavor of *UNK*."/> <definition value="This is the high limit of the interval."/> <comment value="This effectiveTime SHALL contain exactly one [1..1] high."/> <min value="1"/> <max value="1"/> <base> <path value="IVL_TS.high"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/> </type> </element> <element id="Observation.priorityCode"> <path value="Observation.priorityCode"/> <min value="0"/> <max value="1"/> <base> <path value="Observation.priorityCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> <binding> <strength value="example"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/> </binding> </element> <element id="Observation.repeatNumber"> <path value="Observation.repeatNumber"/> <min value="0"/> <max value="1"/> <base> <path value="Observation.repeatNumber"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT"/> </type> </element> <element id="Observation.languageCode"> <path value="Observation.languageCode"/> <min value="0"/> <max value="1"/> <base> <path value="Observation.languageCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/fhir/ValueSet/all-languages"/> </binding> </element> <element id="Observation.value"> <path value="Observation.value"/> <representation value="typeAttr"/> <min value="0"/> <max value="1"/> <base> <path value="Observation.value"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/> </type> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41"/> </binding> </element> <element id="Observation.interpretationCode"> <path value="Observation.interpretationCode"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.interpretationCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation"/> </binding> </element> <element id="Observation.methodCode"> <path value="Observation.methodCode"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.methodCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> <binding> <strength value="example"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationMethod"/> </binding> </element> <element id="Observation.targetSiteCode"> <path value="Observation.targetSiteCode"/> <definition value="Drawn from concept domain ActSite"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.targetSiteCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/> </type> </element> <element id="Observation.subject"> <path value="Observation.subject"/> <min value="0"/> <max value="1"/> <base> <path value="Observation.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Subject"/> </type> </element> <element id="Observation.specimen"> <path value="Observation.specimen"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.specimen"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Specimen"/> </type> </element> <element id="Observation.performer"> <path value="Observation.performer"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.performer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Performer2"/> </type> </element> <element id="Observation.author"> <path value="Observation.author"/> <short value="SHOULD contain author"/> <comment value="SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119)."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.author"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/> <profile value="http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation"/> </type> <condition value="should-author"/> </element> <element id="Observation.informant"> <path value="Observation.informant"/> <short value="SHOULD contain informant"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.informant"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/> </type> <condition value="should-informant"/> </element> <element id="Observation.participant"> <path value="Observation.participant"/> <slicing> <discriminator> <type value="value"/> <path value="typeCode"/> </discriminator> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> <base> <path value="Observation.participant"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Participant2"/> </type> </element> <element id="Observation.participant:verifier"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true"/> </extension> <path value="Observation.participant"/> <sliceName value="verifier"/> <short value="𝗨𝗦𝗖𝗗𝗜: Verifier - The participant "VRF" represents the clinician(s) who verified the patient advance directive."/> <comment value="SHOULD contain zero or more [0..*] participant (CONF:1198-8662) such that it"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.participant"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Participant2"/> </type> <constraint> <key value="should-time"/> <severity value="warning"/> <human value="SHOULD contain time"/> <expression value="time.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.participant:verifier.nullFlavor"> <path value="Observation.participant.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:verifier.realmCode"> <path value="Observation.participant.realmCode"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.realmCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> </element> <element id="Observation.participant:verifier.typeId"> <path value="Observation.participant.typeId"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="InfrastructureRoot.typeId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> <constraint> <key value="II-1"/> <severity value="error"/> <human value="An II instance must have either a root or an nullFlavor."/> <expression value="root.exists() or nullFlavor.exists()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/> </constraint> </element> <element id="Observation.participant:verifier.typeId.nullFlavor"> <path value="Observation.participant.typeId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:verifier.typeId.assigningAuthorityName"> <path value="Observation.participant.typeId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:verifier.typeId.displayable"> <path value="Observation.participant.typeId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.participant:verifier.typeId.root"> <path value="Observation.participant.typeId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="Identifies the type as an HL7 Registered model"/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <fixedString value="2.16.840.1.113883.1.3"/> </element> <element id="Observation.participant:verifier.typeId.extension"> <path value="Observation.participant.typeId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <min value="1"/> <max value="1"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:verifier.templateId"> <path value="Observation.participant.templateId"/> <slicing> <discriminator> <type value="value"/> <path value="root"/> </discriminator> <rules value="open"/> </slicing> <definition value="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 value="1"/> <max value="*"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.participant:verifier.templateId:primary"> <path value="Observation.participant.templateId"/> <sliceName value="primary"/> <definition value="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"/> <comment value="SHALL contain exactly one [1..1] templateId (CONF:1198-8664) such that it"/> <min value="1"/> <max value="1"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.participant:verifier.templateId:primary.nullFlavor"> <path value="Observation.participant.templateId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:verifier.templateId:primary.assigningAuthorityName"> <path value="Observation.participant.templateId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:verifier.templateId:primary.displayable"> <path value="Observation.participant.templateId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.participant:verifier.templateId:primary.root"> <path value="Observation.participant.templateId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/> <comment value="SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.1.58" (CONF:1198-10486)."/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <patternString value="2.16.840.1.113883.10.20.1.58"/> </element> <element id="Observation.participant:verifier.templateId:primary.extension"> <path value="Observation.participant.templateId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <comment value="SHALL not contain [0..0] extension"/> <min value="0"/> <max value="0"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:verifier.typeCode"> <path value="Observation.participant.typeCode"/> <representation value="xmlAttr"/> <comment value="SHALL contain exactly one [1..1] @typeCode="VRF" Verifier (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8663)."/> <min value="1"/> <max value="1"/> <base> <path value="Participant2.typeCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="VRF"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/> </binding> </element> <element id="Observation.participant:verifier.contextControlCode"> <path value="Observation.participant.contextControlCode"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="Participant2.contextControlCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="OP"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"/> </binding> </element> <element id="Observation.participant:verifier.sdtcFunctionCode"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="functionCode"/> </extension> <path value="Observation.participant.sdtcFunctionCode"/> <min value="0"/> <max value="1"/> <base> <path value="Participant2.sdtcFunctionCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> </element> <element id="Observation.participant:verifier.time"> <path value="Observation.participant.time"/> <comment value="SHOULD contain zero or one [0..1] time (CONF:1198-8665)."/> <min value="0"/> <max value="1"/> <base> <path value="Participant2.time"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/> </type> <constraint> <key value="value-only"/> <severity value="error"/> <human value="Interval fields SHALL NOT be present"/> <expression value="(low | high | width | center).empty()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.participant:verifier.time.nullFlavor"> <path value="Observation.participant.time.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:verifier.time.value"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format"> <valueString value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules"> <valueString value="year-valid"/> </extension> <path value="Observation.participant.time.value"/> <representation value="xmlAttr"/> <short value="value should be used instead of low/high"/> <definition value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/> <min value="0"/> <max value="1"/> <base> <path value="TS.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"/> </type> </element> <element id="Observation.participant:verifier.time.operator"> <path value="Observation.participant.time.operator"/> <representation value="xmlAttr"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="SXCM_TS.operator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <defaultValueCode value="I"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDASetOperator"/> </binding> </element> <element id="Observation.participant:verifier.time.low"> <path value="Observation.participant.time.low"/> <label value="Low Boundary"/> <definition value="This is the low limit of the interval."/> <min value="0"/> <max value="1"/> <base> <path value="IVL_TS.low"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/> </type> </element> <element id="Observation.participant:verifier.time.center"> <path value="Observation.participant.time.center"/> <label value="Central Value"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="IVL_TS.center"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/> </type> </element> <element id="Observation.participant:verifier.time.width"> <path value="Observation.participant.time.width"/> <label value="Width"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="IVL_TS.width"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/PQ"/> </type> </element> <element id="Observation.participant:verifier.time.high"> <path value="Observation.participant.time.high"/> <label value="High Boundary"/> <definition value="This is the high limit of the interval."/> <min value="0"/> <max value="1"/> <base> <path value="IVL_TS.high"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/> </type> </element> <element id="Observation.participant:verifier.awarenessCode"> <path value="Observation.participant.awarenessCode"/> <min value="0"/> <max value="1"/> <base> <path value="Participant2.awarenessCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> </element> <element id="Observation.participant:verifier.participantRole"> <path value="Observation.participant.participantRole"/> <comment value="SHALL contain exactly one [1..1] participantRole (CONF:1198-8825)."/> <min value="1"/> <max value="1"/> <base> <path value="Participant2.participantRole"/> <min value="1"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole"/> </type> <constraint> <key value="should-code"/> <severity value="warning"/> <human value="SHOULD contain code"/> <expression value="code.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.participant:verifier.participantRole.nullFlavor"> <path value="Observation.participant.participantRole.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.realmCode"> <path value="Observation.participant.participantRole.realmCode"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.realmCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> </element> <element id="Observation.participant:verifier.participantRole.typeId"> <path value="Observation.participant.participantRole.typeId"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="InfrastructureRoot.typeId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> <constraint> <key value="II-1"/> <severity value="error"/> <human value="An II instance must have either a root or an nullFlavor."/> <expression value="root.exists() or nullFlavor.exists()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/> </constraint> </element> <element id="Observation.participant:verifier.participantRole.typeId.nullFlavor"> <path value="Observation.participant.participantRole.typeId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.typeId.assigningAuthorityName"> <path value="Observation.participant.participantRole.typeId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:verifier.participantRole.typeId.displayable"> <path value="Observation.participant.participantRole.typeId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.participant:verifier.participantRole.typeId.root"> <path value="Observation.participant.participantRole.typeId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="Identifies the type as an HL7 Registered model"/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <fixedString value="2.16.840.1.113883.1.3"/> </element> <element id="Observation.participant:verifier.participantRole.typeId.extension"> <path value="Observation.participant.participantRole.typeId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <min value="1"/> <max value="1"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:verifier.participantRole.templateId"> <path value="Observation.participant.participantRole.templateId"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.participant:verifier.participantRole.classCode"> <path value="Observation.participant.participantRole.classCode"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="ParticipantRole.classCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <defaultValueCode value="ROL"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.id"> <path value="Observation.participant.participantRole.id"/> <min value="0"/> <max value="*"/> <base> <path value="ParticipantRole.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.participant:verifier.participantRole.sdtcIdentifiedBy"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="identifiedBy"/> </extension> <path value="Observation.participant.participantRole.sdtcIdentifiedBy"/> <min value="0"/> <max value="*"/> <base> <path value="ParticipantRole.sdtcIdentifiedBy"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/> </type> </element> <element id="Observation.participant:verifier.participantRole.code"> <path value="Observation.participant.participantRole.code"/> <comment value="This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-28446)."/> <min value="0"/> <max value="1"/> <base> <path value="ParticipantRole.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.sdtcSpecialty"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="specialty"/> </extension> <path value="Observation.participant.participantRole.sdtcSpecialty"/> <min value="0"/> <max value="*"/> <base> <path value="ParticipantRole.sdtcSpecialty"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> <binding> <strength value="preferred"/> <valueSet value="http://hl7.org/fhir/ValueSet/c80-practice-codes"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.addr"> <path value="Observation.participant.participantRole.addr"/> <comment value="This participantRole MAY contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-28451)."/> <min value="0"/> <max value="*"/> <base> <path value="ParticipantRole.addr"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/> <profile value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/> </type> </element> <element id="Observation.participant:verifier.participantRole.telecom"> <path value="Observation.participant.participantRole.telecom"/> <min value="0"/> <max value="*"/> <base> <path value="ParticipantRole.telecom"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingDevice"> <path value="Observation.participant.participantRole.playingDevice"/> <min value="0"/> <max value="1"/> <base> <path value="ParticipantRole.playingDevice"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Device"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingEntity"> <path value="Observation.participant.participantRole.playingEntity"/> <comment value="This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-28428)."/> <min value="1"/> <max value="1"/> <base> <path value="ParticipantRole.playingEntity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.nullFlavor"> <path value="Observation.participant.participantRole.playingEntity.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.realmCode"> <path value="Observation.participant.participantRole.playingEntity.realmCode"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.realmCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.typeId"> <path value="Observation.participant.participantRole.playingEntity.typeId"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="InfrastructureRoot.typeId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> <constraint> <key value="II-1"/> <severity value="error"/> <human value="An II instance must have either a root or an nullFlavor."/> <expression value="root.exists() or nullFlavor.exists()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/> </constraint> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.typeId.nullFlavor"> <path value="Observation.participant.participantRole.playingEntity.typeId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.typeId.assigningAuthorityName"> <path value="Observation.participant.participantRole.playingEntity.typeId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.typeId.displayable"> <path value="Observation.participant.participantRole.playingEntity.typeId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.typeId.root"> <path value="Observation.participant.participantRole.playingEntity.typeId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="Identifies the type as an HL7 Registered model"/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <fixedString value="2.16.840.1.113883.1.3"/> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.typeId.extension"> <path value="Observation.participant.participantRole.playingEntity.typeId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <min value="1"/> <max value="1"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.templateId"> <path value="Observation.participant.participantRole.playingEntity.templateId"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.classCode"> <path value="Observation.participant.participantRole.playingEntity.classCode"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="PlayingEntity.classCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <defaultValueCode value="ENT"/> <binding> <strength value="required"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityClassRoot"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.determinerCode"> <path value="Observation.participant.participantRole.playingEntity.determinerCode"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="PlayingEntity.determinerCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="INSTANCE"/> <binding> <strength value="required"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.code"> <path value="Observation.participant.participantRole.playingEntity.code"/> <min value="0"/> <max value="1"/> <base> <path value="PlayingEntity.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> <binding> <strength value="example"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.quantity"> <path value="Observation.participant.participantRole.playingEntity.quantity"/> <min value="0"/> <max value="*"/> <base> <path value="PlayingEntity.quantity"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/PQ"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.name"> <path value="Observation.participant.participantRole.playingEntity.name"/> <comment value="The playingEntity SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-28454)."/> <min value="1"/> <max value="1"/> <base> <path value="PlayingEntity.name"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/> <profile value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.sdtcBirthTime"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="birthTime"/> </extension> <path value="Observation.participant.participantRole.playingEntity.sdtcBirthTime"/> <definition value="The purpose of this extension is to allow the recording of the subscriber or member of a health plan in cases where the health plan eligibility system has different information on file than the provider does for the patient."/> <min value="0"/> <max value="1"/> <base> <path value="PlayingEntity.sdtcBirthTime"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.desc"> <path value="Observation.participant.participantRole.playingEntity.desc"/> <min value="0"/> <max value="1"/> <base> <path value="PlayingEntity.desc"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/> </type> </element> <element id="Observation.participant:verifier.participantRole.scopingEntity"> <path value="Observation.participant.participantRole.scopingEntity"/> <min value="0"/> <max value="1"/> <base> <path value="ParticipantRole.scopingEntity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Entity"/> </type> </element> <element id="Observation.participant:healthcareAgent"> <path value="Observation.participant"/> <sliceName value="healthcareAgent"/> <short value="This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter."/> <comment value="SHOULD contain zero or more [0..*] participant (CONF:1198-8667) such that it"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.participant"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Participant2"/> </type> </element> <element id="Observation.participant:healthcareAgent.nullFlavor"> <path value="Observation.participant.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:healthcareAgent.realmCode"> <path value="Observation.participant.realmCode"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.realmCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> </element> <element id="Observation.participant:healthcareAgent.typeId"> <path value="Observation.participant.typeId"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="InfrastructureRoot.typeId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> <constraint> <key value="II-1"/> <severity value="error"/> <human value="An II instance must have either a root or an nullFlavor."/> <expression value="root.exists() or nullFlavor.exists()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/> </constraint> </element> <element id="Observation.participant:healthcareAgent.typeId.nullFlavor"> <path value="Observation.participant.typeId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:healthcareAgent.typeId.assigningAuthorityName"> <path value="Observation.participant.typeId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:healthcareAgent.typeId.displayable"> <path value="Observation.participant.typeId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.participant:healthcareAgent.typeId.root"> <path value="Observation.participant.typeId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="Identifies the type as an HL7 Registered model"/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <fixedString value="2.16.840.1.113883.1.3"/> </element> <element id="Observation.participant:healthcareAgent.typeId.extension"> <path value="Observation.participant.typeId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <min value="1"/> <max value="1"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:healthcareAgent.templateId"> <path value="Observation.participant.templateId"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.participant:healthcareAgent.typeCode"> <path value="Observation.participant.typeCode"/> <representation value="xmlAttr"/> <comment value="SHALL contain exactly one [1..1] @typeCode="CST" Custodian (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8668)."/> <min value="1"/> <max value="1"/> <base> <path value="Participant2.typeCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="CST"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/> </binding> </element> <element id="Observation.participant:healthcareAgent.contextControlCode"> <path value="Observation.participant.contextControlCode"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="Participant2.contextControlCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="OP"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"/> </binding> </element> <element id="Observation.participant:healthcareAgent.sdtcFunctionCode"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="functionCode"/> </extension> <path value="Observation.participant.sdtcFunctionCode"/> <min value="0"/> <max value="1"/> <base> <path value="Participant2.sdtcFunctionCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> </element> <element id="Observation.participant:healthcareAgent.time"> <path value="Observation.participant.time"/> <min value="0"/> <max value="1"/> <base> <path value="Participant2.time"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/> </type> </element> <element id="Observation.participant:healthcareAgent.awarenessCode"> <path value="Observation.participant.awarenessCode"/> <min value="0"/> <max value="1"/> <base> <path value="Participant2.awarenessCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole"> <path value="Observation.participant.participantRole"/> <comment value="SHALL contain exactly one [1..1] participantRole (CONF:1198-8669)."/> <min value="1"/> <max value="1"/> <base> <path value="Participant2.participantRole"/> <min value="1"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole"/> </type> <constraint> <key value="should-code"/> <severity value="warning"/> <human value="SHOULD contain code"/> <expression value="code.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> <constraint> <key value="should-addr"/> <severity value="warning"/> <human value="SHOULD contain addr"/> <expression value="addr.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> <constraint> <key value="should-telecom"/> <severity value="warning"/> <human value="SHOULD contain telecom"/> <expression value="telecom.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.participant:healthcareAgent.participantRole.nullFlavor"> <path value="Observation.participant.participantRole.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.realmCode"> <path value="Observation.participant.participantRole.realmCode"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.realmCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.typeId"> <path value="Observation.participant.participantRole.typeId"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="InfrastructureRoot.typeId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> <constraint> <key value="II-1"/> <severity value="error"/> <human value="An II instance must have either a root or an nullFlavor."/> <expression value="root.exists() or nullFlavor.exists()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/> </constraint> </element> <element id="Observation.participant:healthcareAgent.participantRole.typeId.nullFlavor"> <path value="Observation.participant.participantRole.typeId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.typeId.assigningAuthorityName"> <path value="Observation.participant.participantRole.typeId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.typeId.displayable"> <path value="Observation.participant.participantRole.typeId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.typeId.root"> <path value="Observation.participant.participantRole.typeId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="Identifies the type as an HL7 Registered model"/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <fixedString value="2.16.840.1.113883.1.3"/> </element> <element id="Observation.participant:healthcareAgent.participantRole.typeId.extension"> <path value="Observation.participant.participantRole.typeId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <min value="1"/> <max value="1"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.templateId"> <path value="Observation.participant.participantRole.templateId"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.classCode"> <path value="Observation.participant.participantRole.classCode"/> <representation value="xmlAttr"/> <comment value="This participantRole SHALL contain exactly one [1..1] @classCode="AGNT" Agent (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1198-8670)."/> <min value="1"/> <max value="1"/> <base> <path value="ParticipantRole.classCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <defaultValueCode value="ROL"/> <fixedCode value="AGNT"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.id"> <path value="Observation.participant.participantRole.id"/> <min value="0"/> <max value="*"/> <base> <path value="ParticipantRole.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.sdtcIdentifiedBy"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="identifiedBy"/> </extension> <path value="Observation.participant.participantRole.sdtcIdentifiedBy"/> <min value="0"/> <max value="*"/> <base> <path value="ParticipantRole.sdtcIdentifiedBy"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.code"> <path value="Observation.participant.participantRole.code"/> <comment value="This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Agent or Proxy Choices urn:oid:2.16.840.1.113762.1.4.1046.35 DYNAMIC (CONF:1198-28440)."/> <min value="0"/> <max value="1"/> <base> <path value="ParticipantRole.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.sdtcSpecialty"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="specialty"/> </extension> <path value="Observation.participant.participantRole.sdtcSpecialty"/> <min value="0"/> <max value="*"/> <base> <path value="ParticipantRole.sdtcSpecialty"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> <binding> <strength value="preferred"/> <valueSet value="http://hl7.org/fhir/ValueSet/c80-practice-codes"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.addr"> <path value="Observation.participant.participantRole.addr"/> <comment value="This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8671)."/> <min value="0"/> <max value="1"/> <base> <path value="ParticipantRole.addr"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/> <profile value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.telecom"> <path value="Observation.participant.participantRole.telecom"/> <comment value="This participantRole SHOULD contain zero or more [0..*] telecom (CONF:1198-8672)."/> <min value="0"/> <max value="*"/> <base> <path value="ParticipantRole.telecom"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingDevice"> <path value="Observation.participant.participantRole.playingDevice"/> <min value="0"/> <max value="1"/> <base> <path value="ParticipantRole.playingDevice"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Device"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity"> <path value="Observation.participant.participantRole.playingEntity"/> <comment value="This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-8824)."/> <min value="1"/> <max value="1"/> <base> <path value="ParticipantRole.playingEntity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity"/> </type> <constraint> <key value="should-code"/> <severity value="warning"/> <human value="SHOULD contain code"/> <expression value="code.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.nullFlavor"> <path value="Observation.participant.participantRole.playingEntity.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.realmCode"> <path value="Observation.participant.participantRole.playingEntity.realmCode"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.realmCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.typeId"> <path value="Observation.participant.participantRole.playingEntity.typeId"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="InfrastructureRoot.typeId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> <constraint> <key value="II-1"/> <severity value="error"/> <human value="An II instance must have either a root or an nullFlavor."/> <expression value="root.exists() or nullFlavor.exists()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/> </constraint> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.typeId.nullFlavor"> <path value="Observation.participant.participantRole.playingEntity.typeId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.typeId.assigningAuthorityName"> <path value="Observation.participant.participantRole.playingEntity.typeId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.typeId.displayable"> <path value="Observation.participant.participantRole.playingEntity.typeId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.typeId.root"> <path value="Observation.participant.participantRole.playingEntity.typeId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="Identifies the type as an HL7 Registered model"/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <fixedString value="2.16.840.1.113883.1.3"/> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.typeId.extension"> <path value="Observation.participant.participantRole.playingEntity.typeId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <min value="1"/> <max value="1"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.templateId"> <path value="Observation.participant.participantRole.playingEntity.templateId"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.classCode"> <path value="Observation.participant.participantRole.playingEntity.classCode"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="PlayingEntity.classCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <defaultValueCode value="ENT"/> <binding> <strength value="required"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityClassRoot"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.determinerCode"> <path value="Observation.participant.participantRole.playingEntity.determinerCode"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="PlayingEntity.determinerCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="INSTANCE"/> <binding> <strength value="required"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.code"> <path value="Observation.participant.participantRole.playingEntity.code"/> <comment value="This playingEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal and Legal Relationship RoleType urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC."/> <min value="0"/> <max value="1"/> <base> <path value="PlayingEntity.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/> </type> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.quantity"> <path value="Observation.participant.participantRole.playingEntity.quantity"/> <min value="0"/> <max value="*"/> <base> <path value="PlayingEntity.quantity"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/PQ"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.name"> <path value="Observation.participant.participantRole.playingEntity.name"/> <short value="The name of the healthcare agent."/> <comment value="This playingEntity SHALL contain exactly one [1..1] name (CONF:1198-8673)."/> <min value="1"/> <max value="1"/> <base> <path value="PlayingEntity.name"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.sdtcBirthTime"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="birthTime"/> </extension> <path value="Observation.participant.participantRole.playingEntity.sdtcBirthTime"/> <definition value="The purpose of this extension is to allow the recording of the subscriber or member of a health plan in cases where the health plan eligibility system has different information on file than the provider does for the patient."/> <min value="0"/> <max value="1"/> <base> <path value="PlayingEntity.sdtcBirthTime"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.desc"> <path value="Observation.participant.participantRole.playingEntity.desc"/> <min value="0"/> <max value="1"/> <base> <path value="PlayingEntity.desc"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.scopingEntity"> <path value="Observation.participant.participantRole.scopingEntity"/> <min value="0"/> <max value="1"/> <base> <path value="ParticipantRole.scopingEntity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Entity"/> </type> </element> <element id="Observation.entryRelationship"> <path value="Observation.entryRelationship"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.entryRelationship"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"/> </type> </element> <element id="Observation.reference"> <path value="Observation.reference"/> <slicing> <discriminator> <type value="value"/> <path value="typeCode"/> </discriminator> <rules value="open"/> </slicing> <min value="1"/> <max value="*"/> <base> <path value="Observation.reference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Reference"/> </type> </element> <element id="Observation.reference:reference1"> <path value="Observation.reference"/> <sliceName value="reference1"/> <comment value="SHOULD contain at least one [1..*] reference (CONF:1198-8692) such that it"/> <min value="1"/> <max value="*"/> <base> <path value="Observation.reference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Reference"/> </type> </element> <element id="Observation.reference:reference1.nullFlavor"> <path value="Observation.reference.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.reference:reference1.realmCode"> <path value="Observation.reference.realmCode"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.realmCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> </element> <element id="Observation.reference:reference1.typeId"> <path value="Observation.reference.typeId"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="InfrastructureRoot.typeId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> <constraint> <key value="II-1"/> <severity value="error"/> <human value="An II instance must have either a root or an nullFlavor."/> <expression value="root.exists() or nullFlavor.exists()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/> </constraint> </element> <element id="Observation.reference:reference1.typeId.nullFlavor"> <path value="Observation.reference.typeId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.reference:reference1.typeId.assigningAuthorityName"> <path value="Observation.reference.typeId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.reference:reference1.typeId.displayable"> <path value="Observation.reference.typeId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.reference:reference1.typeId.root"> <path value="Observation.reference.typeId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="Identifies the type as an HL7 Registered model"/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <fixedString value="2.16.840.1.113883.1.3"/> </element> <element id="Observation.reference:reference1.typeId.extension"> <path value="Observation.reference.typeId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <min value="1"/> <max value="1"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.reference:reference1.templateId"> <path value="Observation.reference.templateId"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.reference:reference1.typeCode"> <path value="Observation.reference.typeCode"/> <representation value="xmlAttr"/> <comment value="SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8694)."/> <min value="1"/> <max value="1"/> <base> <path value="Reference.typeCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="REFR"/> <binding> <strength value="required"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference"/> </binding> </element> <element id="Observation.reference:reference1.seperatableInd"> <path value="Observation.reference.seperatableInd"/> <min value="0"/> <max value="1"/> <base> <path value="Reference.seperatableInd"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/> </type> </element> <element id="Observation.reference:reference1.externalAct"> <path value="Observation.reference.externalAct"/> <min value="0"/> <max value="1"/> <base> <path value="Reference.externalAct"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ExternalAct"/> </type> </element> <element id="Observation.reference:reference1.externalObservation"> <path value="Observation.reference.externalObservation"/> <min value="0"/> <max value="1"/> <base> <path value="Reference.externalObservation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ExternalObservation"/> </type> </element> <element id="Observation.reference:reference1.externalProcedure"> <path value="Observation.reference.externalProcedure"/> <min value="0"/> <max value="1"/> <base> <path value="Reference.externalProcedure"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ExternalProcedure"/> </type> </element> <element id="Observation.reference:reference1.externalDocument"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true"/> </extension> <path value="Observation.reference.externalDocument"/> <short value="𝗨𝗦𝗖𝗗𝗜: External Document"/> <comment value="SHALL contain exactly one [1..1] externalDocument (CONF:1198-8693)."/> <min value="1"/> <max value="1"/> <base> <path value="Reference.externalDocument"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.nullFlavor"> <path value="Observation.reference.externalDocument.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.reference:reference1.externalDocument.realmCode"> <path value="Observation.reference.externalDocument.realmCode"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.realmCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.typeId"> <path value="Observation.reference.externalDocument.typeId"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="InfrastructureRoot.typeId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> <constraint> <key value="II-1"/> <severity value="error"/> <human value="An II instance must have either a root or an nullFlavor."/> <expression value="root.exists() or nullFlavor.exists()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/> </constraint> </element> <element id="Observation.reference:reference1.externalDocument.typeId.nullFlavor"> <path value="Observation.reference.externalDocument.typeId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.reference:reference1.externalDocument.typeId.assigningAuthorityName"> <path value="Observation.reference.externalDocument.typeId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.typeId.displayable"> <path value="Observation.reference.externalDocument.typeId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.typeId.root"> <path value="Observation.reference.externalDocument.typeId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="Identifies the type as an HL7 Registered model"/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <fixedString value="2.16.840.1.113883.1.3"/> </element> <element id="Observation.reference:reference1.externalDocument.typeId.extension"> <path value="Observation.reference.externalDocument.typeId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <min value="1"/> <max value="1"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.templateId"> <path value="Observation.reference.externalDocument.templateId"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.classCode"> <path value="Observation.reference.externalDocument.classCode"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="ExternalDocument.classCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <defaultValueCode value="DOC"/> <binding> <strength value="required"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClassDocument"/> </binding> </element> <element id="Observation.reference:reference1.externalDocument.moodCode"> <path value="Observation.reference.externalDocument.moodCode"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="ExternalDocument.moodCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="EVN"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActMood"/> </binding> </element> <element id="Observation.reference:reference1.externalDocument.id"> <path value="Observation.reference.externalDocument.id"/> <comment value="This externalDocument SHALL contain at least one [1..*] id (CONF:1198-8695)."/> <min value="1"/> <max value="*"/> <base> <path value="ExternalDocument.id"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.code"> <path value="Observation.reference.externalDocument.code"/> <min value="1"/> <max value="1"/> <base> <path value="ExternalDocument.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/> </type> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41"/> </binding> </element> <element id="Observation.reference:reference1.externalDocument.text"> <path value="Observation.reference.externalDocument.text"/> <comment value="This externalDocument MAY contain zero or one [0..1] text (CONF:1198-8696)."/> <min value="0"/> <max value="1"/> <base> <path value="ExternalDocument.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.text.nullFlavor"> <path value="Observation.reference.externalDocument.text.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.reference:reference1.externalDocument.text.compression"> <path value="Observation.reference.externalDocument.text.compression"/> <representation value="xmlAttr"/> <label value="Compression"/> <definition value="Indicates whether the raw byte data is compressed, and what compression algorithm was used."/> <min value="0"/> <max value="1"/> <base> <path value="ED.compression"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm"/> </binding> </element> <element id="Observation.reference:reference1.externalDocument.text.integrityCheck"> <path value="Observation.reference.externalDocument.text.integrityCheck"/> <representation value="xmlAttr"/> <label value="Integrity Check"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="ED.integrityCheck"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bin"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.text.integrityCheckAlgorithm"> <path value="Observation.reference.externalDocument.text.integrityCheckAlgorithm"/> <representation value="xmlAttr"/> <label value="Integrity Check Algorithm"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="ED.integrityCheckAlgorithm"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0"/> </binding> </element> <element id="Observation.reference:reference1.externalDocument.text.language"> <path value="Observation.reference.externalDocument.text.language"/> <representation value="xmlAttr"/> <label value="Language"/> <definition value="For character based information the language property specifies the human language of the text."/> <min value="0"/> <max value="1"/> <base> <path value="ED.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.text.mediaType"> <path value="Observation.reference.externalDocument.text.mediaType"/> <representation value="xmlAttr"/> <label value="Media Type"/> <definition value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/> <min value="0"/> <max value="1"/> <base> <path value="ED.mediaType"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="example"/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-MediaType"/> </binding> </element> <element id="Observation.reference:reference1.externalDocument.text.representation"> <path value="Observation.reference.externalDocument.text.representation"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="ED.representation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding"/> </binding> </element> <element id="Observation.reference:reference1.externalDocument.text.xmlText"> <path value="Observation.reference.externalDocument.text.xmlText"/> <representation value="xmlText"/> <short value="Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string."/> <definition value="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 value="This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance."/> <min value="0"/> <max value="1"/> <base> <path value="ED.xmlText"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.text.reference"> <path value="Observation.reference.externalDocument.text.reference"/> <label value="Reference"/> <short value="The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698)."/> <definition value="A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data."/> <comment value="The text, if present, MAY contain zero or one [0..1] reference (CONF:1198-8697)."/> <min value="0"/> <max value="1"/> <base> <path value="ED.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/> </type> <constraint> <key value="1198-8699"/> <severity value="warning"/> <human value="If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699)."/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.reference:reference1.externalDocument.text.thumbnail"> <path value="Observation.reference.externalDocument.text.thumbnail"/> <label value="Thumbnail"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="ED.thumbnail"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/> </type> <constraint> <key value="ED-1"/> <severity value="error"/> <human value="Thumbnails cannot contain their own thumbnails"/> <expression value="thumbnail.empty()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/> </constraint> </element> <element id="Observation.reference:reference1.externalDocument.setId"> <path value="Observation.reference.externalDocument.setId"/> <min value="0"/> <max value="1"/> <base> <path value="ExternalDocument.setId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.versionNumber"> <path value="Observation.reference.externalDocument.versionNumber"/> <min value="0"/> <max value="1"/> <base> <path value="ExternalDocument.versionNumber"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/INT"/> </type> </element> <element id="Observation.reference:reference1.externalDocument.sdtcAuthor"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="author"/> </extension> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true"/> </extension> <path value="Observation.reference.externalDocument.sdtcAuthor"/> <short value="𝗨𝗦𝗖𝗗𝗜: Author"/> <min value="0"/> <max value="*"/> <base> <path value="ExternalDocument.sdtcAuthor"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/> </type> </element> <element id="Observation.precondition"> <path value="Observation.precondition"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.precondition"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Precondition"/> </type> </element> <element id="Observation.sdtcPrecondition2"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="precondition2"/> </extension> <path value="Observation.sdtcPrecondition2"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.sdtcPrecondition2"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Precondition2"/> </type> </element> <element id="Observation.referenceRange"> <path value="Observation.referenceRange"/> <definition value="Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.referenceRange"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/> </type> </element> <element id="Observation.referenceRange.nullFlavor"> <path value="Observation.referenceRange.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.referenceRange.realmCode"> <path value="Observation.referenceRange.realmCode"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.realmCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/> </type> </element> <element id="Observation.referenceRange.typeId"> <path value="Observation.referenceRange.typeId"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="InfrastructureRoot.typeId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> <constraint> <key value="II-1"/> <severity value="error"/> <human value="An II instance must have either a root or an nullFlavor."/> <expression value="root.exists() or nullFlavor.exists()"/> <source value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/> </constraint> </element> <element id="Observation.referenceRange.typeId.nullFlavor"> <path value="Observation.referenceRange.typeId.nullFlavor"/> <representation value="xmlAttr"/> <label value="Exceptional Value Detail"/> <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/> <min value="0"/> <max value="1"/> <base> <path value="ANY.nullFlavor"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/> </binding> </element> <element id="Observation.referenceRange.typeId.assigningAuthorityName"> <path value="Observation.referenceRange.typeId.assigningAuthorityName"/> <representation value="xmlAttr"/> <label value="Assigning Authority Name"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="II.assigningAuthorityName"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.referenceRange.typeId.displayable"> <path value="Observation.referenceRange.typeId.displayable"/> <representation value="xmlAttr"/> <label value="Displayable"/> <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/> <min value="0"/> <max value="1"/> <base> <path value="II.displayable"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/> </type> </element> <element id="Observation.referenceRange.typeId.root"> <path value="Observation.referenceRange.typeId.root"/> <representation value="xmlAttr"/> <label value="Root"/> <definition value="Identifies the type as an HL7 Registered model"/> <min value="1"/> <max value="1"/> <base> <path value="II.root"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/> </type> <fixedString value="2.16.840.1.113883.1.3"/> </element> <element id="Observation.referenceRange.typeId.extension"> <path value="Observation.referenceRange.typeId.extension"/> <representation value="xmlAttr"/> <label value="Extension"/> <definition value="A character string as a unique identifier within the scope of the identifier root."/> <min value="1"/> <max value="1"/> <base> <path value="II.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/> </type> </element> <element id="Observation.referenceRange.templateId"> <path value="Observation.referenceRange.templateId"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="InfrastructureRoot.templateId"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/> </type> </element> <element id="Observation.referenceRange.typeCode"> <path value="Observation.referenceRange.typeCode"/> <representation value="xmlAttr"/> <min value="0"/> <max value="1"/> <base> <path value="Observation.referenceRange.typeCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> <profile value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/> </type> <fixedCode value="REFV"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType"/> </binding> </element> <element id="Observation.referenceRange.observationRange"> <path value="Observation.referenceRange.observationRange"/> <min value="1"/> <max value="1"/> <base> <path value="Observation.referenceRange.observationRange"/> <min value="1"/> <max value="1"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange"/> </type> </element> <element id="Observation.sdtcInFulfillmentOf1"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="inFulfillmentOf1"/> </extension> <path value="Observation.sdtcInFulfillmentOf1"/> <min value="0"/> <max value="*"/> <base> <path value="Observation.sdtcInFulfillmentOf1"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"/> </type> </element> </snapshot> <differential> <element id="Observation"> <path value="Observation"/> <constraint> <key value="should-text-ref-value"/> <severity value="warning"/> <human value="SHOULD contain text/reference/@value"/> <expression value="text.reference.value.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> <constraint> <key value="should-author"/> <severity value="warning"/> <human value="SHOULD contain author"/> <expression value="author.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> <constraint> <key value="should-informant"/> <severity value="warning"/> <human value="SHOULD contain informant"/> <expression value="informant.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.templateId"> <path value="Observation.templateId"/> <slicing> <discriminator> <type value="value"/> <path value="root"/> </discriminator> <discriminator> <type value="value"/> <path value="extension"/> </discriminator> <rules value="open"/> </slicing> <min value="1"/> </element> <element id="Observation.templateId:advance-directive-obs"> <path value="Observation.templateId"/> <sliceName value="advance-directive-obs"/> <min value="1"/> <max value="1"/> </element> <element id="Observation.templateId:advance-directive-obs.root"> <path value="Observation.templateId.root"/> <min value="1"/> <patternString value="2.16.840.1.113883.10.20.22.4.48"/> </element> <element id="Observation.templateId:advance-directive-obs.extension"> <path value="Observation.templateId.extension"/> <min value="1"/> <patternString value="2025-05-01"/> </element> <element id="Observation.classCode"> <path value="Observation.classCode"/> <comment value="SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC)."/> <fixedCode value="OBS"/> </element> <element id="Observation.moodCode"> <path value="Observation.moodCode"/> <comment value="SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC)."/> <fixedCode value="EVN"/> </element> <element id="Observation.id"> <path value="Observation.id"/> <comment value="SHALL contain at least one [1..*] id."/> <min value="1"/> </element> <element id="Observation.code"> <path value="Observation.code"/> <short value="Advance Directive"/> <constraint> <key value="should-translation"/> <severity value="warning"/> <human value="SHOULD contain translation"/> <expression value="translation.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.code.code"> <path value="Observation.code.code"/> <min value="1"/> <patternCode value="75320-2"/> </element> <element id="Observation.code.codeSystem"> <path value="Observation.code.codeSystem"/> <short value="LOINC"/> <min value="1"/> <patternString value="2.16.840.1.113883.6.1"/> </element> <element id="Observation.code.translation"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true"/> </extension> <path value="Observation.code.translation"/> <short value="𝗨𝗦𝗖𝗗𝗜: Advance Directive Type"/> <comment value="This code SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Advance Directives Categories urn:oid:2.16.840.1.113883.11.20.9.69.4."/> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4"/> </binding> </element> <element id="Observation.text"> <path value="Observation.text"/> <short value="SHOULD reference the portion of section narrative text corresponding to this entry"/> <min value="1"/> <condition value="should-text-ref-value"/> </element> <element id="Observation.text.reference"> <path value="Observation.text.reference"/> <constraint> <key value="value-starts-octothorpe"/> <severity value="error"/> <human value="If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative"/> <expression value="value.exists() implies value.startsWith('#')"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.statusCode"> <path value="Observation.statusCode"/> <comment value="SHALL contain exactly one [1..1] statusCode (CONF:1198-8652)."/> <min value="1"/> </element> <element id="Observation.statusCode.code"> <path value="Observation.statusCode.code"/> <comment value="This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19082)."/> <min value="1"/> <fixedCode value="completed"/> </element> <element id="Observation.effectiveTime"> <path value="Observation.effectiveTime"/> <comment value="SHALL contain exactly one [1..1] effectiveTime."/> <min value="1"/> </element> <element id="Observation.effectiveTime.low"> <path value="Observation.effectiveTime.low"/> <comment value="This effectiveTime SHALL contain exactly one [1..1] low."/> <min value="1"/> </element> <element id="Observation.effectiveTime.high"> <path value="Observation.effectiveTime.high"/> <short value="If the Advance Directive does not have a specified ending time, use a nullFlavor of *NA*. If the ending time is unknown, use a nullFlavor of *UNK*."/> <comment value="This effectiveTime SHALL contain exactly one [1..1] high."/> <min value="1"/> </element> <element id="Observation.value"> <path value="Observation.value"/> <max value="1"/> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/> </type> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41"/> </binding> </element> <element id="Observation.author"> <path value="Observation.author"/> <short value="SHOULD contain author"/> <comment value="SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119)."/> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/> <profile value="http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation"/> </type> <condition value="should-author"/> </element> <element id="Observation.informant"> <path value="Observation.informant"/> <short value="SHOULD contain informant"/> <condition value="should-informant"/> </element> <element id="Observation.participant"> <path value="Observation.participant"/> <slicing> <discriminator> <type value="value"/> <path value="typeCode"/> </discriminator> <rules value="open"/> </slicing> </element> <element id="Observation.participant:verifier"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true"/> </extension> <path value="Observation.participant"/> <sliceName value="verifier"/> <short value="𝗨𝗦𝗖𝗗𝗜: Verifier - The participant "VRF" represents the clinician(s) who verified the patient advance directive."/> <comment value="SHOULD contain zero or more [0..*] participant (CONF:1198-8662) such that it"/> <min value="0"/> <max value="*"/> <constraint> <key value="should-time"/> <severity value="warning"/> <human value="SHOULD contain time"/> <expression value="time.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.participant:verifier.templateId"> <path value="Observation.participant.templateId"/> <slicing> <discriminator> <type value="value"/> <path value="root"/> </discriminator> <rules value="open"/> </slicing> <min value="1"/> </element> <element id="Observation.participant:verifier.templateId:primary"> <path value="Observation.participant.templateId"/> <sliceName value="primary"/> <comment value="SHALL contain exactly one [1..1] templateId (CONF:1198-8664) such that it"/> <min value="1"/> <max value="1"/> </element> <element id="Observation.participant:verifier.templateId:primary.root"> <path value="Observation.participant.templateId.root"/> <comment value="SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.1.58" (CONF:1198-10486)."/> <min value="1"/> <patternString value="2.16.840.1.113883.10.20.1.58"/> </element> <element id="Observation.participant:verifier.templateId:primary.extension"> <path value="Observation.participant.templateId.extension"/> <comment value="SHALL not contain [0..0] extension"/> <max value="0"/> </element> <element id="Observation.participant:verifier.typeCode"> <path value="Observation.participant.typeCode"/> <comment value="SHALL contain exactly one [1..1] @typeCode="VRF" Verifier (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8663)."/> <fixedCode value="VRF"/> </element> <element id="Observation.participant:verifier.time"> <path value="Observation.participant.time"/> <comment value="SHOULD contain zero or one [0..1] time (CONF:1198-8665)."/> <constraint> <key value="value-only"/> <severity value="error"/> <human value="Interval fields SHALL NOT be present"/> <expression value="(low | high | width | center).empty()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.participant:verifier.time.value"> <path value="Observation.participant.time.value"/> <short value="value should be used instead of low/high"/> </element> <element id="Observation.participant:verifier.participantRole"> <path value="Observation.participant.participantRole"/> <comment value="SHALL contain exactly one [1..1] participantRole (CONF:1198-8825)."/> <constraint> <key value="should-code"/> <severity value="warning"/> <human value="SHOULD contain code"/> <expression value="code.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.participant:verifier.participantRole.code"> <path value="Observation.participant.participantRole.code"/> <comment value="This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-28446)."/> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.sdtcSpecialty"> <path value="Observation.participant.participantRole.sdtcSpecialty"/> <binding> <strength value="preferred"/> <valueSet value="http://hl7.org/fhir/ValueSet/c80-practice-codes"/> </binding> </element> <element id="Observation.participant:verifier.participantRole.addr"> <path value="Observation.participant.participantRole.addr"/> <comment value="This participantRole MAY contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-28451)."/> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/> <profile value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/> </type> </element> <element id="Observation.participant:verifier.participantRole.playingEntity"> <path value="Observation.participant.participantRole.playingEntity"/> <comment value="This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-28428)."/> <min value="1"/> </element> <element id="Observation.participant:verifier.participantRole.playingEntity.name"> <path value="Observation.participant.participantRole.playingEntity.name"/> <comment value="The playingEntity SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-28454)."/> <min value="1"/> <max value="1"/> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/> <profile value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/> </type> </element> <element id="Observation.participant:healthcareAgent"> <path value="Observation.participant"/> <sliceName value="healthcareAgent"/> <short value="This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter."/> <comment value="SHOULD contain zero or more [0..*] participant (CONF:1198-8667) such that it"/> <min value="0"/> <max value="*"/> </element> <element id="Observation.participant:healthcareAgent.typeCode"> <path value="Observation.participant.typeCode"/> <comment value="SHALL contain exactly one [1..1] @typeCode="CST" Custodian (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8668)."/> <fixedCode value="CST"/> </element> <element id="Observation.participant:healthcareAgent.participantRole"> <path value="Observation.participant.participantRole"/> <comment value="SHALL contain exactly one [1..1] participantRole (CONF:1198-8669)."/> <constraint> <key value="should-code"/> <severity value="warning"/> <human value="SHOULD contain code"/> <expression value="code.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> <constraint> <key value="should-addr"/> <severity value="warning"/> <human value="SHOULD contain addr"/> <expression value="addr.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> <constraint> <key value="should-telecom"/> <severity value="warning"/> <human value="SHOULD contain telecom"/> <expression value="telecom.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.participant:healthcareAgent.participantRole.classCode"> <path value="Observation.participant.participantRole.classCode"/> <comment value="This participantRole SHALL contain exactly one [1..1] @classCode="AGNT" Agent (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1198-8670)."/> <min value="1"/> <fixedCode value="AGNT"/> </element> <element id="Observation.participant:healthcareAgent.participantRole.code"> <path value="Observation.participant.participantRole.code"/> <comment value="This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Agent or Proxy Choices urn:oid:2.16.840.1.113762.1.4.1046.35 DYNAMIC (CONF:1198-28440)."/> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.sdtcSpecialty"> <path value="Observation.participant.participantRole.sdtcSpecialty"/> <binding> <strength value="preferred"/> <valueSet value="http://hl7.org/fhir/ValueSet/c80-practice-codes"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.addr"> <path value="Observation.participant.participantRole.addr"/> <comment value="This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8671)."/> <max value="1"/> <type> <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/> <profile value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/> </type> </element> <element id="Observation.participant:healthcareAgent.participantRole.telecom"> <path value="Observation.participant.participantRole.telecom"/> <comment value="This participantRole SHOULD contain zero or more [0..*] telecom (CONF:1198-8672)."/> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity"> <path value="Observation.participant.participantRole.playingEntity"/> <comment value="This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-8824)."/> <min value="1"/> <constraint> <key value="should-code"/> <severity value="warning"/> <human value="SHOULD contain code"/> <expression value="code.exists()"/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.code"> <path value="Observation.participant.participantRole.playingEntity.code"/> <comment value="This playingEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal and Legal Relationship RoleType urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC."/> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/> </binding> </element> <element id="Observation.participant:healthcareAgent.participantRole.playingEntity.name"> <path value="Observation.participant.participantRole.playingEntity.name"/> <short value="The name of the healthcare agent."/> <comment value="This playingEntity SHALL contain exactly one [1..1] name (CONF:1198-8673)."/> <min value="1"/> <max value="1"/> </element> <element id="Observation.reference"> <path value="Observation.reference"/> <slicing> <discriminator> <type value="value"/> <path value="typeCode"/> </discriminator> <rules value="open"/> </slicing> <min value="1"/> </element> <element id="Observation.reference:reference1"> <path value="Observation.reference"/> <sliceName value="reference1"/> <comment value="SHOULD contain at least one [1..*] reference (CONF:1198-8692) such that it"/> <min value="1"/> <max value="*"/> </element> <element id="Observation.reference:reference1.typeCode"> <path value="Observation.reference.typeCode"/> <comment value="SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8694)."/> <fixedCode value="REFR"/> </element> <element id="Observation.reference:reference1.externalDocument"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true"/> </extension> <path value="Observation.reference.externalDocument"/> <short value="𝗨𝗦𝗖𝗗𝗜: External Document"/> <comment value="SHALL contain exactly one [1..1] externalDocument (CONF:1198-8693)."/> <min value="1"/> </element> <element id="Observation.reference:reference1.externalDocument.id"> <path value="Observation.reference.externalDocument.id"/> <comment value="This externalDocument SHALL contain at least one [1..*] id (CONF:1198-8695)."/> <min value="1"/> </element> <element id="Observation.reference:reference1.externalDocument.code"> <path value="Observation.reference.externalDocument.code"/> <min value="1"/> <binding> <strength value="preferred"/> <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41"/> </binding> </element> <element id="Observation.reference:reference1.externalDocument.text"> <path value="Observation.reference.externalDocument.text"/> <comment value="This externalDocument MAY contain zero or one [0..1] text (CONF:1198-8696)."/> </element> <element id="Observation.reference:reference1.externalDocument.text.reference"> <path value="Observation.reference.externalDocument.text.reference"/> <short value="The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698)."/> <comment value="The text, if present, MAY contain zero or one [0..1] reference (CONF:1198-8697)."/> <constraint> <key value="1198-8699"/> <severity value="warning"/> <human value="If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699)."/> <source value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/> </constraint> </element> <element id="Observation.reference:reference1.externalDocument.sdtcAuthor"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace"> <valueUri value="urn:hl7-org:sdtc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name"> <valueString value="author"/> </extension> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true"/> </extension> <path value="Observation.reference.externalDocument.sdtcAuthor"/> <short value="𝗨𝗦𝗖𝗗𝗜: Author"/> </element> </differential> </StructureDefinition>