HospitalDischargeDiagnosis
type: StructureDefinition
node role: treeRoot
id:
  v: HospitalDischargeDiagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition HospitalDischargeDiagnosis Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Act <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints ( should-text-ref-value )">C 1..1 Act XML 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 #xD; Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension #xD; templateId:hospital-discharge-dx 1..1 II #xD; @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.33 #xD; @extension 1..1 st Required Pattern: 2015-08-01 #xD; @classCode 1..1 cs Fixed Value: ACT #xD; @moodCode 1..1 cs Fixed Value: EVN #xD; code 1..1 CD #xD; @code 1..1 cs Required Pattern: 11535-2 #xD; @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.6.1 #xD; text <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints ( should-text-ref-value )">C 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry #xD; reference <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3…
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/logical-target
    l: logical-target
  value: Boolean
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: not-applicable
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/logical-container
    l: logical-container
  value: Uri
    v: http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument
    l: ClinicalDocument
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:v3
    l: v3
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: act
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/type-profile-style
    l: type-profile-style
  value: Code
    v: cda
url:
  v: http://hl7.org/cda/us/ccda/StructureDefinition/HospitalDischargeDiagnosis
  l: HospitalDischargeDiagnosis
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
  value:
    v: urn:hl7ii:2.16.840.1.113883.10.20.22.4.33:2015-08-01
version:
  v: 5.0.0
name:
  v: HospitalDischargeDiagnosis
title:
  v: Hospital Discharge Diagnosis
status:
  v: draft
date:
  v: 2026-06-13T01:56:42+10:00
publisher:
  v: Health Level Seven
contact:
  name:
    v: HL7 International - Structured Documents
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/structure
description:
  v: This template represents problems or diagnoses present at the time of discharge which occurred during the hospitalization or need to be monitored after hospitalization. It requires at least one Problem Observation entry. #### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template: **Required EntryRelationships**: [ProblemObservation](StructureDefinition-ProblemObservation.html)
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: US
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: logical
abstract:
  v: false
type:
  v: http://hl7.org/cda/stds/core/StructureDefinition/Act
  l: Act
base definition:
  v: http://hl7.org/cda/stds/core/StructureDefinition/Act
  l: Act
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 2.0.3-sd
  element:
    id:
      v: Act
    path:
      v: Act
    short:
      v: Base for all types and resources
    definition:
      v: 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:
      v: 1
    max:
      v: 1
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: should-text-ref-value
      severity:
        v: warning
      human:
        v: SHOULD contain text/reference/@value
      expression:
        v: text.reference.value.exists()
      source:
        v: http://hl7.org/cda/us/ccda/StructureDefinition/HospitalDischargeDiagnosis
        l: HospitalDischargeDiagnosis
    is modifier:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: n/a
  element:
    id:
      v: Act.nullFlavor
    path:
      v: Act.nullFlavor
    representation:
      v: xmlAttr
    label:
      v: Exceptional Value Detail
    definition:
      v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: ANY.nullFlavor
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: code
        l: code
      profile:
        v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
        l: cs-simple
    binding:
      strength:
        v: required
      value set:
        v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
        l: CDANullFlavor
  element:
    id:
      v: Act.realmCode
    path:
      v: Act.realmCode
    definition:
      v: 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:
      v: 0
    max:
      v: *
    base:
      path:
        v: InfrastructureRoot.realmCode
      min:
        v: 0

v: *

id:
  v: Act.typeId
path:
  v: Act.typeId
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: InfrastructureRoot.typeId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II
constraint:
  key:
    v: II-1
  severity:
    v: error
  human:
    v: An II instance must have either a root or an nullFlavor.
  expression:
    v: root.exists() or nullFlavor.exists()
  source:
    v: http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
    l: InfrastructureRoot

id:
  v: Act.typeId.nullFlavor
path:
  v: Act.typeId.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Act.typeId.assigningAuthorityName
path:
  v: Act.typeId.assigningAuthorityName
representation:
  v: xmlAttr
label:
  v: Assigning Authority Name
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: II.assigningAuthorityName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Act.typeId.displayable
path:
  v: Act.typeId.displayable
representation:
  v: xmlAttr
label:
  v: Displayable
definition:
  v: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.displayable
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Act.typeId.root
path:
  v: Act.typeId.root
representation:
  v: xmlAttr
label:
  v: Root
definition:
  v: Identifies the type as an HL7 Registered model
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.root
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid
fixed: String
  v: 2.16.840.1.113883.1.3

id:
  v: Act.typeId.extension
path:
  v: Act.typeId.extension
representation:
  v: xmlAttr
label:
  v: Extension
definition:
  v: A character string as a unique identifier within the scope of the identifier root.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.extension
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Act.templateId
path:
  v: Act.templateId
slicing:
  discriminator:
    type:
      v: value
    path:
      v: root
  discriminator:
    type:
      v: value
    path:
      v: extension
  rules:
    v: open
definition:
  v: 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:
  v: 1
max:
  v: *
base:
  path:
    v: InfrastructureRoot.templateId
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II

id:
  v: Act.templateId:hospital-discharge-dx
path:
  v: Act.templateId
slice name:
  v: hospital-discharge-dx
definition:
  v: 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:
  v: 1
max:
  v: 1
base:
  path:
    v: InfrastructureRoot.templateId
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II

id:
  v: Act.templateId:hospital-discharge-dx.nullFlavor
path:
  v: Act.templateId.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Act.templateId:hospital-discharge-dx.assigningAuthorityName
path:
  v: Act.templateId.assigningAuthorityName
representation:
  v: xmlAttr
label:
  v: Assigning Authority Name
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: II.assigningAuthorityName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Act.templateId:hospital-discharge-dx.displayable
path:
  v: Act.templateId.displayable
representation:
  v: xmlAttr
label:
  v: Displayable
definition:
  v: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.displayable
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Act.templateId:hospital-discharge-dx.root
path:
  v: Act.templateId.root
representation:
  v: xmlAttr
label:
  v: Root
definition:
  v: A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.root
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid
pattern: String
  v: 2.16.840.1.113883.10.20.22.4.33

id:
  v: Act.templateId:hospital-discharge-dx.extension
path:
  v: Act.templateId.extension
representation:
  v: xmlAttr
label:
  v: Extension
definition:
  v: A character string as a unique identifier within the scope of the identifier root.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.extension
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple
pattern: String
  v: 2015-08-01

id:
  v: Act.classCode
path:
  v: Act.classCode
representation:
  v: xmlAttr
comment:
  v: SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7663).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Act.classCode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
fixed: Code
  v: ACT
binding:
  strength:
    v: required
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0
    l: http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct

id:
  v: Act.moodCode
path:
  v: Act.moodCode
representation:
  v: xmlAttr
comment:
  v: SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7664).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Act.moodCode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
fixed: Code
  v: EVN
binding:
  strength:
    v: required
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0
    l: http://terminology.hl7.org/ValueSet/v3-xDocumentActMood

id:
  v: Act.negationInd
path:
  v: Act.negationInd
representation:
  v: xmlAttr
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Act.negationInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Act.id
path:
  v: Act.id
min:
  v: 0
max:
  v: *
base:
  path:
    v: Act.id
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II

id:
  v: Act.code
path:
  v: Act.code
comment:
  v: SHALL contain exactly one [1..1] code (CONF:1198-19147).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Act.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CD
    l: CD
binding:
  strength:
    v: example
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-ActCode
    l: v3-ActCode

id:
  v: Act.code.nullFlavor
path:
  v: Act.code.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Act.code.code
path:
  v: Act.code.code
representation:
  v: xmlAttr
label:
  v: Code
definition:
  v: 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:
  v: This code SHALL contain exactly one [1..1] @code="11535-2" Hospital discharge diagnosis (CONF:1198-19148).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CD.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
pattern: Code
  v: 11535-2

id:
  v: Act.code.codeSystem
path:
  v: Act.code.codeSystem
representation:
  v: xmlAttr
label:
  v: Code System
definition:
  v: Specifies the code system that defines the code.
comment:
  v: This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32163).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CD.codeSystem
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid
pattern: String
  v: 2.16.840.1.113883.6.1

id:
  v: Act.code.codeSystemName
path:
  v: Act.code.codeSystemName
representation:
  v: xmlAttr
label:
  v: Code System Name
definition:
  v: The common name of the coding system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.codeSystemName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Act.code.codeSystemVersion
path:
  v: Act.code.codeSystemVersion
representation:
  v: xmlAttr
label:
  v: Code System Version
definition:
  v: If applicable, a version descriptor defined specifically for the given code system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.codeSystemVersion
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Act.code.displayName
path:
  v: Act.code.displayName
representation:
  v: xmlAttr
label:
  v: Display Name
definition:
  v: A name or title for the code, under which the sending system shows the code value to its users.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.displayName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Act.code.sdtcValueSet
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:sdtc
    l: sdtc
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: valueSet
path:
  v: Act.code.sdtcValueSet
representation:
  v: xmlAttr
definition:
  v: The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.valueSet
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid

id:
  v: Act.code.sdtcValueSetVersion
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:sdtc
    l: sdtc
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: valueSetVersion
path:
  v: Act.code.sdtcValueSetVersion
representation:
  v: xmlAttr
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.sdtcValueSetVersion
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Act.code.originalText
path:
  v: Act.code.originalText
label:
  v: Original Text
definition:
  v: The text or phrase used as the basis for the coding.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CD.originalText
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ED
    l: ED

id:
  v: Act.code.qualifier
path:
  v: Act.code.qualifier
label:
  v: Qualifier
definition:
  v: Specifies additional codes that increase the specificity of the the primary code.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CD.qualifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CR
    l: CR

id:
  v: Act.code.translation
path:
  v: Act.code.translation
representation:
  v: typeAttr
label:
  v: Translation
definition:
  v: A set of other concept descriptors that translate this concept descriptor into other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CD.translation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CD
    l: CD

id:
  v: Act.text
path:
  v: Act.text
short:
  v: SHOULD reference the portion of section narrative text corresponding to this entry
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Act.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ED
    l: ED
condition:
  v: should-text-ref-value

id:
  v: Act.text.nullFlavor
path:
  v: Act.text.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Act.text.compression
path:
  v: Act.text.compression
representation:
  v: xmlAttr
label:
  v: Compression
definition:
  v: Indicates whether the raw byte data is compressed, and what compression algorithm was used.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.compression
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    l: CDACompressionAlgorithm

id:
  v: Act.text.integrityCheck
path:
  v: Act.text.integrityCheck
representation:
  v: xmlAttr
label:
  v: Integrity Check
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.integrityCheck
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: base64Binary
    l: base64Binary
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bin
    l: bin

id:
  v: Act.text.integrityCheckAlgorithm
path:
  v: Act.text.integrityCheckAlgorithm
representation:
  v: xmlAttr
label:
  v: Integrity Check Algorithm
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.integrityCheckAlgorithm
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    l: http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm

id:
  v: Act.text.language
path:
  v: Act.text.language
representation:
  v: xmlAttr
label:
  v: Language
definition:
  v: For character based information the language property specifies the human language of the text.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple

id:
  v: Act.text.mediaType
path:
  v: Act.text.mediaType
representation:
  v: xmlAttr
label:
  v: Media Type
definition:
  v: Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.mediaType
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: example
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-MediaType
    l: v3-MediaType

id:
  v: Act.text.representation
path:
  v: Act.text.representation
representation:
  v: xmlAttr
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.representation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    l: BinaryDataEncoding

id:
  v: Act.text.xmlText
path:
  v: Act.text.xmlText
representation:
  v: xmlText
short:
  v: Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
definition:
  v: 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:
  v: This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.xmlText
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Act.text.reference
path:
  v: Act.text.reference
label:
  v: Reference
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/TEL
    l: TEL
constraint:
  key:
    v: value-starts-octothorpe
  severity:
    v: error
  human:
    v: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
  expression:
    v: value.exists() implies value.startsWith('#')
  source:
    v: http://hl7.org/cda/us/ccda/StructureDefinition/HospitalDischargeDiagnosis
    l: HospitalDischargeDiagnosis

id:
  v: Act.text.thumbnail
path:
  v: Act.text.thumbnail
label:
  v: Thumbnail
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: ED.thumbnail
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ED
    l: ED
constraint:
  key:
    v: ED-1
  severity:
    v: error
  human:
    v: Thumbnails cannot contain their own thumbnails
  expression:
    v: thumbnail.empty()
  source:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Act
    l: Act

id:
  v: Act.statusCode
path:
  v: Act.statusCode
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Act.statusCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CS
    l: CS
binding:
  strength:
    v: required
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-ActStatus
    l: v3-ActStatus

id:
  v: Act.effectiveTime
path:
  v: Act.effectiveTime
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Act.effectiveTime
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
    l: IVL-TS

id:
  v: Act.priorityCode
path:
  v: Act.priorityCode
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Act.priorityCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CE
    l: CE
binding:
  strength:
    v: example
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-ActPriority
    l: v3-ActPriority

id:
  v: Act.languageCode
path:
  v: Act.languageCode
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Act.languageCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CS
    l: CS
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages
    l: all-languages

id:
  v: Act.subject
path:
  v: Act.subject
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Act.subject
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Subject
    l: Subject

id:
  v: Act.specimen
path:
  v: Act.specimen
min:
  v: 0
max:
  v: *
base:
  path:
    v: Act.specimen
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Specimen
    l: Specimen

id:
  v: Act.performer
path:
  v: Act.performer
min:
  v: 0
max:
  v: *
base:
  path:
    v: Act.performer
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Performer2
    l: Performer2

id:
  v: Act.author
path:
  v: Act.author
min:
  v: 0
max:
  v: *
base:
  path:
    v: Act.author
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Author
    l: Author

id:
  v: Act.informant
path:
  v: Act.informant
min:
  v: 0
max:
  v: *
base:
  path:
    v: Act.informant
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Informant
    l: Informant

id:
  v: Act.participant
path:
  v: Act.participant
min:
  v: 0
max:
  v: *
base:
  path:
    v: Act.participant
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Participant2
    l: Participant2

id:
  v: Act.entryRelationship
path:
  v: Act.entryRelationship
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: observation
  rules:
    v: open
min:
  v: 1
max:
  v: *
base:
  path:
    v: Act.entryRelationship
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
    l: EntryRelationship

id:
  v: Act.entryRelationship:problemObservation
path:
  v: Act.entryRelationship
slice name:
  v: problemObservation
comment:
  v: SHALL contain at least one [1..*] entryRelationship (CONF:1198-7666) such that it
min:
  v: 1
max:
  v: *
base:
  path:
    v: Act.entryRelationship
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
    l: EntryRelationship

id:
  v: Act.entryRelationship:problemObservation.nullFlavor
path:
  v: Act.entryRelationship.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Act.entryRelationship:problemObservation.realmCode
path:
  v: Act.entryRelationship.realmCode
definition:
  v: 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:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.realmCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CS
    l: CS

id:
  v: Act.entryRelationship:problemObservation.typeId
path:
  v: Act.entryRelationship.typeId
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: InfrastructureRoot.typeId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II
constraint:
  key:
    v: II-1
  severity:
    v: error
  human:
    v: An II instance must have either a root or an nullFlavor.
  expression:
    v: root.exists() or nullFlavor.exists()
  source:
    v: http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
    l: InfrastructureRoot

id:
  v: Act.entryRelationship:problemObservation.typeId.nullFlavor
path:
  v: Act.entryRelationship.typeId.nullFlavor
representation:
  v: xmlAttr
label:
  v: Exceptional Value Detail
definition:
  v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ANY.nullFlavor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    l: CDANullFlavor

id:
  v: Act.entryRelationship:problemObservation.typeId.assigningAuthorityName
path:
  v: Act.entryRelationship.typeId.assigningAuthorityName
representation:
  v: xmlAttr
label:
  v: Assigning Authority Name
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: II.assigningAuthorityName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Act.entryRelationship:problemObservation.typeId.displayable
path:
  v: Act.entryRelationship.typeId.displayable
representation:
  v: xmlAttr
label:
  v: Displayable
definition:
  v: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.displayable
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Act.entryRelationship:problemObservation.typeId.root
path:
  v: Act.entryRelationship.typeId.root
representation:
  v: xmlAttr
label:
  v: Root
definition:
  v: Identifies the type as an HL7 Registered model
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.root
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    l: oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    l: uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    l: ruid
fixed: String
  v: 2.16.840.1.113883.1.3

id:
  v: Act.entryRelationship:problemObservation.typeId.extension
path:
  v: Act.entryRelationship.typeId.extension
representation:
  v: xmlAttr
label:
  v: Extension
definition:
  v: A character string as a unique identifier within the scope of the identifier root.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.extension
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    l: st-simple

id:
  v: Act.entryRelationship:problemObservation.templateId
path:
  v: Act.entryRelationship.templateId
definition:
  v: 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:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.templateId
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II
    l: II

id:
  v: Act.entryRelationship:problemObservation.typeCode
path:
  v: Act.entryRelationship.typeCode
representation:
  v: xmlAttr
comment:
  v: SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-7667).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EntryRelationship.typeCode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    l: cs-simple
fixed: Code
  v: SUBJ
binding:
  strength:
    v: required
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
    l: v3-xActRelationshipEntryRelationship

id:
  v: Act.entryRelationship:problemObservation.inversionInd
path:
  v: Act.entryRelationship.inversionInd
representation:
  v: xmlAttr
definition:
  v: The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.inversionInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Act.entryRelationship:problemObservation.contextConductionInd
path:
  v: Act.entryRelationship.contextConductionInd
representation:
  v: xmlAttr
definition:
  v: The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.contextConductionInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple
default value: Boolean
  v: true

id:
  v: Act.entryRelationship:problemObservation.negationInd
path:
  v: Act.entryRelationship.negationInd
representation:
  v: xmlAttr
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.negationInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    l: bl-simple

id:
  v: Act.entryRelationship:problemObservation.sequenceNumber
path:
  v: Act.entryRelationship.sequenceNumber
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.sequenceNumber
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/INT
    l: INT

id:
  v: Act.entryRelationship:problemObservation.seperatableInd
path:
  v: Act.entryRelationship.seperatableInd
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.seperatableInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/BL
    l: BL

id:
  v: Act.entryRelationship:problemObservation.act
path:
  v: Act.entryRelationship.act
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.act
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Act
    l: Act

id:
  v: Act.entryRelationship:problemObservation.encounter
path:
  v: Act.entryRelationship.encounter
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Encounter
    l: Encounter

id:
  v: Act.entryRelationship:problemObservation.observation
path:
  v: Act.entryRelationship.observation
comment:
  v: SHALL contain exactly one [1..1] Problem Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15536).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EntryRelationship.observation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Observation
    l: Observation
  profile:
    v: http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation
    l: ProblemObservation

id:
  v: Act.entryRelationship:problemObservation.observationMedia
path:
  v: Act.entryRelationship.observationMedia
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.observationMedia
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
    l: ObservationMedia

id:
  v: Act.entryRelationship:problemObservation.organizer
path:
  v: Act.entryRelationship.organizer
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.organizer
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Organizer
    l: Organizer

id:
  v: Act.entryRelationship:problemObservation.procedure
path:
  v: Act.entryRelationship.procedure
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.procedure
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Procedure
    l: Procedure

id:
  v: Act.entryRelationship:problemObservation.regionOfInterest
path:
  v: Act.entryRelationship.regionOfInterest
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.regionOfInterest
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
    l: RegionOfInterest

id:
  v: Act.entryRelationship:problemObservation.substanceAdministration
path:
  v: Act.entryRelationship.substanceAdministration
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.substanceAdministration
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
    l: SubstanceAdministration

id:
  v: Act.entryRelationship:problemObservation.supply
path:
  v: Act.entryRelationship.supply
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EntryRelationship.supply
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Supply
    l: Supply

id:
  v: Act.reference
path:
  v: Act.reference
min:
  v: 0
max:
  v: *
base:
  path:
    v: Act.reference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Reference
    l: Reference

id:
  v: Act.precondition
path:
  v: Act.precondition
min:
  v: 0
max:
  v: *
base:
  path:
    v: Act.precondition
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Precondition
    l: Precondition

id:
  v: Act.sdtcPrecondition2
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:sdtc
    l: sdtc
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: precondition2
path:
  v: Act.sdtcPrecondition2
min:
  v: 0
max:
  v: *
base:
  path:
    v: Act.sdtcPrecondition2
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
    l: Precondition2

id:
  v: Act.sdtcInFulfillmentOf1
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
    l: xml-namespace
  value: Uri
    v: urn:hl7-org:sdtc
    l: sdtc
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
    l: xml-name
  value: String
    v: inFulfillmentOf1
path:
  v: Act.sdtcInFulfillmentOf1
min:
  v: 0
max:
  v: *
base:
  path:
    v: Act.sdtcInFulfillmentOf1
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
    l: InFulfillmentOf1

element:
  id:
    v: Act
  path:
    v: Act
  constraint:
    key:
      v: should-text-ref-value
    severity:
      v: warning
    human:
      v: SHOULD contain text/reference/@value
    expression:
      v: text.reference.value.exists()
    source:
      v: http://hl7.org/cda/us/ccda/StructureDefinition/HospitalDischargeDiagnosis
      l: HospitalDischargeDiagnosis
element:
  id:
    v: Act.templateId
  path:
    v: Act.templateId
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: root
    discriminator:
      type:
        v: value
      path:
        v: extension
    rules:
      v: open
  min:
    v: 1
element:
  id:
    v: Act.templateId:hospital-discharge-dx
  path:
    v: Act.templateId
  slice name:
    v: hospital-discharge-dx
  min:
    v: 1
  max:
    v: 1
element:
  id:
    v: Act.templateId:hospital-discharge-dx.root
  path:
    v: Act.templateId.root
  min:
    v: 1
  pattern: String
    v: 2.16.840.1.113883.10.20.22.4.33
element:
  id:
    v: Act.templateId:hospital-discharge-dx.extension
  path:
    v: Act.templateId.extension
  min:
    v: 1
  pattern: String
    v: 2015-08-01
element:
  id:
    v: Act.classCode
  path:
    v: Act.classCode
  comment:
    v: SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7663).
  fixed: Code
    v: ACT
element:
  id:
    v: Act.moodCode
  path:
    v: Act.moodCode
  comment:
    v: SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7664).
  fixed: Code
    v: EVN
element:
  id:
    v: Act.code
  path:
    v: Act.code
  comment:
    v: SHALL contain exactly one [1..1] code (CONF:1198-19147).
element:
  id:
    v: Act.code.code
  path:
    v: Act.code.code
  comment:
    v: This code SHALL contain exactly one [1..1] @code="11535-2" Hospital discharge diagnosis (CONF:1198-19148).
  min:
    v: 1
  pattern: Code
    v: 11535-2
element:
  id:
    v: Act.code.codeSystem
  path:
    v: Act.code.codeSystem
  comment:
    v: This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32163).
  min:
    v: 1
  pattern: String
    v: 2.16.840.1.113883.6.1
element:
  id:
    v: Act.text
  path:
    v: Act.text
  short:
    v: SHOULD reference the portion of section narrative text corresponding to this entry
  condition:
    v: should-text-ref-value
element:
  id:
    v: Act.text.reference
  path:
    v: Act.text.reference
  constraint:
    key:
      v: value-starts-octothorpe
    severity:
      v: error
    human:
      v: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    expression:
      v: value.exists() implies value.startsWith('#')
    source:
      v: http://hl7.org/cda/us/ccda/StructureDefinition/HospitalDischargeDiagnosis
      l: HospitalDischargeDiagnosis
element:
  id:
    v: Act.entryRelationship
  path:
    v: Act.entryRelationship
  slicing:
    discriminator:
      type:
        v: profile
      path:
        v: observation
    rules:
      v: open
  min:
    v: 1
element:
  id:
    v: Act.entryRelationship:problemObservation
  path:
    v: Act.entryRelationship
  slice name:
    v: problemObservation
  comment:
    v: SHALL contain at least one [1..*] entryRelationship (CONF:1198-7666) such that it
  min:
    v: 1
  max:
    v: *
element:
  id:
    v: Act.entryRelationship:problemObservation.typeCode
  path:
    v: Act.entryRelationship.typeCode
  comment:
    v: SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-7667).
  fixed: Code
    v: SUBJ
element:
  id:
    v: Act.entryRelationship:problemObservation.observation
  path:
    v: Act.entryRelationship.observation
  comment:
    v: SHALL contain exactly one [1..1] Problem Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15536).
  min:
    v: 1
  type:
    code:
      v: http://hl7.org/cda/stds/core/StructureDefinition/Observation
      l: Observation
    profile:
      v: http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation
      l: ProblemObservation