Consolidated CDA (C-CDA)
3.0.0 - STU3
Consolidated CDA (C-CDA)
3.0.0 - STU3
This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions
| Draft as of 2024-05-18 |
XML representation of the AdvanceDirectiveObservation logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="AdvanceDirectiveObservation"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation">Observation</a><a name="Observation"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-text-ref-value, should-author, should-informant)">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">Observation</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">XML Namespace: </span>urn:hl7-org:v3<br/>Elements defined in Ancestors:<a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ANY.html" title="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.">@nullFlavor</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-InfrastructureRoot.html" title="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question">realmCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-InfrastructureRoot.html" title="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.">typeId</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-InfrastructureRoot.html" title="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question">templateId</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">@classCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">@moodCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">@negationInd</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">id</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">code</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">derivationExpr</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">text</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">statusCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">effectiveTime</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">priorityCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">repeatNumber</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">languageCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">value</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">interpretationCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">methodCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html" title="Drawn from concept domain ActSite">targetSiteCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">subject</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">specimen</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">performer</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">author</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">informant</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">participant</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">entryRelationship</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">reference</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">precondition</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">sdtcPrecondition2</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html" title="Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.">referenceRange</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Observation.html">sdtcInFulfillmentOf1</a><br/><span style="opacity: 0.5">Base for all types and resources</span><br/><span style="font-weight:bold">Instance of this type are validated by templateId</span><br/><span style="font-weight:bold" title="The root class that contains instances of this class">Logical Container: </span><a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">ClinicalDocument (CDA Class)</a><br/><span style="font-weight:bold">should-text-ref-value: </span>SHOULD contain text/reference/@value<br/><span style="font-weight:bold">should-author: </span>SHOULD contain author<br/><span style="font-weight:bold">should-informant: </span>SHOULD contain informant</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.templateId">Slices for templateId</a><a name="Observation.templateId"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="font-style: italic">1</span><span style="font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:root, value:extension</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.templateId:advance-directive-obs" title="Slice advance-directive-obs">templateId:advance-directive-obs</a><a name="Observation.templateId"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.templateId:advance-directive-obs.root">@root</a><a name="Observation.templateId.root"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-oid.html" title="string">oid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-uuid.html" title="string">uuid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ruid.html" title="string">ruid</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2.16.840.1.113883.10.20.22.4.48</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.templateId:advance-directive-obs.extension">@extension</a><a name="Observation.templateId.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-st-simple.html" title="string">st</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2022-02-14</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.classCode">@classCode</a><a name="Observation.classCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">OBS</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.moodCode">@moodCode</a><a name="Observation.moodCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">EVN</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.id">id</a><a name="Observation.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.code">code</a><a name="Observation.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-translation)">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CD.html">CD</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">should-translation: </span>SHOULD contain translation</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.code.code">@code</a><a name="Observation.code.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">75320-2</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.code.translation">translation</a><a name="Observation.code.translation"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CD.html">CD</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.69.4/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4">Advance Directives Categories <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.text">text</a><a name="Observation.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ED.html">ED</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">SHOULD reference the portion of section narrative text corresponding to this entry</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.text.reference">reference</a><a name="Observation.text.reference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (value-starts-octothorpe)">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-TEL.html">TEL</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">value-starts-octothorpe: </span>If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.statusCode">statusCode</a><a name="Observation.statusCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CS.html">CS</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.statusCode.code">@code</a><a name="Observation.statusCode.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">completed</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.effectiveTime">effectiveTime</a><a name="Observation.effectiveTime"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-IVL-TS.html">IVL_TS</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.effectiveTime.low">low</a><a name="Observation.effectiveTime.low"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-IVXB-TS.html">IVXB_TS</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.effectiveTime.high">high</a><a name="Observation.effectiveTime.high"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (1198-32449)">C</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-IVXB-TS.html">IVXB_TS</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">1198-32449: </span>If the Advance Directive does not have a specified ending time, the <high> element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449).</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.value">value</a><a name="Observation.value"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CD.html">CD</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1099.57/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.57">Advance Directives Content Type <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>): Advance Directive Content Type<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.author">author</a><a name="Observation.author"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-AuthorParticipation.html" title="http://hl7.org/cda/stds/core/StructureDefinition/Author">AuthorParticipation</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Base for all types and resources</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.informant">informant</a><a name="Observation.informant"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Informant.html">Informant</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">SHOULD contain informant</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant">Slices for participant</a><a name="Observation.participant"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Participant2.html">Participant2</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:typeCode</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier" title="Slice verifier">participant:verifier</a><a name="Observation.participant"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-time)">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Participant2.html">Participant2</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The participant "VRF" represents the clinician(s) who verified the patient advance directive.<br/><span style="font-weight:bold">should-time: </span>SHOULD contain time<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1353.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.templateId">Slices for templateId</a><a name="Observation.participant.templateId"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="font-style: italic">1</span><span style="font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:root</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13525.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.templateId:primary" title="Slice primary">templateId:primary</a><a name="Observation.participant.templateId"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.templateId:primary.root">@root</a><a name="Observation.participant.templateId.root"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-oid.html" title="string">oid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-uuid.html" title="string">uuid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ruid.html" title="string">ruid</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2.16.840.1.113883.10.20.1.58</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <span style="text-decoration:line-through">@extension</span><a name="Observation.participant.templateId.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1350.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.typeCode">@typeCode</a><a name="Observation.participant.typeCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">VRF</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1351.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.time">time</a><a name="Observation.participant.time"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (value-only)">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-IVL-TS.html">IVL_TS</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">value-only: </span>Interval fields SHALL not be present</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13500.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.time.value">@value</a><a name="Observation.participant.time.value"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ts-simple.html" title="dateTime">ts</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">value should be used instead of low/high</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1341.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.participantRole">participantRole</a><a name="Observation.participant.participantRole"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-code)">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ParticipantRole.html">ParticipantRole</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">should-code: </span>SHOULD contain code</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13410.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.participantRole.code">code</a><a name="Observation.participant.participantRole.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.1066/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066">Healthcare Provider Taxonomy <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13410.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.participantRole.addr">addr</a><a name="Observation.participant.participantRole.addr"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-USRealmAddress.html" title="http://hl7.org/cda/stds/core/StructureDefinition/AD">USRealmAddress</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Base for all types and resources</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13401.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.participantRole.playingEntity">playingEntity</a><a name="Observation.participant.participantRole.playingEntity"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-PlayingEntity.html">PlayingEntity</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:verifier.participantRole.playingEntity.name">name</a><a name="Observation.participant.participantRole.playingEntity.name"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-USRealmPersonNamePNUSFIELDED.html" title="http://hl7.org/cda/stds/core/StructureDefinition/PN">USRealmPersonNamePNUSFIELDED</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Base for all types and resources</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian" title="Slice custodian">participant:custodian</a><a name="Observation.participant"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Participant2.html">Participant2</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter.<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.typeCode">@typeCode</a><a name="Observation.participant.typeCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">CST</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1241.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole">participantRole</a><a name="Observation.participant.participantRole"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-code, should-addr, should-telecom)">C</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ParticipantRole.html">ParticipantRole</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">should-code: </span>SHOULD contain code<br/><span style="font-weight:bold">should-addr: </span>SHOULD contain addr<br/><span style="font-weight:bold">should-telecom: </span>SHOULD contain telecom</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.classCode">@classCode</a><a name="Observation.participant.participantRole.classCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">AGNT</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.code">code</a><a name="Observation.participant.participantRole.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1046.35/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35">Healthcare Agent or Proxy Choices <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.addr">addr</a><a name="Observation.participant.participantRole.addr"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span>..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-USRealmAddress.html" title="http://hl7.org/cda/stds/core/StructureDefinition/AD">USRealmAddress</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Base for all types and resources</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.telecom">telecom</a><a name="Observation.participant.participantRole.telecom"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-TEL.html">TEL</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12401.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.playingEntity">playingEntity</a><a name="Observation.participant.participantRole.playingEntity"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-code)">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-PlayingEntity.html">PlayingEntity</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">should-code: </span>SHOULD contain code</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.playingEntity.code">code</a><a name="Observation.participant.participantRole.playingEntity.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1">Personal And Legal Relationship Role Type <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.participant:custodian.participantRole.playingEntity.name">name</a><a name="Observation.participant.participantRole.playingEntity.name"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-PN.html">PN</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The name of the healthcare agent.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.reference">Slices for reference</a><a name="Observation.reference"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="font-style: italic">1</span><span style="font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Reference.html">Reference</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:typeCode</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1" title="Slice reference1">reference:reference1</a><a name="Observation.reference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Reference.html">Reference</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.typeCode">@typeCode</a><a name="Observation.reference.typeCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">REFR</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0241.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.externalDocument">externalDocument</a><a name="Observation.reference.externalDocument"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ExternalDocument.html">ExternalDocument</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02410.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.externalDocument.id">id</a><a name="Observation.reference.externalDocument.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02410.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.externalDocument.code">code</a><a name="Observation.reference.externalDocument.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CD.html">CD</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.69.4/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4">Advance Directives Categories <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02401.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.externalDocument.text">text</a><a name="Observation.reference.externalDocument.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ED.html">ED</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-AdvanceDirectiveObservation-definitions.html#Observation.reference:reference1.externalDocument.text.reference">reference</a><a name="Observation.reference.externalDocument.text.reference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (1198-8699)">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-TEL.html">TEL</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698).<br/><span style="font-weight:bold">1198-8699: </span>If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699).</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
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<description
value="Advance Directive Observations may include a variety of information called different “content types”. The set of Advance Directive Observations within an Advance Directive Organizer provides a summarization of relevant information available in an external Advance Healthcare Directive document or gathered as a result of a conversation with the patient or their healthcare agent (Advance Directive document or Portable Medical Order document).
The types of content in an advance directive could include, but are not limited to:
* Healthcare agent consent
* Resuscitation procedure preference
* Intubation and Ventilation procedure preference
* Antibiotics or other medication administration preference
* Artificial nutrition or hydration administration preference
* Diagnostic Testing procedure preference
* Preferences relating to palliative care
* Preferences relating to hospice care
* Organ donation preference
* Autopsy procedure preference
* Burial or funeral preference
* Care preference that is general in nature which the patient wants care providers to take into consideration, such as likes or dislikes related to the experience of receiving care
* Information about a personal goal, such as seeing a grandchild born, attending a child’s wedding, finding care for a beloved pet, or dying in a certain place.
Preferences can be for or against certain procedures and are typically conditional based upon a certain health scenario taking place.
The type of content in a portable medical order could include but are not limited to procedures that can be ordered such as cardiopulmonary resuscitation, hospital transfer, full/selected/comfort care, antibiotics administration, artificial nutrition and hydration administration, dialysis, intubation, ventilation, and more.
Advance directives are effective when the individual is unable to communicate with their medical team themselves, due to a health crisis or emergency, and persist from execution until such time as the condition of the individual renders them appropriate for use. The effectiveTime/low tells when they went into effect (or will go into effect) and the high tells when they ceased or will cease to be in effect. If the starting effective time is not known, effectiveTime/low is UNK, but this would still be considered “Active”. At a minimum the starting effective time is the date signed. If effectiveTime/high contains a value of “NA” or it is not valued, the advance directive remains active until some action is taken to make it inactive, such as updating the document contents or revocation of the document itself. (Explicit use of nullFlavor=”NA” is the preferred approach for indicating an Advance Directive that is not time bounded.) That action may update the existing information with an effectiveTime/high or it may replace the open-ended entry with a new entry that includes the effectiveTime/high information. An advance directive is active so long as the effectiveTime/high has not been passed.
The author of the Advance Directive Observation is the person documenting that the directives were reviewed and verified to be accurate for provision of treatment and care. The verifier is the person who read the document and verified the advance directive information. The role of verifier and the role of author need not be fulfilled by the same person, so each role is documented separately. However, the author and the verifier often will be the same person in advance healthcare directive documents that are NOT portable medical orders. This template supports Context Conduction. The author of the organizer can be assumed to be the author of the Advance Directive Observations within the organizer unless explicitly overridden within the contained observation. When author identity confidence is high, implementers should explicitly assert conformance to the Provenance Author Participation template.
Advance Directive Observations that would appear in the context of an Advance Directive Organizer:
| Information Content Type (as evidenced in an external document, or provided verbally during a patient encounter and not contained in an external document) | How the Observation is used to represent this information for exchange |
| --- | --- |
| Existing advance healthcare directive document | Observation.code = 75320 <br/> Observation.code.translation = 92183-3 (Form type) <br/> Observation.value = a code from Advance Healthcare Directive Categories <br/> Optional: entryRelationship to reference the external source document by identifier |
| Appointment of healthcare agents that are consented to by the patient.| Observation.code = 75320 <br/> Observation.code.translation = 81335-2 <br/> Observation.value = a code from Healthcare Agent or Proxy Choices <br/> If no healthcare agents are appointed, Observation.value/@nullflavor = a code from No Healthcare Agent Included Reason <br/> Observation.participant is used to record an appointed healthcare agent. Each Advance Directive Observation of this type holds only one Healthcare Agent, necessitating that if a primary healthcare agent and a backup healthcare agent are designed two Advance Directive Observation entries are required. |
| Patient’s Treatment Intervention Preferences (also supports preconditional health scenarios), Care Experience Preferences, and Upon Death Preferences. | When documenting that a patient has documented or expressed Treatment Intervention Preferences, Care Experience Preferences, or Upon Death Preferences, the person verifying the content in the referenced document is the performer of the observation and the observation.value tells what type of content was verified or discussed.<br/> The documented preference is included as a reference to the Treatment Intervention Preference, Care Experience Preference or Upon Death Preference identified in the source document.<br/>The verified current preference can be included as entryRelationships to a Treatment Intervention Preference or Care Experience Preference where the performer is the person verifying the information with the patient or the healthcare agent, the informant is the patient or healthcare agent, and the author is the person recording this documentation in the EHR. <br/> Observation.code = 75320 <br/> Observation.code.translation = 95541-9 Care Experience Preference <br/> 81378-2 Personal Intervention Preference <br/> 81337-8 Upon Death Preferences <br/> Observation.value = code from Advance Directive Content Type |
| Personal healthcare goals (also supports preconditional health scenarios) | Observation.code = 75320 <br/> Observation.code.translation = 87528-6 Personal Health Goal <br/> Observation.value = a code from Health Goals at End of Life Grouping |
| Practitioner Orders that are in place in a Portable Medical Order document. | Observation.code = 75320 <br/> Observation.code.translation = Code should come from CPT or SNOMED CT codes. <br/> Observation.value will be from a specialized value set including coded values appropriate for the specific order. Or if coded concepts are not available, Observation.value will be a Boolean where T = perform and F=do-not-perform |
{:.grid}
Advance Directive Observation that would not be contained in the context of an Advance Directive Organizer:
| Information Content Type (as evidenced in an external document, or provided verbally during a patient encounter and not contained in an external document) | How the Observation is used to represent this information for exchange |
| --- | --- |
| Advance Directive Observation authored by the organization creating the C-CDA document to show the Patient’s DNR Status. | Observation.code = 75320 <br/> Observation.code.translation = 100822-6 Cardiopulmonary resuscitation orders <br/> Observation.value will be LA33470-8 (Yes CPR) or LA33471-6 (No CPR) |
{:.grid}"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<fhirVersion value="5.0.0"/>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<kind value="logical"/>
<abstract value="false"/>
<type value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
<baseDefinition
value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
<derivation value="constraint"/>
<snapshot>
<element id="Observation">
<path value="Observation"/>
<short value="Base for all types and resources"/>
<definition
value="Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="should-text-ref-value"/>
<severity value="warning"/>
<human value="SHOULD contain text/reference/@value"/>
<expression value="text.reference.value.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
<constraint>
<key value="should-author"/>
<severity value="warning"/>
<human value="SHOULD contain author"/>
<expression value="author.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
<constraint>
<key value="should-informant"/>
<severity value="warning"/>
<human value="SHOULD contain informant"/>
<expression value="informant.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.nullFlavor">
<path value="Observation.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.realmCode">
<path value="Observation.realmCode"/>
<definition
value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
</element>
<element id="Observation.typeId">
<path value="Observation.typeId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.typeId.nullFlavor">
<path value="Observation.typeId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.typeId.assigningAuthorityName">
<path value="Observation.typeId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.typeId.displayable">
<path value="Observation.typeId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element id="Observation.typeId.root">
<path value="Observation.typeId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition value="Identifies the type as an HL7 Registered model"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<fixedString value="2.16.840.1.113883.1.3"/>
</element>
<element id="Observation.typeId.extension">
<path value="Observation.typeId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.templateId">
<path value="Observation.templateId"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="root"/>
</discriminator>
<discriminator>
<type value="value"/>
<path value="extension"/>
</discriminator>
<rules value="open"/>
</slicing>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.templateId:advance-directive-obs">
<path value="Observation.templateId"/>
<sliceName value="advance-directive-obs"/>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.templateId:advance-directive-obs.nullFlavor">
<path value="Observation.templateId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.templateId:advance-directive-obs.assigningAuthorityName">
<path value="Observation.templateId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.templateId:advance-directive-obs.displayable">
<path value="Observation.templateId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element id="Observation.templateId:advance-directive-obs.root">
<path value="Observation.templateId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition
value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<patternString value="2.16.840.1.113883.10.20.22.4.48"/>
</element>
<element id="Observation.templateId:advance-directive-obs.extension">
<path value="Observation.templateId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
<patternString value="2022-02-14"/>
</element>
<element id="Observation.classCode">
<path value="Observation.classCode"/>
<representation value="xmlAttr"/>
<comment
value="SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.classCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="OBS"/>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation"/>
</binding>
</element>
<element id="Observation.moodCode">
<path value="Observation.moodCode"/>
<representation value="xmlAttr"/>
<comment
value="SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.moodCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="EVN"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0"/>
</binding>
</element>
<element id="Observation.negationInd">
<path value="Observation.negationInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.negationInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element id="Observation.id">
<path value="Observation.id"/>
<comment value="SHALL contain at least one [1..*] id."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="Observation.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.code">
<path value="Observation.code"/>
<representation value="typeAttr"/>
<comment
value="SHALL contain exactly one [1..1] code (CONF:3250-16895)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.code"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
</type>
<constraint>
<key value="should-translation"/>
<severity value="warning"/>
<human value="SHOULD contain translation"/>
<expression value="translation.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
<binding>
<strength value="example"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ObservationType"/>
</binding>
</element>
<element id="Observation.code.nullFlavor">
<path value="Observation.code.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.code.code">
<path value="Observation.code.code"/>
<representation value="xmlAttr"/>
<label value="Code"/>
<definition
value="The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache."/>
<comment
value="This code SHALL contain exactly one [1..1] @code="75320-2" Advance directive (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3250-16940)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="CD.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<patternCode value="75320-2"/>
</element>
<element id="Observation.code.codeSystem">
<path value="Observation.code.codeSystem"/>
<representation value="xmlAttr"/>
<label value="Code System"/>
<definition value="Specifies the code system that defines the code."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.codeSystem"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
</element>
<element id="Observation.code.codeSystemName">
<path value="Observation.code.codeSystemName"/>
<representation value="xmlAttr"/>
<label value="Code System Name"/>
<definition value="The common name of the coding system."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.codeSystemName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.code.codeSystemVersion">
<path value="Observation.code.codeSystemVersion"/>
<representation value="xmlAttr"/>
<label value="Code System Version"/>
<definition
value="If applicable, a version descriptor defined specifically for the given code system."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.codeSystemVersion"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.code.displayName">
<path value="Observation.code.displayName"/>
<representation value="xmlAttr"/>
<label value="Display Name"/>
<definition
value="A name or title for the code, under which the sending system shows the code value to its users."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.displayName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.code.sdtcValueSet">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="valueSet"/>
</extension>
<path value="Observation.code.sdtcValueSet"/>
<representation value="xmlAttr"/>
<definition
value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.valueSet"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
</type>
</element>
<element id="Observation.code.sdtcValueSetVersion">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="valueSetVersion"/>
</extension>
<path value="Observation.code.sdtcValueSetVersion"/>
<representation value="xmlAttr"/>
<definition
value="The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.sdtcValueSetVersion"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.code.originalText">
<path value="Observation.code.originalText"/>
<label value="Original Text"/>
<definition
value="The text or phrase used as the basis for the coding."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.originalText"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
</type>
</element>
<element id="Observation.code.qualifier">
<path value="Observation.code.qualifier"/>
<label value="Qualifier"/>
<definition
value="Specifies additional codes that increase the specificity of the the primary code."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="CD.qualifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
</type>
</element>
<element id="Observation.code.translation">
<path value="Observation.code.translation"/>
<representation value="typeAttr"/>
<label value="Translation"/>
<definition
value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
<comment
value="This code SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Advance Directives Categories urn:oid:2.16.840.1.113883.11.20.9.69.4."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="CD.translation"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
</type>
<binding>
<strength value="preferred"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4"/>
</binding>
</element>
<element id="Observation.derivationExpr">
<path value="Observation.derivationExpr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.derivationExpr"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
</type>
</element>
<element id="Observation.text">
<path value="Observation.text"/>
<representation value="typeAttr"/>
<short
value="SHOULD reference the portion of section narrative text corresponding to this entry"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
</type>
</element>
<element id="Observation.text.nullFlavor">
<path value="Observation.text.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.text.compression">
<path value="Observation.text.compression"/>
<representation value="xmlAttr"/>
<label value="Compression"/>
<definition
value="Indicates whether the raw byte data is compressed, and what compression algorithm was used."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.compression"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm"/>
</binding>
</element>
<element id="Observation.text.integrityCheck">
<path value="Observation.text.integrityCheck"/>
<representation value="xmlAttr"/>
<label value="Integrity Check"/>
<definition
value="The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.integrityCheck"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="base64Binary"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bin"/>
</type>
</element>
<element id="Observation.text.integrityCheckAlgorithm">
<path value="Observation.text.integrityCheckAlgorithm"/>
<representation value="xmlAttr"/>
<label value="Integrity Check Algorithm"/>
<definition
value="Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.integrityCheckAlgorithm"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0"/>
</binding>
</element>
<element id="Observation.text.language">
<path value="Observation.text.language"/>
<representation value="xmlAttr"/>
<label value="Language"/>
<definition
value="For character based information the language property specifies the human language of the text."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.language"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
</element>
<element id="Observation.text.mediaType">
<path value="Observation.text.mediaType"/>
<representation value="xmlAttr"/>
<label value="Media Type"/>
<definition
value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.mediaType"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="example"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-MediaType"/>
</binding>
</element>
<element id="Observation.text.representation">
<path value="Observation.text.representation"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.representation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding"/>
</binding>
</element>
<element id="Observation.text.xmlText">
<path value="Observation.text.xmlText"/>
<representation value="xmlText"/>
<short
value="Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string."/>
<definition
value="Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)"/>
<comment
value="This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.xmlText"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.text.reference">
<path value="Observation.text.reference"/>
<label value="Reference"/>
<definition
value="A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.reference"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
</type>
<constraint>
<key value="value-starts-octothorpe"/>
<severity value="error"/>
<human
value="If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative"/>
<expression value="value.exists() implies value.startsWith('#')"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element id="Observation.text.thumbnail">
<path value="Observation.text.thumbnail"/>
<label value="Thumbnail"/>
<definition
value="An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.thumbnail"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
</type>
</element>
<element id="Observation.statusCode">
<path value="Observation.statusCode"/>
<comment
value="SHALL contain exactly one [1..1] statusCode (CONF:1198-8652)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.statusCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
</binding>
</element>
<element id="Observation.statusCode.nullFlavor">
<path value="Observation.statusCode.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.statusCode.code">
<path value="Observation.statusCode.code"/>
<representation value="xmlAttr"/>
<label value="Code"/>
<definition
value="The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache."/>
<comment
value="This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19082)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="CD.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="completed"/>
</element>
<element id="Observation.statusCode.codeSystem">
<path value="Observation.statusCode.codeSystem"/>
<representation value="xmlAttr"/>
<label value="Code System"/>
<definition value="Specifies the code system that defines the code."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.codeSystem"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
</element>
<element id="Observation.statusCode.codeSystemName">
<path value="Observation.statusCode.codeSystemName"/>
<representation value="xmlAttr"/>
<label value="Code System Name"/>
<definition value="The common name of the coding system."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.codeSystemName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.statusCode.codeSystemVersion">
<path value="Observation.statusCode.codeSystemVersion"/>
<representation value="xmlAttr"/>
<label value="Code System Version"/>
<definition
value="If applicable, a version descriptor defined specifically for the given code system."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.codeSystemVersion"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.statusCode.displayName">
<path value="Observation.statusCode.displayName"/>
<representation value="xmlAttr"/>
<label value="Display Name"/>
<definition
value="A name or title for the code, under which the sending system shows the code value to its users."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.displayName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.statusCode.sdtcValueSet">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="valueSet"/>
</extension>
<path value="Observation.statusCode.sdtcValueSet"/>
<representation value="xmlAttr"/>
<definition
value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.valueSet"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
</type>
</element>
<element id="Observation.statusCode.sdtcValueSetVersion">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="valueSetVersion"/>
</extension>
<path value="Observation.statusCode.sdtcValueSetVersion"/>
<representation value="xmlAttr"/>
<definition
value="The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.sdtcValueSetVersion"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.statusCode.originalText">
<path value="Observation.statusCode.originalText"/>
<label value="Original Text"/>
<definition
value="The text or phrase used as the basis for the coding."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.originalText"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
</type>
</element>
<element id="Observation.statusCode.qualifier">
<path value="Observation.statusCode.qualifier"/>
<label value="Qualifier"/>
<definition
value="Specifies additional codes that increase the specificity of the the primary code."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.qualifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
</type>
</element>
<element id="Observation.statusCode.translation">
<path value="Observation.statusCode.translation"/>
<representation value="typeAttr"/>
<label value="Translation"/>
<definition
value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.translation"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
</type>
</element>
<element id="Observation.effectiveTime">
<path value="Observation.effectiveTime"/>
<comment value="SHALL contain exactly one [1..1] effectiveTime."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.effectiveTime"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
</type>
</element>
<element id="Observation.effectiveTime.nullFlavor">
<path value="Observation.effectiveTime.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.effectiveTime.value">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format">
<valueString value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules">
<valueString value="year-valid"/>
</extension>
<path value="Observation.effectiveTime.value"/>
<representation value="xmlAttr"/>
<definition
value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="TS.value"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"/>
</type>
</element>
<element id="Observation.effectiveTime.operator">
<path value="Observation.effectiveTime.operator"/>
<representation value="xmlAttr"/>
<definition
value="A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="SXCM_TS.operator"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<defaultValueCode value="I"/>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDASetOperator"/>
</binding>
</element>
<element id="Observation.effectiveTime.low">
<path value="Observation.effectiveTime.low"/>
<label value="Low Boundary"/>
<definition value="This is the low limit of the interval."/>
<comment
value="This effectiveTime SHALL contain exactly one [1..1] low."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IVL_TS.low"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/>
</type>
</element>
<element id="Observation.effectiveTime.center">
<path value="Observation.effectiveTime.center"/>
<label value="Central Value"/>
<definition
value="The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IVL_TS.center"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
</type>
</element>
<element id="Observation.effectiveTime.width">
<path value="Observation.effectiveTime.width"/>
<label value="Width"/>
<definition
value="The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IVL_TS.width"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/PQ"/>
</type>
</element>
<element id="Observation.effectiveTime.high">
<path value="Observation.effectiveTime.high"/>
<label value="High Boundary"/>
<definition value="This is the high limit of the interval."/>
<comment
value="This effectiveTime SHALL contain exactly one [1..1] high."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IVL_TS.high"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/>
</type>
<constraint>
<key value="1198-32449"/>
<severity value="error"/>
<human
value="If the Advance Directive does not have a specified ending time, the <high> element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449)."/>
<expression value="value.exists() or nullFlavor = 'NA'"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element id="Observation.priorityCode">
<path value="Observation.priorityCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.priorityCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
</type>
<binding>
<strength value="example"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
</binding>
</element>
<element id="Observation.repeatNumber">
<path value="Observation.repeatNumber"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.repeatNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT"/>
</type>
</element>
<element id="Observation.languageCode">
<path value="Observation.languageCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.languageCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://hl7.org/fhir/ValueSet/all-languages"/>
</binding>
</element>
<element id="Observation.value">
<path value="Observation.value"/>
<representation value="typeAttr"/>
<comment
value="SHALL contain exactly one [1..1] value (CONF:1198-30804)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.value"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
</type>
<binding>
<strength value="required"/>
<description value="Advance Directive Content Type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.57"/>
</binding>
</element>
<element id="Observation.interpretationCode">
<path value="Observation.interpretationCode"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.interpretationCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation"/>
</binding>
</element>
<element id="Observation.methodCode">
<path value="Observation.methodCode"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.methodCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
</type>
<binding>
<strength value="example"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ObservationMethod"/>
</binding>
</element>
<element id="Observation.targetSiteCode">
<path value="Observation.targetSiteCode"/>
<definition value="Drawn from concept domain ActSite"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.targetSiteCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
</type>
</element>
<element id="Observation.subject">
<path value="Observation.subject"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.subject"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Subject"/>
</type>
</element>
<element id="Observation.specimen">
<path value="Observation.specimen"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.specimen"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Specimen"/>
</type>
</element>
<element id="Observation.performer">
<path value="Observation.performer"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.performer"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Performer2"/>
</type>
</element>
<element id="Observation.author">
<path value="Observation.author"/>
<short value="Base for all types and resources"/>
<definition
value="Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type."/>
<comment
value="SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.author"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/>
<profile
value="http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation"/>
</type>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.informant">
<path value="Observation.informant"/>
<short value="SHOULD contain informant"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.informant"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/>
</type>
</element>
<element id="Observation.participant">
<path value="Observation.participant"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="typeCode"/>
</discriminator>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.participant"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Participant2"/>
</type>
</element>
<element id="Observation.participant:verifier">
<path value="Observation.participant"/>
<sliceName value="verifier"/>
<short
value="The participant "VRF" represents the clinician(s) who verified the patient advance directive."/>
<comment
value="SHOULD contain zero or more [0..*] participant (CONF:1198-8662) such that it"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.participant"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Participant2"/>
</type>
<constraint>
<key value="should-time"/>
<severity value="warning"/>
<human value="SHOULD contain time"/>
<expression value="time.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element id="Observation.participant:verifier.nullFlavor">
<path value="Observation.participant.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.participant:verifier.realmCode">
<path value="Observation.participant.realmCode"/>
<definition
value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
</element>
<element id="Observation.participant:verifier.typeId">
<path value="Observation.participant.typeId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.participant:verifier.typeId.nullFlavor">
<path value="Observation.participant.typeId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.participant:verifier.typeId.assigningAuthorityName">
<path value="Observation.participant.typeId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.participant:verifier.typeId.displayable">
<path value="Observation.participant.typeId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element id="Observation.participant:verifier.typeId.root">
<path value="Observation.participant.typeId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition value="Identifies the type as an HL7 Registered model"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<fixedString value="2.16.840.1.113883.1.3"/>
</element>
<element id="Observation.participant:verifier.typeId.extension">
<path value="Observation.participant.typeId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.participant:verifier.templateId">
<path value="Observation.participant.templateId"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="root"/>
</discriminator>
<rules value="open"/>
</slicing>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.participant:verifier.templateId:primary">
<path value="Observation.participant.templateId"/>
<sliceName value="primary"/>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<comment
value="SHALL contain exactly one [1..1] templateId (CONF:1198-8664) such that it"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.participant:verifier.templateId:primary.nullFlavor">
<path value="Observation.participant.templateId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.participant:verifier.templateId:primary.assigningAuthorityName">
<path
value="Observation.participant.templateId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.participant:verifier.templateId:primary.displayable">
<path value="Observation.participant.templateId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element id="Observation.participant:verifier.templateId:primary.root">
<path value="Observation.participant.templateId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition
value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
<comment
value="SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.1.58" (CONF:1198-10486)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<patternString value="2.16.840.1.113883.10.20.1.58"/>
</element>
<element
id="Observation.participant:verifier.templateId:primary.extension">
<path value="Observation.participant.templateId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<comment value="SHALL not contain [0..0] extension"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.participant:verifier.typeCode">
<path value="Observation.participant.typeCode"/>
<representation value="xmlAttr"/>
<comment
value="SHALL contain exactly one [1..1] @typeCode="VRF" Verifier (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8663)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Participant2.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="VRF"/>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
</binding>
</element>
<element id="Observation.participant:verifier.contextControlCode">
<path value="Observation.participant.contextControlCode"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Participant2.contextControlCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="OP"/>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"/>
</binding>
</element>
<element id="Observation.participant:verifier.sdtcFunctionCode">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="functionCode"/>
</extension>
<path value="Observation.participant.sdtcFunctionCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Participant2.sdtcFunctionCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
</type>
</element>
<element id="Observation.participant:verifier.time">
<path value="Observation.participant.time"/>
<comment
value="SHOULD contain zero or one [0..1] time (CONF:1198-8665)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Participant2.time"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
</type>
<constraint>
<key value="value-only"/>
<severity value="error"/>
<human value="Interval fields SHALL not be present"/>
<expression value="(low | high | width | center).empty()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element id="Observation.participant:verifier.time.nullFlavor">
<path value="Observation.participant.time.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.participant:verifier.time.value">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format">
<valueString value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules">
<valueString value="year-valid"/>
</extension>
<path value="Observation.participant.time.value"/>
<representation value="xmlAttr"/>
<short value="value should be used instead of low/high"/>
<definition
value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="TS.value"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"/>
</type>
</element>
<element id="Observation.participant:verifier.time.operator">
<path value="Observation.participant.time.operator"/>
<representation value="xmlAttr"/>
<definition
value="A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="SXCM_TS.operator"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<defaultValueCode value="I"/>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDASetOperator"/>
</binding>
</element>
<element id="Observation.participant:verifier.time.low">
<path value="Observation.participant.time.low"/>
<label value="Low Boundary"/>
<definition value="This is the low limit of the interval."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IVL_TS.low"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/>
</type>
</element>
<element id="Observation.participant:verifier.time.center">
<path value="Observation.participant.time.center"/>
<label value="Central Value"/>
<definition
value="The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IVL_TS.center"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
</type>
</element>
<element id="Observation.participant:verifier.time.width">
<path value="Observation.participant.time.width"/>
<label value="Width"/>
<definition
value="The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IVL_TS.width"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/PQ"/>
</type>
</element>
<element id="Observation.participant:verifier.time.high">
<path value="Observation.participant.time.high"/>
<label value="High Boundary"/>
<definition value="This is the high limit of the interval."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IVL_TS.high"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/>
</type>
</element>
<element id="Observation.participant:verifier.awarenessCode">
<path value="Observation.participant.awarenessCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Participant2.awarenessCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
</type>
</element>
<element id="Observation.participant:verifier.participantRole">
<path value="Observation.participant.participantRole"/>
<comment
value="SHALL contain exactly one [1..1] participantRole (CONF:1198-8825)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Participant2.participantRole"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole"/>
</type>
<constraint>
<key value="should-code"/>
<severity value="warning"/>
<human value="SHOULD contain code"/>
<expression value="code.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element
id="Observation.participant:verifier.participantRole.nullFlavor">
<path value="Observation.participant.participantRole.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.participant:verifier.participantRole.realmCode">
<path value="Observation.participant.participantRole.realmCode"/>
<definition
value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
</element>
<element id="Observation.participant:verifier.participantRole.typeId">
<path value="Observation.participant.participantRole.typeId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.typeId.nullFlavor">
<path
value="Observation.participant.participantRole.typeId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.participant:verifier.participantRole.typeId.assigningAuthorityName">
<path
value="Observation.participant.participantRole.typeId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.typeId.displayable">
<path
value="Observation.participant.participantRole.typeId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.typeId.root">
<path value="Observation.participant.participantRole.typeId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition value="Identifies the type as an HL7 Registered model"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<fixedString value="2.16.840.1.113883.1.3"/>
</element>
<element
id="Observation.participant:verifier.participantRole.typeId.extension">
<path value="Observation.participant.participantRole.typeId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.templateId">
<path value="Observation.participant.participantRole.templateId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.participant:verifier.participantRole.classCode">
<path value="Observation.participant.participantRole.classCode"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ParticipantRole.classCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<defaultValueCode value="ROL"/>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot"/>
</binding>
</element>
<element id="Observation.participant:verifier.participantRole.id">
<path value="Observation.participant.participantRole.id"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ParticipantRole.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.sdtcIdentifiedBy">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="identifiedBy"/>
</extension>
<path value="Observation.participant.participantRole.sdtcIdentifiedBy"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ParticipantRole.sdtcIdentifiedBy"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
</type>
</element>
<element id="Observation.participant:verifier.participantRole.code">
<path value="Observation.participant.participantRole.code"/>
<comment
value="This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-28446)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ParticipantRole.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
</type>
<binding>
<strength value="preferred"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"/>
</binding>
</element>
<element id="Observation.participant:verifier.participantRole.addr">
<path value="Observation.participant.participantRole.addr"/>
<short value="Base for all types and resources"/>
<definition
value="Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc."/>
<comment
value="This participantRole MAY contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-28451)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ParticipantRole.addr"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
<profile
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</type>
<constraint>
<key value="shall-city"/>
<severity value="error"/>
<human value="SHALL contain exactly one [1..1] city (CONF:81-7292)."/>
<expression value="nullFlavor.exists() or item.city.count() = 1"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="shall-streetAddressLine"/>
<severity value="error"/>
<human
value="SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291)."/>
<expression
value="nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="should-use"/>
<severity value="warning"/>
<human value="SHOULD contain @use"/>
<expression value="nullFlavor.exists() or use.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="should-country"/>
<severity value="warning"/>
<human value="SHOULD contain country"/>
<expression value="nullFlavor.exists() or item.country.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="81-7296"/>
<severity value="error"/>
<human
value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)"/>
<expression value="item.xmlText.empty()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="81-10024"/>
<severity value="error"/>
<human
value="If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024)."/>
<expression
value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="81-10025"/>
<severity value="error"/>
<human
value="If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025)."/>
<expression
value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="shall-max-ad-parts"/>
<severity value="error"/>
<human
value="SHALL have at most one of each: state, city, postalCode, and country"/>
<expression
value="(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.participant:verifier.participantRole.telecom">
<path value="Observation.participant.participantRole.telecom"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ParticipantRole.telecom"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingDevice">
<path value="Observation.participant.participantRole.playingDevice"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ParticipantRole.playingDevice"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Device"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity">
<path value="Observation.participant.participantRole.playingEntity"/>
<comment
value="This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-28428)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ParticipantRole.playingEntity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.nullFlavor">
<path
value="Observation.participant.participantRole.playingEntity.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.realmCode">
<path
value="Observation.participant.participantRole.playingEntity.realmCode"/>
<definition
value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.typeId">
<path
value="Observation.participant.participantRole.playingEntity.typeId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.typeId.nullFlavor">
<path
value="Observation.participant.participantRole.playingEntity.typeId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.typeId.assigningAuthorityName">
<path
value="Observation.participant.participantRole.playingEntity.typeId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.typeId.displayable">
<path
value="Observation.participant.participantRole.playingEntity.typeId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.typeId.root">
<path
value="Observation.participant.participantRole.playingEntity.typeId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition value="Identifies the type as an HL7 Registered model"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<fixedString value="2.16.840.1.113883.1.3"/>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.typeId.extension">
<path
value="Observation.participant.participantRole.playingEntity.typeId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.templateId">
<path
value="Observation.participant.participantRole.playingEntity.templateId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.classCode">
<path
value="Observation.participant.participantRole.playingEntity.classCode"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PlayingEntity.classCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<defaultValueCode value="ENT"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-EntityClassRoot"/>
</binding>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.determinerCode">
<path
value="Observation.participant.participantRole.playingEntity.determinerCode"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PlayingEntity.determinerCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="INSTANCE"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
</binding>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.code">
<path
value="Observation.participant.participantRole.playingEntity.code"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PlayingEntity.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
</type>
<binding>
<strength value="example"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode"/>
</binding>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.quantity">
<path
value="Observation.participant.participantRole.playingEntity.quantity"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="PlayingEntity.quantity"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/PQ"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.name">
<path
value="Observation.participant.participantRole.playingEntity.name"/>
<short value="Base for all types and resources"/>
<definition
value="A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status)."/>
<comment
value="The playingEntity SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-28454)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="PlayingEntity.name"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
<profile
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
</type>
<constraint>
<key value="pn-no-ls"/>
<severity value="error"/>
<human value="No PN name part may have a qualifier of LS."/>
<expression
value="(item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()"/>
<source value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
</constraint>
<constraint>
<key value="81-9371"/>
<severity value="error"/>
<human
value="The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371)."/>
<expression
value="conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
</constraint>
<constraint>
<key value="81-9372"/>
<severity value="error"/>
<human
value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
<expression
value="item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
</constraint>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.sdtcBirthTime">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="birthTime"/>
</extension>
<path
value="Observation.participant.participantRole.playingEntity.sdtcBirthTime"/>
<definition
value="The purpose of this extension is to allow the recording of the subscriber or member of a health plan in cases where the health plan eligibility system has different information on file than the provider does for the patient."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PlayingEntity.sdtcBirthTime"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.desc">
<path
value="Observation.participant.participantRole.playingEntity.desc"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PlayingEntity.desc"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.scopingEntity">
<path value="Observation.participant.participantRole.scopingEntity"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ParticipantRole.scopingEntity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Entity"/>
</type>
</element>
<element id="Observation.participant:custodian">
<path value="Observation.participant"/>
<sliceName value="custodian"/>
<short
value="This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter."/>
<comment
value="SHOULD contain zero or more [0..*] participant (CONF:1198-8667) such that it"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.participant"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Participant2"/>
</type>
</element>
<element id="Observation.participant:custodian.nullFlavor">
<path value="Observation.participant.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.participant:custodian.realmCode">
<path value="Observation.participant.realmCode"/>
<definition
value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
</element>
<element id="Observation.participant:custodian.typeId">
<path value="Observation.participant.typeId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.participant:custodian.typeId.nullFlavor">
<path value="Observation.participant.typeId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.participant:custodian.typeId.assigningAuthorityName">
<path value="Observation.participant.typeId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.participant:custodian.typeId.displayable">
<path value="Observation.participant.typeId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element id="Observation.participant:custodian.typeId.root">
<path value="Observation.participant.typeId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition value="Identifies the type as an HL7 Registered model"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<fixedString value="2.16.840.1.113883.1.3"/>
</element>
<element id="Observation.participant:custodian.typeId.extension">
<path value="Observation.participant.typeId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.participant:custodian.templateId">
<path value="Observation.participant.templateId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.participant:custodian.typeCode">
<path value="Observation.participant.typeCode"/>
<representation value="xmlAttr"/>
<comment
value="SHALL contain exactly one [1..1] @typeCode="CST" Custodian (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8668)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Participant2.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="CST"/>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
</binding>
</element>
<element id="Observation.participant:custodian.contextControlCode">
<path value="Observation.participant.contextControlCode"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Participant2.contextControlCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="OP"/>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"/>
</binding>
</element>
<element id="Observation.participant:custodian.sdtcFunctionCode">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="functionCode"/>
</extension>
<path value="Observation.participant.sdtcFunctionCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Participant2.sdtcFunctionCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
</type>
</element>
<element id="Observation.participant:custodian.time">
<path value="Observation.participant.time"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Participant2.time"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
</type>
</element>
<element id="Observation.participant:custodian.awarenessCode">
<path value="Observation.participant.awarenessCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Participant2.awarenessCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
</type>
</element>
<element id="Observation.participant:custodian.participantRole">
<path value="Observation.participant.participantRole"/>
<comment
value="SHALL contain exactly one [1..1] participantRole (CONF:1198-8669)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Participant2.participantRole"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole"/>
</type>
<constraint>
<key value="should-code"/>
<severity value="warning"/>
<human value="SHOULD contain code"/>
<expression value="code.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
<constraint>
<key value="should-addr"/>
<severity value="warning"/>
<human value="SHOULD contain addr"/>
<expression value="addr.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
<constraint>
<key value="should-telecom"/>
<severity value="warning"/>
<human value="SHOULD contain telecom"/>
<expression value="telecom.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element
id="Observation.participant:custodian.participantRole.nullFlavor">
<path value="Observation.participant.participantRole.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.participant:custodian.participantRole.realmCode">
<path value="Observation.participant.participantRole.realmCode"/>
<definition
value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
</element>
<element id="Observation.participant:custodian.participantRole.typeId">
<path value="Observation.participant.participantRole.typeId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.typeId.nullFlavor">
<path
value="Observation.participant.participantRole.typeId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.participant:custodian.participantRole.typeId.assigningAuthorityName">
<path
value="Observation.participant.participantRole.typeId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.typeId.displayable">
<path
value="Observation.participant.participantRole.typeId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.typeId.root">
<path value="Observation.participant.participantRole.typeId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition value="Identifies the type as an HL7 Registered model"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<fixedString value="2.16.840.1.113883.1.3"/>
</element>
<element
id="Observation.participant:custodian.participantRole.typeId.extension">
<path value="Observation.participant.participantRole.typeId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.templateId">
<path value="Observation.participant.participantRole.templateId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.classCode">
<path value="Observation.participant.participantRole.classCode"/>
<representation value="xmlAttr"/>
<comment
value="This participantRole SHALL contain exactly one [1..1] @classCode="AGNT" Agent (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1198-8670)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ParticipantRole.classCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<defaultValueCode value="ROL"/>
<fixedCode value="AGNT"/>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot"/>
</binding>
</element>
<element id="Observation.participant:custodian.participantRole.id">
<path value="Observation.participant.participantRole.id"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ParticipantRole.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.sdtcIdentifiedBy">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="identifiedBy"/>
</extension>
<path value="Observation.participant.participantRole.sdtcIdentifiedBy"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ParticipantRole.sdtcIdentifiedBy"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
</type>
</element>
<element id="Observation.participant:custodian.participantRole.code">
<path value="Observation.participant.participantRole.code"/>
<comment
value="This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Agent or Proxy Choices urn:oid:2.16.840.1.113762.1.4.1046.35 DYNAMIC (CONF:1198-28440)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ParticipantRole.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
</type>
<binding>
<strength value="preferred"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35"/>
</binding>
</element>
<element id="Observation.participant:custodian.participantRole.addr">
<path value="Observation.participant.participantRole.addr"/>
<short value="Base for all types and resources"/>
<definition
value="Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc."/>
<comment
value="This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8671)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ParticipantRole.addr"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
<profile
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</type>
<constraint>
<key value="shall-city"/>
<severity value="error"/>
<human value="SHALL contain exactly one [1..1] city (CONF:81-7292)."/>
<expression value="nullFlavor.exists() or item.city.count() = 1"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="shall-streetAddressLine"/>
<severity value="error"/>
<human
value="SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291)."/>
<expression
value="nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="should-use"/>
<severity value="warning"/>
<human value="SHOULD contain @use"/>
<expression value="nullFlavor.exists() or use.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="should-country"/>
<severity value="warning"/>
<human value="SHOULD contain country"/>
<expression value="nullFlavor.exists() or item.country.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="81-7296"/>
<severity value="error"/>
<human
value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)"/>
<expression value="item.xmlText.empty()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="81-10024"/>
<severity value="error"/>
<human
value="If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024)."/>
<expression
value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="81-10025"/>
<severity value="error"/>
<human
value="If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025)."/>
<expression
value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<constraint>
<key value="shall-max-ad-parts"/>
<severity value="error"/>
<human
value="SHALL have at most one of each: state, city, postalCode, and country"/>
<expression
value="(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</constraint>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.participant:custodian.participantRole.telecom">
<path value="Observation.participant.participantRole.telecom"/>
<comment
value="This participantRole SHOULD contain zero or more [0..*] telecom (CONF:1198-8672)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ParticipantRole.telecom"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.playingDevice">
<path value="Observation.participant.participantRole.playingDevice"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ParticipantRole.playingDevice"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Device"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity">
<path value="Observation.participant.participantRole.playingEntity"/>
<comment
value="This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-8824)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ParticipantRole.playingEntity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity"/>
</type>
<constraint>
<key value="should-code"/>
<severity value="warning"/>
<human value="SHOULD contain code"/>
<expression value="code.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.nullFlavor">
<path
value="Observation.participant.participantRole.playingEntity.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.realmCode">
<path
value="Observation.participant.participantRole.playingEntity.realmCode"/>
<definition
value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.typeId">
<path
value="Observation.participant.participantRole.playingEntity.typeId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.typeId.nullFlavor">
<path
value="Observation.participant.participantRole.playingEntity.typeId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.typeId.assigningAuthorityName">
<path
value="Observation.participant.participantRole.playingEntity.typeId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.typeId.displayable">
<path
value="Observation.participant.participantRole.playingEntity.typeId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.typeId.root">
<path
value="Observation.participant.participantRole.playingEntity.typeId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition value="Identifies the type as an HL7 Registered model"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<fixedString value="2.16.840.1.113883.1.3"/>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.typeId.extension">
<path
value="Observation.participant.participantRole.playingEntity.typeId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.templateId">
<path
value="Observation.participant.participantRole.playingEntity.templateId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.classCode">
<path
value="Observation.participant.participantRole.playingEntity.classCode"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PlayingEntity.classCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<defaultValueCode value="ENT"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-EntityClassRoot"/>
</binding>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.determinerCode">
<path
value="Observation.participant.participantRole.playingEntity.determinerCode"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PlayingEntity.determinerCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="INSTANCE"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
</binding>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.code">
<path
value="Observation.participant.participantRole.playingEntity.code"/>
<comment
value="This playingEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal and Legal Relationship RoleType urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PlayingEntity.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
</type>
<binding>
<strength value="preferred"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
</binding>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.quantity">
<path
value="Observation.participant.participantRole.playingEntity.quantity"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="PlayingEntity.quantity"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/PQ"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.name">
<path
value="Observation.participant.participantRole.playingEntity.name"/>
<short value="The name of the healthcare agent."/>
<comment
value="This playingEntity SHALL contain exactly one [1..1] name (CONF:1198-8673)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="PlayingEntity.name"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.sdtcBirthTime">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="birthTime"/>
</extension>
<path
value="Observation.participant.participantRole.playingEntity.sdtcBirthTime"/>
<definition
value="The purpose of this extension is to allow the recording of the subscriber or member of a health plan in cases where the health plan eligibility system has different information on file than the provider does for the patient."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PlayingEntity.sdtcBirthTime"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.desc">
<path
value="Observation.participant.participantRole.playingEntity.desc"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PlayingEntity.desc"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
</type>
</element>
<element
id="Observation.participant:custodian.participantRole.scopingEntity">
<path value="Observation.participant.participantRole.scopingEntity"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ParticipantRole.scopingEntity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Entity"/>
</type>
</element>
<element id="Observation.entryRelationship">
<path value="Observation.entryRelationship"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.entryRelationship"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"/>
</type>
</element>
<element id="Observation.reference">
<path value="Observation.reference"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="typeCode"/>
</discriminator>
<rules value="open"/>
</slicing>
<min value="1"/>
<max value="*"/>
<base>
<path value="Observation.reference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Reference"/>
</type>
</element>
<element id="Observation.reference:reference1">
<path value="Observation.reference"/>
<sliceName value="reference1"/>
<comment
value="SHOULD contain at least one [1..*] reference (CONF:1198-8692) such that it"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="Observation.reference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Reference"/>
</type>
</element>
<element id="Observation.reference:reference1.nullFlavor">
<path value="Observation.reference.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.reference:reference1.realmCode">
<path value="Observation.reference.realmCode"/>
<definition
value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
</element>
<element id="Observation.reference:reference1.typeId">
<path value="Observation.reference.typeId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.reference:reference1.typeId.nullFlavor">
<path value="Observation.reference.typeId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.reference:reference1.typeId.assigningAuthorityName">
<path value="Observation.reference.typeId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.reference:reference1.typeId.displayable">
<path value="Observation.reference.typeId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element id="Observation.reference:reference1.typeId.root">
<path value="Observation.reference.typeId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition value="Identifies the type as an HL7 Registered model"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<fixedString value="2.16.840.1.113883.1.3"/>
</element>
<element id="Observation.reference:reference1.typeId.extension">
<path value="Observation.reference.typeId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.reference:reference1.templateId">
<path value="Observation.reference.templateId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.reference:reference1.typeCode">
<path value="Observation.reference.typeCode"/>
<representation value="xmlAttr"/>
<comment
value="SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8694)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Reference.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="REFR"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference"/>
</binding>
</element>
<element id="Observation.reference:reference1.seperatableInd">
<path value="Observation.reference.seperatableInd"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.seperatableInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
</type>
</element>
<element id="Observation.reference:reference1.externalAct">
<path value="Observation.reference.externalAct"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.externalAct"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/ExternalAct"/>
</type>
</element>
<element id="Observation.reference:reference1.externalObservation">
<path value="Observation.reference.externalObservation"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.externalObservation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/ExternalObservation"/>
</type>
</element>
<element id="Observation.reference:reference1.externalProcedure">
<path value="Observation.reference.externalProcedure"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.externalProcedure"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/ExternalProcedure"/>
</type>
</element>
<element id="Observation.reference:reference1.externalDocument">
<path value="Observation.reference.externalDocument"/>
<comment
value="SHALL contain exactly one [1..1] externalDocument (CONF:1198-8693)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Reference.externalDocument"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument"/>
</type>
</element>
<element
id="Observation.reference:reference1.externalDocument.nullFlavor">
<path value="Observation.reference.externalDocument.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.reference:reference1.externalDocument.realmCode">
<path value="Observation.reference.externalDocument.realmCode"/>
<definition
value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
</element>
<element id="Observation.reference:reference1.externalDocument.typeId">
<path value="Observation.reference.externalDocument.typeId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.reference:reference1.externalDocument.typeId.nullFlavor">
<path value="Observation.reference.externalDocument.typeId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.reference:reference1.externalDocument.typeId.assigningAuthorityName">
<path
value="Observation.reference.externalDocument.typeId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.reference:reference1.externalDocument.typeId.displayable">
<path
value="Observation.reference.externalDocument.typeId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element
id="Observation.reference:reference1.externalDocument.typeId.root">
<path value="Observation.reference.externalDocument.typeId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition value="Identifies the type as an HL7 Registered model"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<fixedString value="2.16.840.1.113883.1.3"/>
</element>
<element
id="Observation.reference:reference1.externalDocument.typeId.extension">
<path value="Observation.reference.externalDocument.typeId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.reference:reference1.externalDocument.templateId">
<path value="Observation.reference.externalDocument.templateId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.reference:reference1.externalDocument.classCode">
<path value="Observation.reference.externalDocument.classCode"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ExternalDocument.classCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<defaultValueCode value="DOC"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ActClassDocument"/>
</binding>
</element>
<element id="Observation.reference:reference1.externalDocument.moodCode">
<path value="Observation.reference.externalDocument.moodCode"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ExternalDocument.moodCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="EVN"/>
<binding>
<strength value="required"/>
<valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActMood"/>
</binding>
</element>
<element id="Observation.reference:reference1.externalDocument.id">
<path value="Observation.reference.externalDocument.id"/>
<comment
value="This externalDocument SHALL contain at least one [1..*] id (CONF:1198-8695)."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="ExternalDocument.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.reference:reference1.externalDocument.code">
<path value="Observation.reference.externalDocument.code"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ExternalDocument.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
</type>
<binding>
<strength value="preferred"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4"/>
</binding>
</element>
<element id="Observation.reference:reference1.externalDocument.text">
<path value="Observation.reference.externalDocument.text"/>
<comment
value="This externalDocument MAY contain zero or one [0..1] text (CONF:1198-8696)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ExternalDocument.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
</type>
</element>
<element
id="Observation.reference:reference1.externalDocument.text.nullFlavor">
<path value="Observation.reference.externalDocument.text.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element
id="Observation.reference:reference1.externalDocument.text.compression">
<path value="Observation.reference.externalDocument.text.compression"/>
<representation value="xmlAttr"/>
<label value="Compression"/>
<definition
value="Indicates whether the raw byte data is compressed, and what compression algorithm was used."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.compression"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm"/>
</binding>
</element>
<element
id="Observation.reference:reference1.externalDocument.text.integrityCheck">
<path
value="Observation.reference.externalDocument.text.integrityCheck"/>
<representation value="xmlAttr"/>
<label value="Integrity Check"/>
<definition
value="The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.integrityCheck"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="base64Binary"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bin"/>
</type>
</element>
<element
id="Observation.reference:reference1.externalDocument.text.integrityCheckAlgorithm">
<path
value="Observation.reference.externalDocument.text.integrityCheckAlgorithm"/>
<representation value="xmlAttr"/>
<label value="Integrity Check Algorithm"/>
<definition
value="Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.integrityCheckAlgorithm"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0"/>
</binding>
</element>
<element
id="Observation.reference:reference1.externalDocument.text.language">
<path value="Observation.reference.externalDocument.text.language"/>
<representation value="xmlAttr"/>
<label value="Language"/>
<definition
value="For character based information the language property specifies the human language of the text."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.language"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
</element>
<element
id="Observation.reference:reference1.externalDocument.text.mediaType">
<path value="Observation.reference.externalDocument.text.mediaType"/>
<representation value="xmlAttr"/>
<label value="Media Type"/>
<definition
value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.mediaType"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="example"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-MediaType"/>
</binding>
</element>
<element
id="Observation.reference:reference1.externalDocument.text.representation">
<path
value="Observation.reference.externalDocument.text.representation"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.representation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding"/>
</binding>
</element>
<element
id="Observation.reference:reference1.externalDocument.text.xmlText">
<path value="Observation.reference.externalDocument.text.xmlText"/>
<representation value="xmlText"/>
<short
value="Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string."/>
<definition
value="Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)"/>
<comment
value="This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.xmlText"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element
id="Observation.reference:reference1.externalDocument.text.reference">
<path value="Observation.reference.externalDocument.text.reference"/>
<label value="Reference"/>
<short
value="The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698)."/>
<definition
value="A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data."/>
<comment
value="The text, if present, MAY contain zero or one [0..1] reference (CONF:1198-8697)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.reference"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
</type>
<constraint>
<key value="1198-8699"/>
<severity value="warning"/>
<human
value="If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699)."/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element
id="Observation.reference:reference1.externalDocument.text.thumbnail">
<path value="Observation.reference.externalDocument.text.thumbnail"/>
<label value="Thumbnail"/>
<definition
value="An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ED.thumbnail"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
</type>
</element>
<element id="Observation.reference:reference1.externalDocument.setId">
<path value="Observation.reference.externalDocument.setId"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ExternalDocument.setId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element
id="Observation.reference:reference1.externalDocument.versionNumber">
<path value="Observation.reference.externalDocument.versionNumber"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ExternalDocument.versionNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/INT"/>
</type>
</element>
<element id="Observation.precondition">
<path value="Observation.precondition"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.precondition"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Precondition"/>
</type>
</element>
<element id="Observation.sdtcPrecondition2">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="precondition2"/>
</extension>
<path value="Observation.sdtcPrecondition2"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.sdtcPrecondition2"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Precondition2"/>
</type>
</element>
<element id="Observation.referenceRange">
<path value="Observation.referenceRange"/>
<definition
value="Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.referenceRange"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
</type>
</element>
<element id="Observation.referenceRange.nullFlavor">
<path value="Observation.referenceRange.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.referenceRange.realmCode">
<path value="Observation.referenceRange.realmCode"/>
<definition
value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
</element>
<element id="Observation.referenceRange.typeId">
<path value="Observation.referenceRange.typeId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.referenceRange.typeId.nullFlavor">
<path value="Observation.referenceRange.typeId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Observation.referenceRange.typeId.assigningAuthorityName">
<path value="Observation.referenceRange.typeId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.referenceRange.typeId.displayable">
<path value="Observation.referenceRange.typeId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element id="Observation.referenceRange.typeId.root">
<path value="Observation.referenceRange.typeId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition value="Identifies the type as an HL7 Registered model"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<fixedString value="2.16.840.1.113883.1.3"/>
</element>
<element id="Observation.referenceRange.typeId.extension">
<path value="Observation.referenceRange.typeId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Observation.referenceRange.templateId">
<path value="Observation.referenceRange.templateId"/>
<definition
value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Observation.referenceRange.typeCode">
<path value="Observation.referenceRange.typeCode"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.referenceRange.typeCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<fixedCode value="REFV"/>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType"/>
</binding>
</element>
<element id="Observation.referenceRange.observationRange">
<path value="Observation.referenceRange.observationRange"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.referenceRange.observationRange"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange"/>
</type>
</element>
<element id="Observation.sdtcInFulfillmentOf1">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="inFulfillmentOf1"/>
</extension>
<path value="Observation.sdtcInFulfillmentOf1"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.sdtcInFulfillmentOf1"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"/>
</type>
</element>
</snapshot>
<differential>
<element id="Observation">
<path value="Observation"/>
<constraint>
<key value="should-text-ref-value"/>
<severity value="warning"/>
<human value="SHOULD contain text/reference/@value"/>
<expression value="text.reference.value.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
<constraint>
<key value="should-author"/>
<severity value="warning"/>
<human value="SHOULD contain author"/>
<expression value="author.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
<constraint>
<key value="should-informant"/>
<severity value="warning"/>
<human value="SHOULD contain informant"/>
<expression value="informant.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element id="Observation.templateId">
<path value="Observation.templateId"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="root"/>
</discriminator>
<discriminator>
<type value="value"/>
<path value="extension"/>
</discriminator>
<rules value="open"/>
</slicing>
<min value="1"/>
</element>
<element id="Observation.templateId:advance-directive-obs">
<path value="Observation.templateId"/>
<sliceName value="advance-directive-obs"/>
<min value="1"/>
<max value="1"/>
</element>
<element id="Observation.templateId:advance-directive-obs.root">
<path value="Observation.templateId.root"/>
<min value="1"/>
<patternString value="2.16.840.1.113883.10.20.22.4.48"/>
</element>
<element id="Observation.templateId:advance-directive-obs.extension">
<path value="Observation.templateId.extension"/>
<min value="1"/>
<patternString value="2022-02-14"/>
</element>
<element id="Observation.classCode">
<path value="Observation.classCode"/>
<comment
value="SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC)."/>
<fixedCode value="OBS"/>
</element>
<element id="Observation.moodCode">
<path value="Observation.moodCode"/>
<comment
value="SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC)."/>
<fixedCode value="EVN"/>
</element>
<element id="Observation.id">
<path value="Observation.id"/>
<comment value="SHALL contain at least one [1..*] id."/>
<min value="1"/>
</element>
<element id="Observation.code">
<path value="Observation.code"/>
<comment
value="SHALL contain exactly one [1..1] code (CONF:3250-16895)."/>
<constraint>
<key value="should-translation"/>
<severity value="warning"/>
<human value="SHOULD contain translation"/>
<expression value="translation.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element id="Observation.code.code">
<path value="Observation.code.code"/>
<comment
value="This code SHALL contain exactly one [1..1] @code="75320-2" Advance directive (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3250-16940)."/>
<min value="1"/>
<patternCode value="75320-2"/>
</element>
<element id="Observation.code.translation">
<path value="Observation.code.translation"/>
<comment
value="This code SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Advance Directives Categories urn:oid:2.16.840.1.113883.11.20.9.69.4."/>
<binding>
<strength value="preferred"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4"/>
</binding>
</element>
<element id="Observation.text">
<path value="Observation.text"/>
<short
value="SHOULD reference the portion of section narrative text corresponding to this entry"/>
<min value="1"/>
</element>
<element id="Observation.text.reference">
<path value="Observation.text.reference"/>
<constraint>
<key value="value-starts-octothorpe"/>
<severity value="error"/>
<human
value="If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative"/>
<expression value="value.exists() implies value.startsWith('#')"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element id="Observation.statusCode">
<path value="Observation.statusCode"/>
<comment
value="SHALL contain exactly one [1..1] statusCode (CONF:1198-8652)."/>
<min value="1"/>
</element>
<element id="Observation.statusCode.code">
<path value="Observation.statusCode.code"/>
<comment
value="This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19082)."/>
<min value="1"/>
<fixedCode value="completed"/>
</element>
<element id="Observation.effectiveTime">
<path value="Observation.effectiveTime"/>
<comment value="SHALL contain exactly one [1..1] effectiveTime."/>
<min value="1"/>
</element>
<element id="Observation.effectiveTime.low">
<path value="Observation.effectiveTime.low"/>
<comment
value="This effectiveTime SHALL contain exactly one [1..1] low."/>
<min value="1"/>
</element>
<element id="Observation.effectiveTime.high">
<path value="Observation.effectiveTime.high"/>
<comment
value="This effectiveTime SHALL contain exactly one [1..1] high."/>
<min value="1"/>
<constraint>
<key value="1198-32449"/>
<severity value="error"/>
<human
value="If the Advance Directive does not have a specified ending time, the <high> element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449)."/>
<expression value="value.exists() or nullFlavor = 'NA'"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element id="Observation.value">
<path value="Observation.value"/>
<comment
value="SHALL contain exactly one [1..1] value (CONF:1198-30804)."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
</type>
<binding>
<strength value="required"/>
<description value="Advance Directive Content Type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.57"/>
</binding>
</element>
<element id="Observation.author">
<path value="Observation.author"/>
<comment
value="SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119)."/>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/>
<profile
value="http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation"/>
</type>
</element>
<element id="Observation.informant">
<path value="Observation.informant"/>
<short value="SHOULD contain informant"/>
</element>
<element id="Observation.participant">
<path value="Observation.participant"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="typeCode"/>
</discriminator>
<rules value="open"/>
</slicing>
</element>
<element id="Observation.participant:verifier">
<path value="Observation.participant"/>
<sliceName value="verifier"/>
<short
value="The participant "VRF" represents the clinician(s) who verified the patient advance directive."/>
<comment
value="SHOULD contain zero or more [0..*] participant (CONF:1198-8662) such that it"/>
<min value="0"/>
<max value="*"/>
<constraint>
<key value="should-time"/>
<severity value="warning"/>
<human value="SHOULD contain time"/>
<expression value="time.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element id="Observation.participant:verifier.templateId">
<path value="Observation.participant.templateId"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="root"/>
</discriminator>
<rules value="open"/>
</slicing>
<min value="1"/>
</element>
<element id="Observation.participant:verifier.templateId:primary">
<path value="Observation.participant.templateId"/>
<sliceName value="primary"/>
<comment
value="SHALL contain exactly one [1..1] templateId (CONF:1198-8664) such that it"/>
<min value="1"/>
<max value="1"/>
</element>
<element id="Observation.participant:verifier.templateId:primary.root">
<path value="Observation.participant.templateId.root"/>
<comment
value="SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.1.58" (CONF:1198-10486)."/>
<min value="1"/>
<patternString value="2.16.840.1.113883.10.20.1.58"/>
</element>
<element
id="Observation.participant:verifier.templateId:primary.extension">
<path value="Observation.participant.templateId.extension"/>
<comment value="SHALL not contain [0..0] extension"/>
<max value="0"/>
</element>
<element id="Observation.participant:verifier.typeCode">
<path value="Observation.participant.typeCode"/>
<comment
value="SHALL contain exactly one [1..1] @typeCode="VRF" Verifier (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8663)."/>
<fixedCode value="VRF"/>
</element>
<element id="Observation.participant:verifier.time">
<path value="Observation.participant.time"/>
<comment
value="SHOULD contain zero or one [0..1] time (CONF:1198-8665)."/>
<constraint>
<key value="value-only"/>
<severity value="error"/>
<human value="Interval fields SHALL not be present"/>
<expression value="(low | high | width | center).empty()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element id="Observation.participant:verifier.time.value">
<path value="Observation.participant.time.value"/>
<short value="value should be used instead of low/high"/>
</element>
<element id="Observation.participant:verifier.participantRole">
<path value="Observation.participant.participantRole"/>
<comment
value="SHALL contain exactly one [1..1] participantRole (CONF:1198-8825)."/>
<constraint>
<key value="should-code"/>
<severity value="warning"/>
<human value="SHOULD contain code"/>
<expression value="code.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element id="Observation.participant:verifier.participantRole.code">
<path value="Observation.participant.participantRole.code"/>
<comment
value="This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-28446)."/>
<binding>
<strength value="preferred"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"/>
</binding>
</element>
<element id="Observation.participant:verifier.participantRole.addr">
<path value="Observation.participant.participantRole.addr"/>
<comment
value="This participantRole MAY contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-28451)."/>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
<profile
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</type>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity">
<path value="Observation.participant.participantRole.playingEntity"/>
<comment
value="This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-28428)."/>
<min value="1"/>
</element>
<element
id="Observation.participant:verifier.participantRole.playingEntity.name">
<path
value="Observation.participant.participantRole.playingEntity.name"/>
<comment
value="The playingEntity SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-28454)."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
<profile
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
</type>
</element>
<element id="Observation.participant:custodian">
<path value="Observation.participant"/>
<sliceName value="custodian"/>
<short
value="This custodian (CST) participant identifies a legal representative for healthcare decision-making. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. Only record a healthcare agent who is acting in that capacitiy and participating in carae decision-making during the documented care encounter."/>
<comment
value="SHOULD contain zero or more [0..*] participant (CONF:1198-8667) such that it"/>
<min value="0"/>
<max value="*"/>
</element>
<element id="Observation.participant:custodian.typeCode">
<path value="Observation.participant.typeCode"/>
<comment
value="SHALL contain exactly one [1..1] @typeCode="CST" Custodian (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8668)."/>
<fixedCode value="CST"/>
</element>
<element id="Observation.participant:custodian.participantRole">
<path value="Observation.participant.participantRole"/>
<comment
value="SHALL contain exactly one [1..1] participantRole (CONF:1198-8669)."/>
<constraint>
<key value="should-code"/>
<severity value="warning"/>
<human value="SHOULD contain code"/>
<expression value="code.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
<constraint>
<key value="should-addr"/>
<severity value="warning"/>
<human value="SHOULD contain addr"/>
<expression value="addr.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
<constraint>
<key value="should-telecom"/>
<severity value="warning"/>
<human value="SHOULD contain telecom"/>
<expression value="telecom.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element
id="Observation.participant:custodian.participantRole.classCode">
<path value="Observation.participant.participantRole.classCode"/>
<comment
value="This participantRole SHALL contain exactly one [1..1] @classCode="AGNT" Agent (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1198-8670)."/>
<min value="1"/>
<fixedCode value="AGNT"/>
</element>
<element id="Observation.participant:custodian.participantRole.code">
<path value="Observation.participant.participantRole.code"/>
<comment
value="This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Agent or Proxy Choices urn:oid:2.16.840.1.113762.1.4.1046.35 DYNAMIC (CONF:1198-28440)."/>
<binding>
<strength value="preferred"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35"/>
</binding>
</element>
<element id="Observation.participant:custodian.participantRole.addr">
<path value="Observation.participant.participantRole.addr"/>
<comment
value="This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8671)."/>
<max value="1"/>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
<profile
value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
</type>
</element>
<element id="Observation.participant:custodian.participantRole.telecom">
<path value="Observation.participant.participantRole.telecom"/>
<comment
value="This participantRole SHOULD contain zero or more [0..*] telecom (CONF:1198-8672)."/>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity">
<path value="Observation.participant.participantRole.playingEntity"/>
<comment
value="This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-8824)."/>
<min value="1"/>
<constraint>
<key value="should-code"/>
<severity value="warning"/>
<human value="SHOULD contain code"/>
<expression value="code.exists()"/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.code">
<path
value="Observation.participant.participantRole.playingEntity.code"/>
<comment
value="This playingEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal and Legal Relationship RoleType urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC."/>
<binding>
<strength value="preferred"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
</binding>
</element>
<element
id="Observation.participant:custodian.participantRole.playingEntity.name">
<path
value="Observation.participant.participantRole.playingEntity.name"/>
<short value="The name of the healthcare agent."/>
<comment
value="This playingEntity SHALL contain exactly one [1..1] name (CONF:1198-8673)."/>
<min value="1"/>
<max value="1"/>
</element>
<element id="Observation.reference">
<path value="Observation.reference"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="typeCode"/>
</discriminator>
<rules value="open"/>
</slicing>
<min value="1"/>
</element>
<element id="Observation.reference:reference1">
<path value="Observation.reference"/>
<sliceName value="reference1"/>
<comment
value="SHOULD contain at least one [1..*] reference (CONF:1198-8692) such that it"/>
<min value="1"/>
<max value="*"/>
</element>
<element id="Observation.reference:reference1.typeCode">
<path value="Observation.reference.typeCode"/>
<comment
value="SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8694)."/>
<fixedCode value="REFR"/>
</element>
<element id="Observation.reference:reference1.externalDocument">
<path value="Observation.reference.externalDocument"/>
<comment
value="SHALL contain exactly one [1..1] externalDocument (CONF:1198-8693)."/>
<min value="1"/>
</element>
<element id="Observation.reference:reference1.externalDocument.id">
<path value="Observation.reference.externalDocument.id"/>
<comment
value="This externalDocument SHALL contain at least one [1..*] id (CONF:1198-8695)."/>
<min value="1"/>
</element>
<element id="Observation.reference:reference1.externalDocument.code">
<path value="Observation.reference.externalDocument.code"/>
<min value="1"/>
<binding>
<strength value="preferred"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4"/>
</binding>
</element>
<element id="Observation.reference:reference1.externalDocument.text">
<path value="Observation.reference.externalDocument.text"/>
<comment
value="This externalDocument MAY contain zero or one [0..1] text (CONF:1198-8696)."/>
</element>
<element
id="Observation.reference:reference1.externalDocument.text.reference">
<path value="Observation.reference.externalDocument.text.reference"/>
<short
value="The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698)."/>
<comment
value="The text, if present, MAY contain zero or one [0..1] reference (CONF:1198-8697)."/>
<constraint>
<key value="1198-8699"/>
<severity value="warning"/>
<human
value="If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699)."/>
<source
value="http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation"/>
</constraint>
</element>
</differential>
</StructureDefinition>
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#3.0.0 based on FHIR 5.0.0. Generated 2024-05-18
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