Consolidated CDA (C-CDA)
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This page is part of the CCDA: Consolidated CDA Release (v4.0.0: CCDA 4.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Logical Model: PastMedicalHistory - Detailed Descriptions

Draft as of 2025-06-20

Definitions for the PastMedicalHistory logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. Section
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.


Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstance of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
2. Section.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
(required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
4. Section.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
6. Section.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
8. Section.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
(required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
10. Section.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
12. Section.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
14. Section.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
16. Section.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
18. Section.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on Section.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
  • 20. Section.templateId:section
    Slice Namesection
    Definition

    When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
    22. Section.templateId:section.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    24. Section.templateId:section.assigningAuthorityName
    Definition

    A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelAssigning Authority Name
    26. Section.templateId:section.displayable
    Definition

    Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

    Control0..1
    Typeboolean(bl: Boolean)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelDisplayable
    28. Section.templateId:section.root
    Definition

    A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

    Control1..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelRoot
    Pattern Value2.16.840.1.113883.10.20.22.2.20
    30. Section.templateId:section.extension
    Definition

    A character string as a unique identifier within the scope of the identifier root.

    Control1..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExtension
    Pattern Value2015-08-01
    32. Section.ID
    Control0..1
    Typeid(xs:ID)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    34. Section.classCode
    Control0..1
    BindingThe codes SHALL be taken from ActClassRecordOrganizer
    (required to http://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed ValueDOCSECT
    36. Section.moodCode
    Control0..1
    BindingThe codes SHALL be taken from CDAActMood
    (required to http://hl7.org/cda/stds/core/ValueSet/CDAActMood)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed ValueEVN
    38. Section.id
    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
    40. Section.code
    ShortHistory of Past illness Narrative
    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
    42. Section.code.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    44. Section.code.code
    Definition

    The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

    Control1..1
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode
    Pattern Value11348-0
    46. Section.code.codeSystem
    Definition

    Specifies the code system that defines the code.

    Control1..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System
    Pattern Value2.16.840.1.113883.6.1
    48. Section.code.codeSystemName
    Definition

    The common name of the coding system.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System Name
    50. Section.code.codeSystemVersion
    Definition

    If applicable, a version descriptor defined specifically for the given code system.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System Version
    52. Section.code.displayName
    Definition

    A name or title for the code, under which the sending system shows the code value to its users.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelDisplay Name
    54. Section.code.sdtcValueSet
    Definition

    The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

    Control0..1
    Typestring(oid: ISO Object Identifier)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
    56. Section.code.sdtcValueSetVersion
    Definition

    The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
    58. Section.code.originalText
    Definition

    The text or phrase used as the basis for the coding.

    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
    LabelOriginal Text
    60. Section.code.qualifier
    Definition

    Specifies additional codes that increase the specificity of the the primary code.

    Control0..0
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
    LabelQualifier
    62. Section.code.translation
    Definition

    A set of other concept descriptors that translate this concept descriptor into other code systems.

    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
    XML FormatThe type of this property is determined using the xsi:typeattribute.
    LabelTranslation
    64. Section.title
    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
    66. Section.text
    Control1..1
    Typexhtml
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatThis property is represented as CDA Text in the XML.
    68. Section.confidentialityCode
    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
    70. Section.languageCode
    Control0..1
    BindingThe codes SHALL be taken from AllLanguages
    (required to http://hl7.org/fhir/ValueSet/all-languages)
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
    72. Section.subject
    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
    74. Section.author
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
    76. Section.informant
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
    78. Section.entry
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entry
    SlicingThis element introduces a set of slices on Section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • profile @ observation
    • 80. Section.entry:problem
      Slice Nameproblem
      Comments

      MAY contain zero or more [0..*] entry (CONF:1198-8791) such that it

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entry
      82. Section.entry:problem.nullFlavor
      Definition

      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      84. Section.entry:problem.realmCode
      Definition

      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
      86. Section.entry:problem.typeId
      Definition

      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
      88. Section.entry:problem.typeId.nullFlavor
      Definition

      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      90. Section.entry:problem.typeId.assigningAuthorityName
      Definition

      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelAssigning Authority Name
      92. Section.entry:problem.typeId.displayable
      Definition

      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

      Control0..1
      Typeboolean(bl: Boolean)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelDisplayable
      94. Section.entry:problem.typeId.root
      Definition

      Identifies the type as an HL7 Registered model

      Control1..1
      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelRoot
      Fixed Value2.16.840.1.113883.1.3
      96. Section.entry:problem.typeId.extension
      Definition

      A character string as a unique identifier within the scope of the identifier root.

      Control1..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExtension
      98. Section.entry:problem.templateId
      Definition

      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
      100. Section.entry:problem.typeCode
      Control0..1
      BindingThe codes SHALL be taken from x_ActRelationshipEntry
      (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      Default ValueCOMP
      102. Section.entry:problem.contextConductionInd
      Control0..1
      Typeboolean(bl: Boolean)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      Fixed Valuetrue
      104. Section.entry:problem.act
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
      106. Section.entry:problem.encounter
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
      108. Section.entry:problem.observation
      ShortSHOULD contain an effectiveTime/high or and/or a Problem Status with value 73425007 (Inactive), 413322009 (Problem resolved), or 277022003 (Remission phase).
      Comments

      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:1198-15476).

      Control1..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Observation)
      110. Section.entry:problem.observation.nullFlavor
      Definition

      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      112. Section.entry:problem.observation.realmCode
      Definition

      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
      114. Section.entry:problem.observation.typeId
      Definition

      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
      116. Section.entry:problem.observation.typeId.nullFlavor
      Definition

      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      118. Section.entry:problem.observation.typeId.assigningAuthorityName
      Definition

      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelAssigning Authority Name
      120. Section.entry:problem.observation.typeId.displayable
      Definition

      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

      Control0..1
      Typeboolean(bl: Boolean)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelDisplayable
      122. Section.entry:problem.observation.typeId.root
      Definition

      Identifies the type as an HL7 Registered model

      Control1..1
      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelRoot
      Fixed Value2.16.840.1.113883.1.3
      124. Section.entry:problem.observation.typeId.extension
      Definition

      A character string as a unique identifier within the scope of the identifier root.

      Control1..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExtension
      126. Section.entry:problem.observation.templateId
      Definition

      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

      Control1..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
      SlicingThis element introduces a set of slices on Section.entry.observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ root
      • value @ extension
      • 128. Section.entry:problem.observation.templateId:problem-obs
        Slice Nameproblem-obs
        Definition

        When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        130. Section.entry:problem.observation.templateId:problem-obs.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        132. Section.entry:problem.observation.templateId:problem-obs.assigningAuthorityName
        Definition

        A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelAssigning Authority Name
        134. Section.entry:problem.observation.templateId:problem-obs.displayable
        Definition

        Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

        Control0..1
        Typeboolean(bl: Boolean)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelDisplayable
        136. Section.entry:problem.observation.templateId:problem-obs.root
        Definition

        A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

        Control1..1
        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelRoot
        Pattern Value2.16.840.1.113883.10.20.22.4.4
        138. Section.entry:problem.observation.templateId:problem-obs.extension
        Definition

        A character string as a unique identifier within the scope of the identifier root.

        Control1..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExtension
        Pattern Value2024-05-01
        140. Section.entry:problem.observation.classCode
        Comments

        SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9041).

        Control1..1
        BindingThe codes SHALL be taken from CDAActClassObservation
        (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueOBS
        142. Section.entry:problem.observation.moodCode
        Comments

        SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042).

        Control1..1
        BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
        (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueEVN
        144. Section.entry:problem.observation.negationInd
        ShortThe negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.
        Comments

        MAY contain zero or one [0..1] @negationInd (CONF:1198-10139).

        Control0..1
        Typeboolean(bl: Boolean)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        146. Section.entry:problem.observation.id
        Definition

        The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

        ShortLogical id of this artifact
        Comments

        SHALL contain at least one [1..*] id (CONF:1198-9043).


        Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

        Control10..*1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
        Is Modifierfalse
        148. Section.entry:problem.observation.sdtcCategory
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
        150. Section.entry:problem.observation.code
        Definition

        Describes what was observed. Sometimes this is called the observation "name".

        ShortType of observation (code / type)
        Comments

        All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

        Control1..1
        This element is affected by the following invariants: obs-7
        BindingThe codes SHOULD be taken from For example codes, see Problem Type .http://hl7.org/fhir/ValueSet/observation-codes
        (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept
        Is Modifierfalse
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        Requirements

        Knowing what kind of observation is being made is essential to understanding the observation.

        Alternate NamesName
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        152. Section.entry:problem.observation.derivationExpr
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
        154. Section.entry:problem.observation.text
        Definition

        A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

        ShortSHOULD reference the portion of section narrative text corresponding to this entryText summary of the resource, for human interpretation
        Comments

        Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

        Control0..1
        This element is affected by the following invariants: dom-6
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EDNarrative
        Is Modifierfalse
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        Alternate Namesnarrative, html, xhtml, display
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        156. Section.entry:problem.observation.text.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        158. Section.entry:problem.observation.text.compression
        Definition

        Indicates whether the raw byte data is compressed, and what compression algorithm was used.

        Control0..1
        BindingThe codes SHALL be taken from CDACompressionAlgorithm
        (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCompression
        160. Section.entry:problem.observation.text.integrityCheck
        Definition

        The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

        Control0..1
        Typebase64Binary(bin: Binary Data)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelIntegrity Check
        162. Section.entry:problem.observation.text.integrityCheckAlgorithm
        Definition

        Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

        Control0..1
        BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
        (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelIntegrity Check Algorithm
        164. Section.entry:problem.observation.text.language
        Definition

        For character based information the language property specifies the human language of the text.

        Control0..1
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelLanguage
        166. Section.entry:problem.observation.text.mediaType
        Definition

        Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

        Control0..1
        BindingFor example codes, see MediaType
        (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelMedia Type
        168. Section.entry:problem.observation.text.representation
        Control0..1
        BindingThe codes SHALL be taken from CDABinaryDataEncoding
        (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        170. Section.entry:problem.observation.text.xmlText
        Definition

        Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

        ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
        Comments

        This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as unadorned text.
        172. Section.entry:problem.observation.text.reference
        Definition

        A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
        LabelReference
        Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
        174. Section.entry:problem.observation.text.thumbnail
        Definition

        An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
        LabelThumbnail
        176. Section.entry:problem.observation.statusCode
        Comments

        SHALL contain exactly one [1..1] statusCode (CONF:1198-9049).

        Control1..1
        BindingThe codes SHALL be taken from ActStatus
        (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
        178. Section.entry:problem.observation.statusCode.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        180. Section.entry:problem.observation.statusCode.code
        Definition

        The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

        Comments

        This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19112).

        Control1..1
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode
        Fixed Valuecompleted
        182. Section.entry:problem.observation.statusCode.codeSystem
        Definition

        Specifies the code system that defines the code.

        Control0..0
        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System
        184. Section.entry:problem.observation.statusCode.codeSystemName
        Definition

        The common name of the coding system.

        Control0..0
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System Name
        186. Section.entry:problem.observation.statusCode.codeSystemVersion
        Definition

        If applicable, a version descriptor defined specifically for the given code system.

        Control0..0
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System Version
        188. Section.entry:problem.observation.statusCode.displayName
        Definition

        A name or title for the code, under which the sending system shows the code value to its users.

        Control0..0
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelDisplay Name
        190. Section.entry:problem.observation.statusCode.sdtcValueSet
        Definition

        The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

        Control0..1
        Typestring(oid: ISO Object Identifier)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
        192. Section.entry:problem.observation.statusCode.sdtcValueSetVersion
        Definition

        The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
        194. Section.entry:problem.observation.statusCode.originalText
        Definition

        The text or phrase used as the basis for the coding.

        Control0..0
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
        LabelOriginal Text
        196. Section.entry:problem.observation.statusCode.qualifier
        Definition

        Specifies additional codes that increase the specificity of the the primary code.

        Control0..0
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
        LabelQualifier
        198. Section.entry:problem.observation.statusCode.translation
        Definition

        A set of other concept descriptors that translate this concept descriptor into other code systems.

        Control0..0
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        LabelTranslation
        200. Section.entry:problem.observation.effectiveTime
        ShortIf the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.
        Comments

        SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050).

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
        Invariantsshould-high: SHOULD contain high (high.exists())
        202. Section.entry:problem.observation.effectiveTime.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        204. Section.entry:problem.observation.effectiveTime.value
        Definition

        A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

        Control0..1
        TypedateTime(ts: Point in Time)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
        XML FormatIn the XML format, this property is represented as an attribute.
        206. Section.entry:problem.observation.effectiveTime.operator
        Definition

        A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.

        Control0..1
        BindingThe codes SHALL be taken from CDASetOperator
        (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Default ValueI
        208. Section.entry:problem.observation.effectiveTime.low
        Definition

        This is the low limit of the interval.

        ShortThe effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.
        Comments

        This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603).

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
        LabelLow Boundary
        210. Section.entry:problem.observation.effectiveTime.center
        Definition

        The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
        LabelCentral Value
        212. Section.entry:problem.observation.effectiveTime.width
        Definition

        The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
        LabelWidth
        214. Section.entry:problem.observation.effectiveTime.high
        Definition

        This is the high limit of the interval.

        ShortSHOULD contain high
        Comments

        This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-15604).

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
        LabelHigh Boundary
        216. Section.entry:problem.observation.priorityCode
        Control0..1
        BindingFor example codes, see ActPriority
        (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
        218. Section.entry:problem.observation.repeatNumber
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
        220. Section.entry:problem.observation.languageCode
        Control0..1
        BindingThe codes SHALL be taken from AllLanguages
        (required to http://hl7.org/fhir/ValueSet/all-languages)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
        222. Section.entry:problem.observation.value
        Short𝗨𝗦𝗖𝗗𝗜: SDOH Problems/Health Concerns
        Comments

        SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet US Core Condition Codes.

        Control1..1
        BindingThe codes SHOULD be taken from US Core Condition Codes
        (preferred to http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        224. Section.entry:problem.observation.value.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        226. Section.entry:problem.observation.value.code
        Definition

        The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

        ShortA negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951).
        Comments

        This value MAY contain zero or one [0..1] @code (CONF:1198-31871).

        Control0..1
        Binding

        See additional binding

        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode
        228. Section.entry:problem.observation.value.codeSystem
        Definition

        Specifies the code system that defines the code.

        Control0..1
        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System
        230. Section.entry:problem.observation.value.codeSystemName
        Definition

        The common name of the coding system.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System Name
        232. Section.entry:problem.observation.value.codeSystemVersion
        Definition

        If applicable, a version descriptor defined specifically for the given code system.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System Version
        234. Section.entry:problem.observation.value.displayName
        Definition

        A name or title for the code, under which the sending system shows the code value to its users.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelDisplay Name
        236. Section.entry:problem.observation.value.sdtcValueSet
        Definition

        The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

        Control0..1
        Typestring(oid: ISO Object Identifier)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
        238. Section.entry:problem.observation.value.sdtcValueSetVersion
        Definition

        The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
        240. Section.entry:problem.observation.value.originalText
        Definition

        The text or phrase used as the basis for the coding.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
        LabelOriginal Text
        242. Section.entry:problem.observation.value.qualifier
        Definition

        Specifies additional codes that increase the specificity of the the primary code.

        ShortThe observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML.
        Comments

        This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870).

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
        LabelQualifier
        244. Section.entry:problem.observation.value.translation
        Definition

        A set of other concept descriptors that translate this concept descriptor into other code systems.

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        LabelTranslation
        246. Section.entry:problem.observation.interpretationCode
        Control0..*
        BindingThe codes SHALL be taken from CDAObservationInterpretation
        (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
        248. Section.entry:problem.observation.methodCode
        Control0..*
        BindingFor example codes, see ObservationMethod
        (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
        250. Section.entry:problem.observation.targetSiteCode
        Definition

        Drawn from concept domain ActSite

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        252. Section.entry:problem.observation.subject
        Definition

        The patient, or group of patients, location, device, organization, procedure or practitioner this observation is about and into whose or what record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the focus element or the code itself specifies the actual focus of the observation.

        ShortWho and/or what the observation is about
        Comments

        One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. The subject of an Observation may in some cases be a procedure. This supports the regulatory inspection use case where observations are captured during inspections of a procedure that is being performed (independent of any particular patient or whether patient related at all).

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubjectReference(Patient, Group, Device, Location, Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct)
        Is Modifierfalse
        Requirements

        Observations have no value if you don't know who or what they're about.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        254. Section.entry:problem.observation.specimen
        Definition

        The specimen that was used when this observation was made.

        ShortSpecimen used for this observation
        Comments

        Should only be used if not implicit in code found in Observation.code. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).

        Control0..*1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/SpecimenReference(Specimen, Group)
        Is Modifierfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        obs-9: If Observation.specimen is a reference to Group, the group can only have specimens ((reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen))
        256. Section.entry:problem.observation.performer
        Definition

        Who was responsible for asserting the observed value as "true".

        ShortWho is responsible for the observation
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2Reference(Practitioner, PractitionerRole, Organization, CareTeam, Patient, RelatedPerson)
        Is Modifierfalse
        Requirements

        May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        258. Section.entry:problem.observation.author
        Comments

        SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31147).

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
        260. Section.entry:problem.observation.informant
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
        262. Section.entry:problem.observation.participant
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
        264. Section.entry:problem.observation.entryRelationship
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
        SlicingThis element introduces a set of slices on Section.entry.observation.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • profile @ observation
        • profile @ act
        • 266. Section.entry:problem.observation.entryRelationship:age
          Slice Nameage
          Comments

          MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
          268. Section.entry:problem.observation.entryRelationship:age.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          270. Section.entry:problem.observation.entryRelationship:age.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          272. Section.entry:problem.observation.entryRelationship:age.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          274. Section.entry:problem.observation.entryRelationship:age.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          276. Section.entry:problem.observation.entryRelationship:age.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          278. Section.entry:problem.observation.entryRelationship:age.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          280. Section.entry:problem.observation.entryRelationship:age.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          282. Section.entry:problem.observation.entryRelationship:age.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          284. Section.entry:problem.observation.entryRelationship:age.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          286. Section.entry:problem.observation.entryRelationship:age.typeCode
          Comments

          SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9060).

          Control1..1
          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueSUBJ
          288. Section.entry:problem.observation.entryRelationship:age.inversionInd
          Definition

          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.

          Comments

          SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-9069).

          Control1..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed Valuetrue
          290. Section.entry:problem.observation.entryRelationship:age.contextConductionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default Valuetrue
          292. Section.entry:problem.observation.entryRelationship:age.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          294. Section.entry:problem.observation.entryRelationship:age.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          296. Section.entry:problem.observation.entryRelationship:age.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          298. Section.entry:problem.observation.entryRelationship:age.act
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
          300. Section.entry:problem.observation.entryRelationship:age.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          302. Section.entry:problem.observation.entryRelationship:age.observation
          Comments

          SHALL contain exactly one [1..1] Age Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.31) (CONF:1198-15590).

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Age Observation)
          304. Section.entry:problem.observation.entryRelationship:age.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          306. Section.entry:problem.observation.entryRelationship:age.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          308. Section.entry:problem.observation.entryRelationship:age.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          310. Section.entry:problem.observation.entryRelationship:age.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          312. Section.entry:problem.observation.entryRelationship:age.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          314. Section.entry:problem.observation.entryRelationship:age.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          316. Section.entry:problem.observation.entryRelationship:prognosis
          Slice Nameprognosis
          Comments

          MAY contain zero or one [0..1] entryRelationship (CONF:1198-29951) such that it

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
          318. Section.entry:problem.observation.entryRelationship:prognosis.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          320. Section.entry:problem.observation.entryRelationship:prognosis.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          322. Section.entry:problem.observation.entryRelationship:prognosis.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          324. Section.entry:problem.observation.entryRelationship:prognosis.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          326. Section.entry:problem.observation.entryRelationship:prognosis.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          328. Section.entry:problem.observation.entryRelationship:prognosis.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          330. Section.entry:problem.observation.entryRelationship:prognosis.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          332. Section.entry:problem.observation.entryRelationship:prognosis.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          334. Section.entry:problem.observation.entryRelationship:prognosis.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          336. Section.entry:problem.observation.entryRelationship:prognosis.typeCode
          Comments

          SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531).

          Control1..1
          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueREFR
          338. Section.entry:problem.observation.entryRelationship:prognosis.inversionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          340. Section.entry:problem.observation.entryRelationship:prognosis.contextConductionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default Valuetrue
          342. Section.entry:problem.observation.entryRelationship:prognosis.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          344. Section.entry:problem.observation.entryRelationship:prognosis.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          346. Section.entry:problem.observation.entryRelationship:prognosis.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          348. Section.entry:problem.observation.entryRelationship:prognosis.act
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
          350. Section.entry:problem.observation.entryRelationship:prognosis.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          352. Section.entry:problem.observation.entryRelationship:prognosis.observation
          Comments

          SHALL contain exactly one [1..1] Prognosis Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.113) (CONF:1198-29952).

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Prognosis Observation)
          354. Section.entry:problem.observation.entryRelationship:prognosis.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          356. Section.entry:problem.observation.entryRelationship:prognosis.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          358. Section.entry:problem.observation.entryRelationship:prognosis.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          360. Section.entry:problem.observation.entryRelationship:prognosis.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          362. Section.entry:problem.observation.entryRelationship:prognosis.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          364. Section.entry:problem.observation.entryRelationship:prognosis.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          366. Section.entry:problem.observation.entryRelationship:priority
          Slice Namepriority
          Comments

          MAY contain zero or more [0..*] entryRelationship (CONF:1198-31063) such that it

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
          368. Section.entry:problem.observation.entryRelationship:priority.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          370. Section.entry:problem.observation.entryRelationship:priority.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          372. Section.entry:problem.observation.entryRelationship:priority.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          374. Section.entry:problem.observation.entryRelationship:priority.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          376. Section.entry:problem.observation.entryRelationship:priority.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          378. Section.entry:problem.observation.entryRelationship:priority.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          380. Section.entry:problem.observation.entryRelationship:priority.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          382. Section.entry:problem.observation.entryRelationship:priority.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          384. Section.entry:problem.observation.entryRelationship:priority.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          386. Section.entry:problem.observation.entryRelationship:priority.typeCode
          Comments

          SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532).

          Control1..1
          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueREFR
          388. Section.entry:problem.observation.entryRelationship:priority.inversionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          390. Section.entry:problem.observation.entryRelationship:priority.contextConductionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default Valuetrue
          392. Section.entry:problem.observation.entryRelationship:priority.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          394. Section.entry:problem.observation.entryRelationship:priority.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          396. Section.entry:problem.observation.entryRelationship:priority.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          398. Section.entry:problem.observation.entryRelationship:priority.act
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
          400. Section.entry:problem.observation.entryRelationship:priority.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          402. Section.entry:problem.observation.entryRelationship:priority.observation
          Comments

          SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31064).

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference)
          404. Section.entry:problem.observation.entryRelationship:priority.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          406. Section.entry:problem.observation.entryRelationship:priority.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          408. Section.entry:problem.observation.entryRelationship:priority.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          410. Section.entry:problem.observation.entryRelationship:priority.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          412. Section.entry:problem.observation.entryRelationship:priority.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          414. Section.entry:problem.observation.entryRelationship:priority.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          416. Section.entry:problem.observation.entryRelationship:status
          Slice Namestatus
          Comments

          MAY contain zero or one [0..1] entryRelationship (CONF:1198-9063) such that it

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
          418. Section.entry:problem.observation.entryRelationship:status.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          420. Section.entry:problem.observation.entryRelationship:status.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          422. Section.entry:problem.observation.entryRelationship:status.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          424. Section.entry:problem.observation.entryRelationship:status.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          426. Section.entry:problem.observation.entryRelationship:status.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          428. Section.entry:problem.observation.entryRelationship:status.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          430. Section.entry:problem.observation.entryRelationship:status.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          432. Section.entry:problem.observation.entryRelationship:status.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          434. Section.entry:problem.observation.entryRelationship:status.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          436. Section.entry:problem.observation.entryRelationship:status.typeCode
          Comments

          SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-9068).

          Control1..1
          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueREFR
          438. Section.entry:problem.observation.entryRelationship:status.inversionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          440. Section.entry:problem.observation.entryRelationship:status.contextConductionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default Valuetrue
          442. Section.entry:problem.observation.entryRelationship:status.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          444. Section.entry:problem.observation.entryRelationship:status.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          446. Section.entry:problem.observation.entryRelationship:status.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          448. Section.entry:problem.observation.entryRelationship:status.act
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
          450. Section.entry:problem.observation.entryRelationship:status.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          452. Section.entry:problem.observation.entryRelationship:status.observation
          Comments

          SHALL contain exactly one [1..1] Problem Status (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.6:2019-06-20) (CONF:1198-15591).

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Status)
          454. Section.entry:problem.observation.entryRelationship:status.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          456. Section.entry:problem.observation.entryRelationship:status.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          458. Section.entry:problem.observation.entryRelationship:status.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          460. Section.entry:problem.observation.entryRelationship:status.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          462. Section.entry:problem.observation.entryRelationship:status.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          464. Section.entry:problem.observation.entryRelationship:status.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          466. Section.entry:problem.observation.entryRelationship:reference
          Slice Namereference
          Comments

          MAY contain zero or more [0..*] entryRelationship (CONF:4515-32968) such that it

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
          468. Section.entry:problem.observation.entryRelationship:reference.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          470. Section.entry:problem.observation.entryRelationship:reference.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          472. Section.entry:problem.observation.entryRelationship:reference.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          474. Section.entry:problem.observation.entryRelationship:reference.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          476. Section.entry:problem.observation.entryRelationship:reference.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          478. Section.entry:problem.observation.entryRelationship:reference.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          480. Section.entry:problem.observation.entryRelationship:reference.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          482. Section.entry:problem.observation.entryRelationship:reference.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          484. Section.entry:problem.observation.entryRelationship:reference.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          486. Section.entry:problem.observation.entryRelationship:reference.typeCode
          Comments

          SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32968).

          Control1..1
          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueSPRT
          488. Section.entry:problem.observation.entryRelationship:reference.inversionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          490. Section.entry:problem.observation.entryRelationship:reference.contextConductionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default Valuetrue
          492. Section.entry:problem.observation.entryRelationship:reference.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          494. Section.entry:problem.observation.entryRelationship:reference.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          496. Section.entry:problem.observation.entryRelationship:reference.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          498. Section.entry:problem.observation.entryRelationship:reference.act
          Comments

          SHALL contain exactly one [1..1] Entry Reference (identifier: 2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32966).

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
          500. Section.entry:problem.observation.entryRelationship:reference.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          502. Section.entry:problem.observation.entryRelationship:reference.observation
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
          504. Section.entry:problem.observation.entryRelationship:reference.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          506. Section.entry:problem.observation.entryRelationship:reference.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          508. Section.entry:problem.observation.entryRelationship:reference.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          510. Section.entry:problem.observation.entryRelationship:reference.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          512. Section.entry:problem.observation.entryRelationship:reference.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          514. Section.entry:problem.observation.entryRelationship:reference.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          516. Section.entry:problem.observation.entryRelationship:assessment
          Slice Nameassessment
          Comments

          MAY contain zero or more [0..*] entryRelationship (CONF:4515-32953) such that it

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
          518. Section.entry:problem.observation.entryRelationship:assessment.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          520. Section.entry:problem.observation.entryRelationship:assessment.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          522. Section.entry:problem.observation.entryRelationship:assessment.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          524. Section.entry:problem.observation.entryRelationship:assessment.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          526. Section.entry:problem.observation.entryRelationship:assessment.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          528. Section.entry:problem.observation.entryRelationship:assessment.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          530. Section.entry:problem.observation.entryRelationship:assessment.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          532. Section.entry:problem.observation.entryRelationship:assessment.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          534. Section.entry:problem.observation.entryRelationship:assessment.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          536. Section.entry:problem.observation.entryRelationship:assessment.typeCode
          Comments

          SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32955).

          Control1..1
          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueSPRT
          538. Section.entry:problem.observation.entryRelationship:assessment.inversionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          540. Section.entry:problem.observation.entryRelationship:assessment.contextConductionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default Valuetrue
          542. Section.entry:problem.observation.entryRelationship:assessment.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          544. Section.entry:problem.observation.entryRelationship:assessment.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          546. Section.entry:problem.observation.entryRelationship:assessment.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          548. Section.entry:problem.observation.entryRelationship:assessment.act
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
          550. Section.entry:problem.observation.entryRelationship:assessment.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          552. Section.entry:problem.observation.entryRelationship:assessment.observation
          Comments

          SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: 2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32954).

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation)
          554. Section.entry:problem.observation.entryRelationship:assessment.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          556. Section.entry:problem.observation.entryRelationship:assessment.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          558. Section.entry:problem.observation.entryRelationship:assessment.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          560. Section.entry:problem.observation.entryRelationship:assessment.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          562. Section.entry:problem.observation.entryRelationship:assessment.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          564. Section.entry:problem.observation.entryRelationship:assessment.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          566. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis
          Slice NamedateOfDiagnosis
          Short𝗨𝗦𝗖𝗗𝗜: Date of Diagnosis
          Comments

          MAY contain zero or more [0..*] entryRelationship (CONF:4515-33012) such that it

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
          568. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          570. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          572. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          574. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          576. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          578. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          580. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          582. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          584. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          586. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeCode
          Comments

          SHALL contain exactly one [1..1] @typeCode="COMP" has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-33014).

          Control1..1
          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueCOMP
          588. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.inversionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          590. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.contextConductionInd
          Definition

          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.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default Valuetrue
          592. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          594. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          596. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          598. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.act
          Comments

          SHALL contain exactly one [1..1] Date of Diagnosis Act (identifier: 2.16.840.1.113883.10.20.22.4.502) (CONF:4515-33013).

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Date of Diagnosis Act)
          600. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          602. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.observation
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
          604. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          606. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          608. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          610. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          612. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          614. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          616. Section.entry:problem.observation.reference
          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
          618. Section.entry:problem.observation.precondition
          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
          620. Section.entry:problem.observation.sdtcPrecondition2
          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
          622. Section.entry:problem.observation.referenceRange
          Definition

          Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.


          Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two referenceRange elements would be used.

          ShortProvides guide for interpretation
          Comments

          Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRootBackboneElement
          Is Modifierfalse
          Requirements

          Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          obs-3: Must have at least a low or a high or text (low.exists() or high.exists() or text.exists())
          624. Section.entry:problem.observation.referenceRange.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          626. Section.entry:problem.observation.referenceRange.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          628. Section.entry:problem.observation.referenceRange.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          630. Section.entry:problem.observation.referenceRange.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          632. Section.entry:problem.observation.referenceRange.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          634. Section.entry:problem.observation.referenceRange.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          636. Section.entry:problem.observation.referenceRange.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          638. Section.entry:problem.observation.referenceRange.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          640. Section.entry:problem.observation.referenceRange.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          642. Section.entry:problem.observation.referenceRange.typeCode
          Control0..1
          BindingThe codes SHALL be taken from CDAActRelationshipType
          (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueREFV
          644. Section.entry:problem.observation.referenceRange.observationRange
          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
          646. Section.entry:problem.observation.sdtcInFulfillmentOf1
          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.
          648. Section.entry:problem.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          650. Section.entry:problem.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          652. Section.entry:problem.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          654. Section.entry:problem.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          656. Section.entry:problem.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          658. Section.entry:problem.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          660. Section.component
          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
          662. Section.component.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          664. Section.component.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          666. Section.component.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          668. Section.component.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          670. Section.component.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          672. Section.component.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          674. Section.component.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          676. Section.component.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          678. Section.component.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          680. Section.component.typeCode
          Definition

          Drawn from concept domain DocumentSectionType

          Control0..1
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueCOMP
          682. Section.component.contextConductionInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed Valuetrue
          684. Section.component.section
          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Section

          Guidance on how to interpret the contents of this table can be foundhere

          0. Section
          Logical ContainerClinicalDocument (CDA Class)
          ValidationInstance of this type are validated by templateId
          XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
          2. Section.templateId
          Control1..?
          SlicingThis element introduces a set of slices on Section.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ root
          • value @ extension
          • 4. Section.templateId:section
            Slice Namesection
            Control1..1
            6. Section.templateId:section.root
            Control1..?
            Pattern Value2.16.840.1.113883.10.20.22.2.20
            8. Section.templateId:section.extension
            Control1..?
            Pattern Value2015-08-01
            10. Section.code
            ShortHistory of Past illness Narrative
            Control1..?
            12. Section.code.code
            Control1..?
            Pattern Value11348-0
            14. Section.code.codeSystem
            Control1..?
            Pattern Value2.16.840.1.113883.6.1
            16. Section.title
            Control1..?
            18. Section.text
            Control1..?
            20. Section.entry
            SlicingThis element introduces a set of slices on Section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • profile @ observation
            • 22. Section.entry:problem
              Slice Nameproblem
              Comments

              MAY contain zero or more [0..*] entry (CONF:1198-8791) such that it

              Control0..*
              24. Section.entry:problem.observation
              ShortSHOULD contain an effectiveTime/high or and/or a Problem Status with value 73425007 (Inactive), 413322009 (Problem resolved), or 277022003 (Remission phase).
              Comments

              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:1198-15476).

              Control1..?
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Observation)
              26. Section.entry:problem.observation.effectiveTime
              Invariantsshould-high: SHOULD contain high (high.exists())
              28. Section.entry:problem.observation.effectiveTime.high
              ShortSHOULD contain high

              Guidance on how to interpret the contents of this table can be foundhere

              0. Section
              Definition

              Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

              ShortBase for all types and resources
              Control1..1
              Is Modifierfalse
              Logical ContainerClinicalDocument (CDA Class)
              ValidationInstance of this type are validated by templateId
              XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
              2. Section.nullFlavor
              Definition

              If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

              Control0..1
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              4. Section.realmCode
              Definition

              When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
              6. Section.typeId
              Definition

              When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
              InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
              8. Section.typeId.nullFlavor
              Definition

              If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

              Control0..1
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              10. Section.typeId.assigningAuthorityName
              Definition

              A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

              Control0..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelAssigning Authority Name
              12. Section.typeId.displayable
              Definition

              Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

              Control0..1
              Typeboolean(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelDisplayable
              14. Section.typeId.root
              Definition

              Identifies the type as an HL7 Registered model

              Control1..1
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelRoot
              Fixed Value2.16.840.1.113883.1.3
              16. Section.typeId.extension
              Definition

              A character string as a unique identifier within the scope of the identifier root.

              Control1..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExtension
              18. Section.templateId
              Definition

              When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

              Control1..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
              SlicingThis element introduces a set of slices on Section.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ root
              • value @ extension
              • 20. Section.templateId:section
                Slice Namesection
                Definition

                When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                22. Section.templateId:section.nullFlavor
                Definition

                If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                Control0..1
                BindingThe codes SHALL be taken from CDANullFlavor
                (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExceptional Value Detail
                24. Section.templateId:section.assigningAuthorityName
                Definition

                A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                Control0..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelAssigning Authority Name
                26. Section.templateId:section.displayable
                Definition

                Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                Control0..1
                Typeboolean(bl: Boolean)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelDisplayable
                28. Section.templateId:section.root
                Definition

                A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

                Control1..1
                Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelRoot
                Pattern Value2.16.840.1.113883.10.20.22.2.20
                30. Section.templateId:section.extension
                Definition

                A character string as a unique identifier within the scope of the identifier root.

                Control1..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExtension
                Pattern Value2015-08-01
                32. Section.ID
                Control0..1
                Typeid(xs:ID)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                34. Section.classCode
                Control0..1
                BindingThe codes SHALL be taken from ActClassRecordOrganizer
                (required to http://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed ValueDOCSECT
                36. Section.moodCode
                Control0..1
                BindingThe codes SHALL be taken from CDAActMood
                (required to http://hl7.org/cda/stds/core/ValueSet/CDAActMood)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed ValueEVN
                38. Section.id
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                40. Section.code
                ShortHistory of Past illness Narrative
                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                42. Section.code.nullFlavor
                Definition

                If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                Control0..1
                BindingThe codes SHALL be taken from CDANullFlavor
                (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExceptional Value Detail
                44. Section.code.code
                Definition

                The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

                Control1..1
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelCode
                Pattern Value11348-0
                46. Section.code.codeSystem
                Definition

                Specifies the code system that defines the code.

                Control1..1
                Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelCode System
                Pattern Value2.16.840.1.113883.6.1
                48. Section.code.codeSystemName
                Definition

                The common name of the coding system.

                Control0..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelCode System Name
                50. Section.code.codeSystemVersion
                Definition

                If applicable, a version descriptor defined specifically for the given code system.

                Control0..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelCode System Version
                52. Section.code.displayName
                Definition

                A name or title for the code, under which the sending system shows the code value to its users.

                Control0..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelDisplay Name
                54. Section.code.sdtcValueSet
                Definition

                The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

                Control0..1
                Typestring(oid: ISO Object Identifier)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
                56. Section.code.sdtcValueSetVersion
                Definition

                The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

                Control0..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
                58. Section.code.originalText
                Definition

                The text or phrase used as the basis for the coding.

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                LabelOriginal Text
                60. Section.code.qualifier
                Definition

                Specifies additional codes that increase the specificity of the the primary code.

                Control0..0
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                LabelQualifier
                62. Section.code.translation
                Definition

                A set of other concept descriptors that translate this concept descriptor into other code systems.

                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                XML FormatThe type of this property is determined using the xsi:typeattribute.
                LabelTranslation
                64. Section.title
                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
                66. Section.text
                Control1..1
                Typexhtml
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatThis property is represented as CDA Text in the XML.
                68. Section.confidentialityCode
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                70. Section.languageCode
                Control0..1
                BindingThe codes SHALL be taken from AllLanguages
                (required to http://hl7.org/fhir/ValueSet/all-languages)
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                72. Section.subject
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                74. Section.author
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                76. Section.informant
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                78. Section.entry
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entry
                SlicingThis element introduces a set of slices on Section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • profile @ observation
                • 80. Section.entry:problem
                  Slice Nameproblem
                  Comments

                  MAY contain zero or more [0..*] entry (CONF:1198-8791) such that it

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entry
                  82. Section.entry:problem.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  84. Section.entry:problem.realmCode
                  Definition

                  When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                  86. Section.entry:problem.typeId
                  Definition

                  When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  88. Section.entry:problem.typeId.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  90. Section.entry:problem.typeId.assigningAuthorityName
                  Definition

                  A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                  Control0..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelAssigning Authority Name
                  92. Section.entry:problem.typeId.displayable
                  Definition

                  Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelDisplayable
                  94. Section.entry:problem.typeId.root
                  Definition

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  96. Section.entry:problem.typeId.extension
                  Definition

                  A character string as a unique identifier within the scope of the identifier root.

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  98. Section.entry:problem.templateId
                  Definition

                  When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  100. Section.entry:problem.typeCode
                  Control0..1
                  BindingThe codes SHALL be taken from x_ActRelationshipEntry
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Default ValueCOMP
                  102. Section.entry:problem.contextConductionInd
                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed Valuetrue
                  104. Section.entry:problem.act
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                  106. Section.entry:problem.encounter
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                  108. Section.entry:problem.observation
                  ShortSHOULD contain an effectiveTime/high or and/or a Problem Status with value 73425007 (Inactive), 413322009 (Problem resolved), or 277022003 (Remission phase).
                  Comments

                  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:1198-15476).

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Observation)
                  110. Section.entry:problem.observation.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  112. Section.entry:problem.observation.realmCode
                  Definition

                  When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                  114. Section.entry:problem.observation.typeId
                  Definition

                  When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  116. Section.entry:problem.observation.typeId.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  118. Section.entry:problem.observation.typeId.assigningAuthorityName
                  Definition

                  A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                  Control0..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelAssigning Authority Name
                  120. Section.entry:problem.observation.typeId.displayable
                  Definition

                  Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelDisplayable
                  122. Section.entry:problem.observation.typeId.root
                  Definition

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  124. Section.entry:problem.observation.typeId.extension
                  Definition

                  A character string as a unique identifier within the scope of the identifier root.

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  126. Section.entry:problem.observation.templateId
                  Definition

                  When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                  Control1..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  SlicingThis element introduces a set of slices on Section.entry.observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ root
                  • value @ extension
                  • 128. Section.entry:problem.observation.templateId:problem-obs
                    Slice Nameproblem-obs
                    Definition

                    When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    130. Section.entry:problem.observation.templateId:problem-obs.nullFlavor
                    Definition

                    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    132. Section.entry:problem.observation.templateId:problem-obs.assigningAuthorityName
                    Definition

                    A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                    Control0..1
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelAssigning Authority Name
                    134. Section.entry:problem.observation.templateId:problem-obs.displayable
                    Definition

                    Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                    Control0..1
                    Typeboolean(bl: Boolean)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelDisplayable
                    136. Section.entry:problem.observation.templateId:problem-obs.root
                    Definition

                    A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

                    Control1..1
                    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelRoot
                    Pattern Value2.16.840.1.113883.10.20.22.4.4
                    138. Section.entry:problem.observation.templateId:problem-obs.extension
                    Definition

                    A character string as a unique identifier within the scope of the identifier root.

                    Control1..1
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExtension
                    Pattern Value2024-05-01
                    140. Section.entry:problem.observation.classCode
                    Comments

                    SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9041).

                    Control1..1
                    BindingThe codes SHALL be taken from CDAActClassObservation
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Fixed ValueOBS
                    142. Section.entry:problem.observation.moodCode
                    Comments

                    SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042).

                    Control1..1
                    BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
                    (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Fixed ValueEVN
                    144. Section.entry:problem.observation.negationInd
                    ShortThe negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.
                    Comments

                    MAY contain zero or one [0..1] @negationInd (CONF:1198-10139).

                    Control0..1
                    Typeboolean(bl: Boolean)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    146. Section.entry:problem.observation.id
                    Comments

                    SHALL contain at least one [1..*] id (CONF:1198-9043).

                    Control1..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    148. Section.entry:problem.observation.sdtcCategory
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
                    150. Section.entry:problem.observation.code
                    Control1..1
                    BindingThe codes SHOULD be taken from Problem Type .
                    (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    XML FormatThe type of this property is determined using the xsi:typeattribute.
                    152. Section.entry:problem.observation.derivationExpr
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
                    154. Section.entry:problem.observation.text
                    ShortSHOULD reference the portion of section narrative text corresponding to this entry
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                    XML FormatThe type of this property is determined using the xsi:typeattribute.
                    156. Section.entry:problem.observation.text.nullFlavor
                    Definition

                    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    158. Section.entry:problem.observation.text.compression
                    Definition

                    Indicates whether the raw byte data is compressed, and what compression algorithm was used.

                    Control0..1
                    BindingThe codes SHALL be taken from CDACompressionAlgorithm
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelCompression
                    160. Section.entry:problem.observation.text.integrityCheck
                    Definition

                    The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

                    Control0..1
                    Typebase64Binary(bin: Binary Data)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelIntegrity Check
                    162. Section.entry:problem.observation.text.integrityCheckAlgorithm
                    Definition

                    Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

                    Control0..1
                    BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
                    (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelIntegrity Check Algorithm
                    164. Section.entry:problem.observation.text.language
                    Definition

                    For character based information the language property specifies the human language of the text.

                    Control0..1
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelLanguage
                    166. Section.entry:problem.observation.text.mediaType
                    Definition

                    Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

                    Control0..1
                    BindingFor example codes, see MediaType
                    (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelMedia Type
                    168. Section.entry:problem.observation.text.representation
                    Control0..1
                    BindingThe codes SHALL be taken from CDABinaryDataEncoding
                    (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    170. Section.entry:problem.observation.text.xmlText
                    Definition

                    Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

                    ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
                    Comments

                    This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

                    Control0..1
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as unadorned text.
                    172. Section.entry:problem.observation.text.reference
                    Definition

                    A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                    LabelReference
                    Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
                    174. Section.entry:problem.observation.text.thumbnail
                    Definition

                    An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                    LabelThumbnail
                    176. Section.entry:problem.observation.statusCode
                    Comments

                    SHALL contain exactly one [1..1] statusCode (CONF:1198-9049).

                    Control1..1
                    BindingThe codes SHALL be taken from ActStatus
                    (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                    178. Section.entry:problem.observation.statusCode.nullFlavor
                    Definition

                    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    180. Section.entry:problem.observation.statusCode.code
                    Definition

                    The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

                    Comments

                    This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19112).

                    Control1..1
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelCode
                    Fixed Valuecompleted
                    182. Section.entry:problem.observation.statusCode.codeSystem
                    Definition

                    Specifies the code system that defines the code.

                    Control0..0
                    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelCode System
                    184. Section.entry:problem.observation.statusCode.codeSystemName
                    Definition

                    The common name of the coding system.

                    Control0..0
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelCode System Name
                    186. Section.entry:problem.observation.statusCode.codeSystemVersion
                    Definition

                    If applicable, a version descriptor defined specifically for the given code system.

                    Control0..0
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelCode System Version
                    188. Section.entry:problem.observation.statusCode.displayName
                    Definition

                    A name or title for the code, under which the sending system shows the code value to its users.

                    Control0..0
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelDisplay Name
                    190. Section.entry:problem.observation.statusCode.sdtcValueSet
                    Definition

                    The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

                    Control0..1
                    Typestring(oid: ISO Object Identifier)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
                    192. Section.entry:problem.observation.statusCode.sdtcValueSetVersion
                    Definition

                    The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

                    Control0..1
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
                    194. Section.entry:problem.observation.statusCode.originalText
                    Definition

                    The text or phrase used as the basis for the coding.

                    Control0..0
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                    LabelOriginal Text
                    196. Section.entry:problem.observation.statusCode.qualifier
                    Definition

                    Specifies additional codes that increase the specificity of the the primary code.

                    Control0..0
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                    LabelQualifier
                    198. Section.entry:problem.observation.statusCode.translation
                    Definition

                    A set of other concept descriptors that translate this concept descriptor into other code systems.

                    Control0..0
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    XML FormatThe type of this property is determined using the xsi:typeattribute.
                    LabelTranslation
                    200. Section.entry:problem.observation.effectiveTime
                    ShortIf the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.
                    Comments

                    SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050).

                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                    Invariantsshould-high: SHOULD contain high (high.exists())
                    202. Section.entry:problem.observation.effectiveTime.nullFlavor
                    Definition

                    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    204. Section.entry:problem.observation.effectiveTime.value
                    Definition

                    A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

                    Control0..1
                    TypedateTime(ts: Point in Time)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
                    XML FormatIn the XML format, this property is represented as an attribute.
                    206. Section.entry:problem.observation.effectiveTime.operator
                    Definition

                    A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.

                    Control0..1
                    BindingThe codes SHALL be taken from CDASetOperator
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Default ValueI
                    208. Section.entry:problem.observation.effectiveTime.low
                    Definition

                    This is the low limit of the interval.

                    ShortThe effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.
                    Comments

                    This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603).

                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
                    LabelLow Boundary
                    210. Section.entry:problem.observation.effectiveTime.center
                    Definition

                    The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
                    LabelCentral Value
                    212. Section.entry:problem.observation.effectiveTime.width
                    Definition

                    The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
                    LabelWidth
                    214. Section.entry:problem.observation.effectiveTime.high
                    Definition

                    This is the high limit of the interval.

                    ShortSHOULD contain high
                    Comments

                    This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-15604).

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
                    LabelHigh Boundary
                    216. Section.entry:problem.observation.priorityCode
                    Control0..1
                    BindingFor example codes, see ActPriority
                    (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                    218. Section.entry:problem.observation.repeatNumber
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
                    220. Section.entry:problem.observation.languageCode
                    Control0..1
                    BindingThe codes SHALL be taken from AllLanguages
                    (required to http://hl7.org/fhir/ValueSet/all-languages)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                    222. Section.entry:problem.observation.value
                    Short𝗨𝗦𝗖𝗗𝗜: SDOH Problems/Health Concerns
                    Comments

                    SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet US Core Condition Codes.

                    Control1..1
                    BindingThe codes SHOULD be taken from US Core Condition Codes
                    (preferred to http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    XML FormatThe type of this property is determined using the xsi:typeattribute.
                    224. Section.entry:problem.observation.value.nullFlavor
                    Definition

                    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    226. Section.entry:problem.observation.value.code
                    Definition

                    The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

                    ShortA negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951).
                    Comments

                    This value MAY contain zero or one [0..1] @code (CONF:1198-31871).

                    Control0..1
                    Binding

                    See additional binding

                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelCode
                    228. Section.entry:problem.observation.value.codeSystem
                    Definition

                    Specifies the code system that defines the code.

                    Control0..1
                    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelCode System
                    230. Section.entry:problem.observation.value.codeSystemName
                    Definition

                    The common name of the coding system.

                    Control0..1
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelCode System Name
                    232. Section.entry:problem.observation.value.codeSystemVersion
                    Definition

                    If applicable, a version descriptor defined specifically for the given code system.

                    Control0..1
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelCode System Version
                    234. Section.entry:problem.observation.value.displayName
                    Definition

                    A name or title for the code, under which the sending system shows the code value to its users.

                    Control0..1
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelDisplay Name
                    236. Section.entry:problem.observation.value.sdtcValueSet
                    Definition

                    The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

                    Control0..1
                    Typestring(oid: ISO Object Identifier)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
                    238. Section.entry:problem.observation.value.sdtcValueSetVersion
                    Definition

                    The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

                    Control0..1
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
                    240. Section.entry:problem.observation.value.originalText
                    Definition

                    The text or phrase used as the basis for the coding.

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                    LabelOriginal Text
                    242. Section.entry:problem.observation.value.qualifier
                    Definition

                    Specifies additional codes that increase the specificity of the the primary code.

                    ShortThe observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML.
                    Comments

                    This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870).

                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                    LabelQualifier
                    244. Section.entry:problem.observation.value.translation
                    Definition

                    A set of other concept descriptors that translate this concept descriptor into other code systems.

                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    XML FormatThe type of this property is determined using the xsi:typeattribute.
                    LabelTranslation
                    246. Section.entry:problem.observation.interpretationCode
                    Control0..*
                    BindingThe codes SHALL be taken from CDAObservationInterpretation
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                    248. Section.entry:problem.observation.methodCode
                    Control0..*
                    BindingFor example codes, see ObservationMethod
                    (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                    250. Section.entry:problem.observation.targetSiteCode
                    Definition

                    Drawn from concept domain ActSite

                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    252. Section.entry:problem.observation.subject
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                    254. Section.entry:problem.observation.specimen
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                    256. Section.entry:problem.observation.performer
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                    258. Section.entry:problem.observation.author
                    Comments

                    SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31147).

                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
                    260. Section.entry:problem.observation.informant
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                    262. Section.entry:problem.observation.participant
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                    264. Section.entry:problem.observation.entryRelationship
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                    SlicingThis element introduces a set of slices on Section.entry.observation.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • profile @ observation
                    • profile @ act
                    • 266. Section.entry:problem.observation.entryRelationship:age
                      Slice Nameage
                      Comments

                      MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                      268. Section.entry:problem.observation.entryRelationship:age.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      270. Section.entry:problem.observation.entryRelationship:age.realmCode
                      Definition

                      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                      272. Section.entry:problem.observation.entryRelationship:age.typeId
                      Definition

                      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      274. Section.entry:problem.observation.entryRelationship:age.typeId.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      276. Section.entry:problem.observation.entryRelationship:age.typeId.assigningAuthorityName
                      Definition

                      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                      Control0..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelAssigning Authority Name
                      278. Section.entry:problem.observation.entryRelationship:age.typeId.displayable
                      Definition

                      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelDisplayable
                      280. Section.entry:problem.observation.entryRelationship:age.typeId.root
                      Definition

                      Identifies the type as an HL7 Registered model

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Fixed Value2.16.840.1.113883.1.3
                      282. Section.entry:problem.observation.entryRelationship:age.typeId.extension
                      Definition

                      A character string as a unique identifier within the scope of the identifier root.

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      284. Section.entry:problem.observation.entryRelationship:age.templateId
                      Definition

                      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      286. Section.entry:problem.observation.entryRelationship:age.typeCode
                      Comments

                      SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9060).

                      Control1..1
                      BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                      (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueSUBJ
                      288. Section.entry:problem.observation.entryRelationship:age.inversionInd
                      Definition

                      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.

                      Comments

                      SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-9069).

                      Control1..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed Valuetrue
                      290. Section.entry:problem.observation.entryRelationship:age.contextConductionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Default Valuetrue
                      292. Section.entry:problem.observation.entryRelationship:age.negationInd
                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      294. Section.entry:problem.observation.entryRelationship:age.sequenceNumber
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                      296. Section.entry:problem.observation.entryRelationship:age.seperatableInd
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                      298. Section.entry:problem.observation.entryRelationship:age.act
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                      300. Section.entry:problem.observation.entryRelationship:age.encounter
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                      302. Section.entry:problem.observation.entryRelationship:age.observation
                      Comments

                      SHALL contain exactly one [1..1] Age Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.31) (CONF:1198-15590).

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Age Observation)
                      304. Section.entry:problem.observation.entryRelationship:age.observationMedia
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                      306. Section.entry:problem.observation.entryRelationship:age.organizer
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                      308. Section.entry:problem.observation.entryRelationship:age.procedure
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                      310. Section.entry:problem.observation.entryRelationship:age.regionOfInterest
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                      312. Section.entry:problem.observation.entryRelationship:age.substanceAdministration
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                      314. Section.entry:problem.observation.entryRelationship:age.supply
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                      316. Section.entry:problem.observation.entryRelationship:prognosis
                      Slice Nameprognosis
                      Comments

                      MAY contain zero or one [0..1] entryRelationship (CONF:1198-29951) such that it

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                      318. Section.entry:problem.observation.entryRelationship:prognosis.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      320. Section.entry:problem.observation.entryRelationship:prognosis.realmCode
                      Definition

                      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                      322. Section.entry:problem.observation.entryRelationship:prognosis.typeId
                      Definition

                      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      324. Section.entry:problem.observation.entryRelationship:prognosis.typeId.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      326. Section.entry:problem.observation.entryRelationship:prognosis.typeId.assigningAuthorityName
                      Definition

                      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                      Control0..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelAssigning Authority Name
                      328. Section.entry:problem.observation.entryRelationship:prognosis.typeId.displayable
                      Definition

                      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelDisplayable
                      330. Section.entry:problem.observation.entryRelationship:prognosis.typeId.root
                      Definition

                      Identifies the type as an HL7 Registered model

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Fixed Value2.16.840.1.113883.1.3
                      332. Section.entry:problem.observation.entryRelationship:prognosis.typeId.extension
                      Definition

                      A character string as a unique identifier within the scope of the identifier root.

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      334. Section.entry:problem.observation.entryRelationship:prognosis.templateId
                      Definition

                      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      336. Section.entry:problem.observation.entryRelationship:prognosis.typeCode
                      Comments

                      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531).

                      Control1..1
                      BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                      (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueREFR
                      338. Section.entry:problem.observation.entryRelationship:prognosis.inversionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      340. Section.entry:problem.observation.entryRelationship:prognosis.contextConductionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Default Valuetrue
                      342. Section.entry:problem.observation.entryRelationship:prognosis.negationInd
                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      344. Section.entry:problem.observation.entryRelationship:prognosis.sequenceNumber
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                      346. Section.entry:problem.observation.entryRelationship:prognosis.seperatableInd
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                      348. Section.entry:problem.observation.entryRelationship:prognosis.act
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                      350. Section.entry:problem.observation.entryRelationship:prognosis.encounter
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                      352. Section.entry:problem.observation.entryRelationship:prognosis.observation
                      Comments

                      SHALL contain exactly one [1..1] Prognosis Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.113) (CONF:1198-29952).

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Prognosis Observation)
                      354. Section.entry:problem.observation.entryRelationship:prognosis.observationMedia
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                      356. Section.entry:problem.observation.entryRelationship:prognosis.organizer
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                      358. Section.entry:problem.observation.entryRelationship:prognosis.procedure
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                      360. Section.entry:problem.observation.entryRelationship:prognosis.regionOfInterest
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                      362. Section.entry:problem.observation.entryRelationship:prognosis.substanceAdministration
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                      364. Section.entry:problem.observation.entryRelationship:prognosis.supply
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                      366. Section.entry:problem.observation.entryRelationship:priority
                      Slice Namepriority
                      Comments

                      MAY contain zero or more [0..*] entryRelationship (CONF:1198-31063) such that it

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                      368. Section.entry:problem.observation.entryRelationship:priority.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      370. Section.entry:problem.observation.entryRelationship:priority.realmCode
                      Definition

                      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                      372. Section.entry:problem.observation.entryRelationship:priority.typeId
                      Definition

                      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      374. Section.entry:problem.observation.entryRelationship:priority.typeId.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      376. Section.entry:problem.observation.entryRelationship:priority.typeId.assigningAuthorityName
                      Definition

                      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                      Control0..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelAssigning Authority Name
                      378. Section.entry:problem.observation.entryRelationship:priority.typeId.displayable
                      Definition

                      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelDisplayable
                      380. Section.entry:problem.observation.entryRelationship:priority.typeId.root
                      Definition

                      Identifies the type as an HL7 Registered model

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Fixed Value2.16.840.1.113883.1.3
                      382. Section.entry:problem.observation.entryRelationship:priority.typeId.extension
                      Definition

                      A character string as a unique identifier within the scope of the identifier root.

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      384. Section.entry:problem.observation.entryRelationship:priority.templateId
                      Definition

                      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      386. Section.entry:problem.observation.entryRelationship:priority.typeCode
                      Comments

                      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532).

                      Control1..1
                      BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                      (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueREFR
                      388. Section.entry:problem.observation.entryRelationship:priority.inversionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      390. Section.entry:problem.observation.entryRelationship:priority.contextConductionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Default Valuetrue
                      392. Section.entry:problem.observation.entryRelationship:priority.negationInd
                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      394. Section.entry:problem.observation.entryRelationship:priority.sequenceNumber
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                      396. Section.entry:problem.observation.entryRelationship:priority.seperatableInd
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                      398. Section.entry:problem.observation.entryRelationship:priority.act
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                      400. Section.entry:problem.observation.entryRelationship:priority.encounter
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                      402. Section.entry:problem.observation.entryRelationship:priority.observation
                      Comments

                      SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31064).

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference)
                      404. Section.entry:problem.observation.entryRelationship:priority.observationMedia
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                      406. Section.entry:problem.observation.entryRelationship:priority.organizer
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                      408. Section.entry:problem.observation.entryRelationship:priority.procedure
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                      410. Section.entry:problem.observation.entryRelationship:priority.regionOfInterest
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                      412. Section.entry:problem.observation.entryRelationship:priority.substanceAdministration
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                      414. Section.entry:problem.observation.entryRelationship:priority.supply
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                      416. Section.entry:problem.observation.entryRelationship:status
                      Slice Namestatus
                      Comments

                      MAY contain zero or one [0..1] entryRelationship (CONF:1198-9063) such that it

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                      418. Section.entry:problem.observation.entryRelationship:status.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      420. Section.entry:problem.observation.entryRelationship:status.realmCode
                      Definition

                      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                      422. Section.entry:problem.observation.entryRelationship:status.typeId
                      Definition

                      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      424. Section.entry:problem.observation.entryRelationship:status.typeId.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      426. Section.entry:problem.observation.entryRelationship:status.typeId.assigningAuthorityName
                      Definition

                      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                      Control0..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelAssigning Authority Name
                      428. Section.entry:problem.observation.entryRelationship:status.typeId.displayable
                      Definition

                      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelDisplayable
                      430. Section.entry:problem.observation.entryRelationship:status.typeId.root
                      Definition

                      Identifies the type as an HL7 Registered model

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Fixed Value2.16.840.1.113883.1.3
                      432. Section.entry:problem.observation.entryRelationship:status.typeId.extension
                      Definition

                      A character string as a unique identifier within the scope of the identifier root.

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      434. Section.entry:problem.observation.entryRelationship:status.templateId
                      Definition

                      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      436. Section.entry:problem.observation.entryRelationship:status.typeCode
                      Comments

                      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-9068).

                      Control1..1
                      BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                      (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueREFR
                      438. Section.entry:problem.observation.entryRelationship:status.inversionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      440. Section.entry:problem.observation.entryRelationship:status.contextConductionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Default Valuetrue
                      442. Section.entry:problem.observation.entryRelationship:status.negationInd
                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      444. Section.entry:problem.observation.entryRelationship:status.sequenceNumber
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                      446. Section.entry:problem.observation.entryRelationship:status.seperatableInd
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                      448. Section.entry:problem.observation.entryRelationship:status.act
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                      450. Section.entry:problem.observation.entryRelationship:status.encounter
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                      452. Section.entry:problem.observation.entryRelationship:status.observation
                      Comments

                      SHALL contain exactly one [1..1] Problem Status (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.6:2019-06-20) (CONF:1198-15591).

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Status)
                      454. Section.entry:problem.observation.entryRelationship:status.observationMedia
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                      456. Section.entry:problem.observation.entryRelationship:status.organizer
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                      458. Section.entry:problem.observation.entryRelationship:status.procedure
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                      460. Section.entry:problem.observation.entryRelationship:status.regionOfInterest
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                      462. Section.entry:problem.observation.entryRelationship:status.substanceAdministration
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                      464. Section.entry:problem.observation.entryRelationship:status.supply
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                      466. Section.entry:problem.observation.entryRelationship:reference
                      Slice Namereference
                      Comments

                      MAY contain zero or more [0..*] entryRelationship (CONF:4515-32968) such that it

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                      468. Section.entry:problem.observation.entryRelationship:reference.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      470. Section.entry:problem.observation.entryRelationship:reference.realmCode
                      Definition

                      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                      472. Section.entry:problem.observation.entryRelationship:reference.typeId
                      Definition

                      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      474. Section.entry:problem.observation.entryRelationship:reference.typeId.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      476. Section.entry:problem.observation.entryRelationship:reference.typeId.assigningAuthorityName
                      Definition

                      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                      Control0..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelAssigning Authority Name
                      478. Section.entry:problem.observation.entryRelationship:reference.typeId.displayable
                      Definition

                      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelDisplayable
                      480. Section.entry:problem.observation.entryRelationship:reference.typeId.root
                      Definition

                      Identifies the type as an HL7 Registered model

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Fixed Value2.16.840.1.113883.1.3
                      482. Section.entry:problem.observation.entryRelationship:reference.typeId.extension
                      Definition

                      A character string as a unique identifier within the scope of the identifier root.

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      484. Section.entry:problem.observation.entryRelationship:reference.templateId
                      Definition

                      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      486. Section.entry:problem.observation.entryRelationship:reference.typeCode
                      Comments

                      SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32968).

                      Control1..1
                      BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                      (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueSPRT
                      488. Section.entry:problem.observation.entryRelationship:reference.inversionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      490. Section.entry:problem.observation.entryRelationship:reference.contextConductionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Default Valuetrue
                      492. Section.entry:problem.observation.entryRelationship:reference.negationInd
                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      494. Section.entry:problem.observation.entryRelationship:reference.sequenceNumber
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                      496. Section.entry:problem.observation.entryRelationship:reference.seperatableInd
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                      498. Section.entry:problem.observation.entryRelationship:reference.act
                      Comments

                      SHALL contain exactly one [1..1] Entry Reference (identifier: 2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32966).

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
                      500. Section.entry:problem.observation.entryRelationship:reference.encounter
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                      502. Section.entry:problem.observation.entryRelationship:reference.observation
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                      504. Section.entry:problem.observation.entryRelationship:reference.observationMedia
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                      506. Section.entry:problem.observation.entryRelationship:reference.organizer
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                      508. Section.entry:problem.observation.entryRelationship:reference.procedure
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                      510. Section.entry:problem.observation.entryRelationship:reference.regionOfInterest
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                      512. Section.entry:problem.observation.entryRelationship:reference.substanceAdministration
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                      514. Section.entry:problem.observation.entryRelationship:reference.supply
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                      516. Section.entry:problem.observation.entryRelationship:assessment
                      Slice Nameassessment
                      Comments

                      MAY contain zero or more [0..*] entryRelationship (CONF:4515-32953) such that it

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                      518. Section.entry:problem.observation.entryRelationship:assessment.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      520. Section.entry:problem.observation.entryRelationship:assessment.realmCode
                      Definition

                      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                      522. Section.entry:problem.observation.entryRelationship:assessment.typeId
                      Definition

                      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      524. Section.entry:problem.observation.entryRelationship:assessment.typeId.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      526. Section.entry:problem.observation.entryRelationship:assessment.typeId.assigningAuthorityName
                      Definition

                      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                      Control0..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelAssigning Authority Name
                      528. Section.entry:problem.observation.entryRelationship:assessment.typeId.displayable
                      Definition

                      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelDisplayable
                      530. Section.entry:problem.observation.entryRelationship:assessment.typeId.root
                      Definition

                      Identifies the type as an HL7 Registered model

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Fixed Value2.16.840.1.113883.1.3
                      532. Section.entry:problem.observation.entryRelationship:assessment.typeId.extension
                      Definition

                      A character string as a unique identifier within the scope of the identifier root.

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      534. Section.entry:problem.observation.entryRelationship:assessment.templateId
                      Definition

                      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      536. Section.entry:problem.observation.entryRelationship:assessment.typeCode
                      Comments

                      SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32955).

                      Control1..1
                      BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                      (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueSPRT
                      538. Section.entry:problem.observation.entryRelationship:assessment.inversionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      540. Section.entry:problem.observation.entryRelationship:assessment.contextConductionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Default Valuetrue
                      542. Section.entry:problem.observation.entryRelationship:assessment.negationInd
                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      544. Section.entry:problem.observation.entryRelationship:assessment.sequenceNumber
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                      546. Section.entry:problem.observation.entryRelationship:assessment.seperatableInd
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                      548. Section.entry:problem.observation.entryRelationship:assessment.act
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                      550. Section.entry:problem.observation.entryRelationship:assessment.encounter
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                      552. Section.entry:problem.observation.entryRelationship:assessment.observation
                      Comments

                      SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: 2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32954).

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation)
                      554. Section.entry:problem.observation.entryRelationship:assessment.observationMedia
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                      556. Section.entry:problem.observation.entryRelationship:assessment.organizer
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                      558. Section.entry:problem.observation.entryRelationship:assessment.procedure
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                      560. Section.entry:problem.observation.entryRelationship:assessment.regionOfInterest
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                      562. Section.entry:problem.observation.entryRelationship:assessment.substanceAdministration
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                      564. Section.entry:problem.observation.entryRelationship:assessment.supply
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                      566. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis
                      Slice NamedateOfDiagnosis
                      Short𝗨𝗦𝗖𝗗𝗜: Date of Diagnosis
                      Comments

                      MAY contain zero or more [0..*] entryRelationship (CONF:4515-33012) such that it

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                      568. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      570. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.realmCode
                      Definition

                      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                      572. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId
                      Definition

                      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      574. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      576. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId.assigningAuthorityName
                      Definition

                      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                      Control0..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelAssigning Authority Name
                      578. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId.displayable
                      Definition

                      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelDisplayable
                      580. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId.root
                      Definition

                      Identifies the type as an HL7 Registered model

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Fixed Value2.16.840.1.113883.1.3
                      582. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeId.extension
                      Definition

                      A character string as a unique identifier within the scope of the identifier root.

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      584. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.templateId
                      Definition

                      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      586. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.typeCode
                      Comments

                      SHALL contain exactly one [1..1] @typeCode="COMP" has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-33014).

                      Control1..1
                      BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                      (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueCOMP
                      588. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.inversionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      590. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.contextConductionInd
                      Definition

                      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.

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Default Valuetrue
                      592. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.negationInd
                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      594. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.sequenceNumber
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                      596. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.seperatableInd
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                      598. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.act
                      Comments

                      SHALL contain exactly one [1..1] Date of Diagnosis Act (identifier: 2.16.840.1.113883.10.20.22.4.502) (CONF:4515-33013).

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Date of Diagnosis Act)
                      600. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.encounter
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                      602. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.observation
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                      604. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.observationMedia
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                      606. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.organizer
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                      608. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.procedure
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                      610. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.regionOfInterest
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                      612. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.substanceAdministration
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                      614. Section.entry:problem.observation.entryRelationship:dateOfDiagnosis.supply
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                      616. Section.entry:problem.observation.reference
                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                      618. Section.entry:problem.observation.precondition
                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                      620. Section.entry:problem.observation.sdtcPrecondition2
                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
                      XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
                      622. Section.entry:problem.observation.referenceRange
                      Definition

                      Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
                      624. Section.entry:problem.observation.referenceRange.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      626. Section.entry:problem.observation.referenceRange.realmCode
                      Definition

                      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                      628. Section.entry:problem.observation.referenceRange.typeId
                      Definition

                      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      630. Section.entry:problem.observation.referenceRange.typeId.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      632. Section.entry:problem.observation.referenceRange.typeId.assigningAuthorityName
                      Definition

                      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                      Control0..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelAssigning Authority Name
                      634. Section.entry:problem.observation.referenceRange.typeId.displayable
                      Definition

                      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelDisplayable
                      636. Section.entry:problem.observation.referenceRange.typeId.root
                      Definition

                      Identifies the type as an HL7 Registered model

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Fixed Value2.16.840.1.113883.1.3
                      638. Section.entry:problem.observation.referenceRange.typeId.extension
                      Definition

                      A character string as a unique identifier within the scope of the identifier root.

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      640. Section.entry:problem.observation.referenceRange.templateId
                      Definition

                      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      642. Section.entry:problem.observation.referenceRange.typeCode
                      Control0..1
                      BindingThe codes SHALL be taken from CDAActRelationshipType
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueREFV
                      644. Section.entry:problem.observation.referenceRange.observationRange
                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
                      646. Section.entry:problem.observation.sdtcInFulfillmentOf1
                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                      XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.
                      648. Section.entry:problem.observationMedia
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                      650. Section.entry:problem.organizer
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                      652. Section.entry:problem.procedure
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                      654. Section.entry:problem.regionOfInterest
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                      656. Section.entry:problem.substanceAdministration
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                      658. Section.entry:problem.supply
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                      660. Section.component
                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
                      662. Section.component.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      664. Section.component.realmCode
                      Definition

                      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                      666. Section.component.typeId
                      Definition

                      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      668. Section.component.typeId.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      670. Section.component.typeId.assigningAuthorityName
                      Definition

                      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                      Control0..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelAssigning Authority Name
                      672. Section.component.typeId.displayable
                      Definition

                      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelDisplayable
                      674. Section.component.typeId.root
                      Definition

                      Identifies the type as an HL7 Registered model

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Fixed Value2.16.840.1.113883.1.3
                      676. Section.component.typeId.extension
                      Definition

                      A character string as a unique identifier within the scope of the identifier root.

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      678. Section.component.templateId
                      Definition

                      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      680. Section.component.typeCode
                      Definition

                      Drawn from concept domain DocumentSectionType

                      Control0..1
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueCOMP
                      682. Section.component.contextConductionInd
                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed Valuetrue
                      684. Section.component.section
                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Section