Union of http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation and http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation

This is the set of resources that conform to either of the profiles Problem Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation) and Problem Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C1..1Base for all types and resources
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
... nullFlavor 0..1??Binding: ?? (required)
... realmCode 0..*CS
... typeId 0..1II
.... nullFlavor 0..1??Binding: ?? (required)
.... assigningAuthorityName 0..1??
.... displayable 0..1??
.... root 1..1??, ??, ??
.... extension 1..1??
... templateId 1..*II
... classCode 1..1??Binding: ?? (required)
... moodCode 1..1??Binding: ?? (required)
... negationInd 0..1??The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.
... code 1..1CDBinding: ?? (preferred)
.... nullFlavor 0..1??Binding: ?? (required)
.... code 0..1??
.... codeSystem 0..1??, ??, ??
.... codeSystemName 0..1??
.... codeSystemVersion 0..1??
.... displayName 0..1??
.... sdtcValueSet 0..1??XML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1??XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CDBinding: ?? (preferred)
... derivationExpr 0..1ST
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... nullFlavor 0..1??Binding: ?? (required)
.... compression 0..1??Binding: ?? (required)
.... integrityCheck 0..1??
.... integrityCheckAlgorithm 0..1??Binding: ?? (required)
.... language 0..1??
.... mediaType 0..1??Binding: ?? (example)
.... representation 0..1??Binding: ?? (required)
.... xmlText 0..1??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... thumbnail 0..1ED
... statusCode 1..1CSBinding: ?? (required)
.... nullFlavor 0..1??Binding: ?? (required)
.... code 1..1??
.... sdtcValueSet 0..1??
.... sdtcValueSetVersion 0..1??
... effectiveTime 1..1IVL_TSIf the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.
.... nullFlavor 0..1??Binding: ?? (required)
.... value 0..1??
.... operator 0..1??Binding: ?? (required)
.... low 1..1IVXB_TSThe effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.
.... center 0..1TS
.... width 0..1PQ
.... high 0..1IVXB_TS(USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved.
... priorityCode 0..1CEBinding: ?? (example)
... repeatNumber 0..1IVL_INT
... languageCode 0..1CSBinding: ?? (required)
... value 1..1CD(USCDI) SDOH Problems/Health Concerns
Binding: ?? (preferred)
.... nullFlavor 0..1??Binding: ?? (required)
.... code 0..1??A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951).
Binding: ?? (example): See additional binding

.... codeSystem 0..1??, ??, ??
.... codeSystemName 0..1??
.... codeSystemVersion 0..1??
.... displayName 0..1??
.... sdtcValueSet 0..1??
.... sdtcValueSetVersion 0..1??
.... originalText 0..1ED
.... qualifier 0..*CRThe observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML.
.... translation 0..*CD
... interpretationCode 0..*CEBinding: ?? (required)
... methodCode 0..*CEBinding: ?? (example)
... targetSiteCode 0..*CD
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*??Base for all types and resources
... informant 0..*Informant
... participant 0..*Participant2
... entryRelationship 0..*EntryRelationship
... reference 0..*Reference
... precondition 0..*Precondition
... sdtcPrecondition2 0..*Precondition2
... referenceRange 0..*InfrastructureRoot
.... nullFlavor 0..1??Binding: ?? (required)
.... realmCode 0..*CS
.... typeId 0..1II
..... nullFlavor 0..1??Binding: ?? (required)
..... assigningAuthorityName 0..1??
..... displayable 0..1??
..... root 1..1??, ??, ??
..... extension 1..1??
.... templateId 0..*II
.... typeCode 0..1??Binding: ?? (required)
.... observationRange 1..1ObservationRange
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1

doco Documentation for this format