abstractbaseDefinitioncopyrightdescription- Values Differ
experimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurl| Left: | Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation) |
| Right: | Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation) |
| Information | Observation.typeId | StructureDefinition AssessmentScaleObservation has added constraint that is not found in AssessmentScaleObservation and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists()) |
| Information | StructureDefinition.comment | Values for comment differ: 'SHALL contain exactly one [1..1] code, which SHALL be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) DYNAMIC (CONF:4515-14439).' vs 'SHOULD contain zero or many [0..*] translations.' |
| Information | Observation.code | StructureDefinition AssessmentScaleObservation has added constraint that is not found in AssessmentScaleObservation and it is uncertain whether they are compatible (translation.exists()) |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Functional Status, Mental/Cognitive Status, Alcohol Use, Substance Use, Physical Activity, SDOH Assessment' vs 'This is intended to hold the overall assessment score. This could be calculated from the contained Assessment Scale Supporting Observations' |
| Information | Observation.referenceRange.typeId | StructureDefinition AssessmentScaleObservation has added constraint that is not found in AssessmentScaleObservation and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists()) |
| Information | Observation.referenceRange.observationRange.typeId | StructureDefinition AssessmentScaleObservation has added constraint that is not found in AssessmentScaleObservation and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists()) |
| Information | Observation.referenceRange.observationRange.sdtcPrecondition1.typeId | StructureDefinition AssessmentScaleObservation has added constraint that is not found in AssessmentScaleObservation and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists()) |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
| copyright | |||
| description | An assessment scale is a collection of observations that together can yield a calculated or non-calculated summary evaluation of a one or more conditions. Examples include the Braden Scale (assesses pressure ulcer risk), APACHE Score (estimates mortality in critically ill patients), Mini-Mental Status Exam (assesses cognitive function), APGAR Score (assesses the health of a newborn), Glasgow Coma Scale (assesses coma and impaired consciousness), and WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education - a clinic-based screening and referral system developed for pediatric settings). When an Assessment Scale Observation is contained in a Problem Observation, a Social History Observation or a Procedure instance that is Social Determinant of Health focused, that Assessment scale **MAY** contain assessment scale observations that represent question and answer pairs from SDOH screening instruments that are represented in LOINC. Note that guidance on the use of LOINC in assessment scales already exists in Assessment Scale Observation constraints and Assessment Scale Supporting Observations constraints. | An assessment scale is a collection of observations that together can yield a calculated or non-calculated summary evaluation of a one or more conditions. Examples include the Braden Scale (assesses pressure ulcer risk), APACHE Score (estimates mortality in critically ill patients), Mini-Mental Status Exam (assesses cognitive function), APGAR Score (assesses the health of a newborn), Glasgow Coma Scale (assesses coma and impaired consciousness), and WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education - a clinic-based screening and referral system developed for pediatric settings). When an Assessment Scale Observation is contained in a Problem Observation, a Social History Observation or a Procedure instance that is Social Determinant of Health focused, that Assessment scale **MAY** contain assessment scale observations that represent question and answer pairs from SDOH screening instruments that are represented in LOINC. Note that guidance on the use of LOINC in assessment scales already exists in Assessment Scale Observation constraints and Assessment Scale Supporting Observations constraints. The Observation value is used to record a calculated score using an integer. A LOINC answer concept is used when the assessment is non-calculated result. #### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template: **Optional EntryRelationships**: [AssessmentScaleSupportingObservation](StructureDefinition-AssessmentScaleSupportingObservation.html) |
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| experimental | |||
| fhirVersion | 5.0.0 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | logical | ||
| name | AssessmentScaleObservation | ||
| publisher | Health Level Seven | ||
| purpose | |||
| status | draft | ||
| title | Assessment Scale Observation | ||
| type | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
| url | http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation | ||
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Observation | C | 1..1 | Observation | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value | C | 1..1 | Observation | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-sdtcCategory, category-survey | |||||||
 nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| realmCode | 0..* | CS | 0..* | CS | |||||||||||
 typeId | 0..1 | II | C | 0..1 | II |
| |||||||||
 nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||
 extension | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||||
| classCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: OBS | 1..1 | ?? | Binding: ?? (required) Fixed Value: OBS | |||||||||
| moodCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||||||||
| negationInd | 0..1 | ?? | 0..1 | ?? | |||||||||||
| id | 1..* | II | 1..* | II | |||||||||||
| code | 1..1 | CD | Binding: ?? (example)
| C | 1..1 | CD | For Social Determinant of Health Assessments Binding: ?? (required) Constraints: should-translation |
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| nullFlavor | 0..1 | ?? | Binding: ?? (required) |
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| code | 0..1 | ?? |
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| codeSystem | 0..1 | ??, ??, ?? |
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| codeSystemName | 0..1 | ?? |
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| codeSystemVersion | 0..1 | ?? |
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| displayName | 0..1 | ?? |
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| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) |
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| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) |
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| originalText | 0..1 | ED |
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| qualifier | 0..* | CR |
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| translation | 0..* | CD | Binding: ?? (preferred) |
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| derivationExpr | 0..1 | ST | Such derivation expression can contain a text calculation of how the components total up to the summed score | 0..1 | ST | Such derivation expression can contain a text calculation of how the components total up to the summed score | |||||||||
| text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||||||||
| integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| language | 0..1 | ?? | 0..1 | ?? | |||||||||||
| mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||||||||
| representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||||||||
| reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe | C | 0..1 | TEL | Constraints: value-starts-octothorpe | |||||||
| thumbnail | 0..1 | ED | 0..1 | ED | |||||||||||
| statusCode | 1..1 | CS | Binding: ?? (required) | 1..1 | CS | Binding: ?? (required) | |||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| code | 1..1 | ?? | Fixed Value: completed | 1..1 | ?? | Fixed Value: completed | |||||||||
| codeSystem | 0..0 | 0..0 | |||||||||||||
| codeSystemName | 0..0 | 0..0 | |||||||||||||
| codeSystemVersion | 0..0 | 0..0 | |||||||||||||
| displayName | 0..0 | 0..0 | |||||||||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||
| originalText | 0..0 | 0..0 | |||||||||||||
| qualifier | 0..0 | 0..0 | |||||||||||||
| translation | 0..0 | 0..0 | |||||||||||||
| effectiveTime | 1..1 | IVL_TS | Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards) | 1..1 | IVL_TS | Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards) | |||||||||
| priorityCode | 0..1 | CE | Binding: ?? (example) | 0..1 | CE | Binding: ?? (example) | |||||||||
| repeatNumber | 0..1 | IVL_INT | 0..1 | IVL_INT | |||||||||||
| languageCode | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||||||||
| value | 1..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | (USCDI) Functional Status, Mental/Cognitive Status, Alcohol Use, Substance Use, Physical Activity, SDOH Assessment | 1..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | This is intended to hold the overall assessment score. This could be calculated from the contained Assessment Scale Supporting Observations | |||||||||
| interpretationCode | 0..* | CE | Binding: ?? (required) | 0..* | CE | Binding: ?? (required) | |||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| code | 0..1 | ?? | 0..1 | ?? | |||||||||||
| codeSystem | 0..1 | ??, ??, ?? | 0..1 | ??, ??, ?? | |||||||||||
| codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||||||||
| codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||||||||
| displayName | 0..1 | ?? | 0..1 | ?? | |||||||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||
| originalText | 0..1 | ED | 0..1 | ED | |||||||||||
| qualifier | 0..0 | 0..0 | |||||||||||||
| translation | 0..* | CD | 0..* | CD | |||||||||||
| methodCode | 0..* | CE | Binding: ?? (example) | 0..* | CE | Binding: ?? (example) | |||||||||
| targetSiteCode | 0..* | CD | 0..* | CD | |||||||||||
| subject | 0..1 | Subject | 0..1 | Subject | |||||||||||
| specimen | 0..* | Specimen | 0..* | Specimen | |||||||||||
| performer | 0..* | Performer2 | 0..* | Performer2 | |||||||||||
| author | 0..* | Author | 0..* | Author | |||||||||||
| informant | 0..* | Informant | 0..* | Informant | |||||||||||
| participant | 0..* | Participant2 | 0..* | Participant2 | |||||||||||
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, value:typeCode | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, value:typeCode | |||||||||
| reference | 0..* | Reference | 0..* | Reference | |||||||||||
| precondition | 0..* | Precondition | 0..* | Precondition | |||||||||||
| sdtcPrecondition2 | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | |||||||||
| referenceRange | 0..* | InfrastructureRoot | The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain) | 0..* | InfrastructureRoot | The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain) | |||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| realmCode | 0..* | CS | 0..* | CS | |||||||||||
| typeId | 0..1 | II | C | 0..1 | II |
| |||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||
| extension | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||
| templateId | 0..* | II | 0..* | II | |||||||||||
| typeCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: REFV | 0..1 | ?? | Binding: ?? (required) Fixed Value: REFV | |||||||||
 observationRange | C | 1..1 | ObservationRange | Constraints: should-text, should-text-ref-value | C | 1..1 | ObservationRange | Constraints: should-text, should-text-ref-value | |||||||
 nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| realmCode | 0..* | CS | 0..* | CS | |||||||||||
| typeId | 0..1 | II | C | 0..1 | II |
| |||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||
| extension | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||
| templateId | 0..* | II | 0..* | II | |||||||||||
| classCode | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| moodCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN.CRT | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN.CRT | |||||||||
| code | 0..1 | CD | Binding: ?? (example) | 0..1 | CD | Binding: ?? (example) | |||||||||
| text | 0..1 | ED | The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain) | 0..1 | ED | The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain) | |||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||||||||
| integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| language | 0..1 | ?? | 0..1 | ?? | |||||||||||
| mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||||||||
| representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||||||||
| reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe | C | 0..1 | TEL | Constraints: value-starts-octothorpe | |||||||
| thumbnail | 0..1 | ED | 0..1 | ED | |||||||||||
| value | 0..1 | BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS | 0..1 | BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS | |||||||||||
| interpretationCode | 0..1 | CE | Binding: ?? (required) | 0..1 | CE | Binding: ?? (required) | |||||||||
| sdtcPrecondition1 | 0..* | InfrastructureRoot | XML: precondition1 (urn:hl7-org:sdtc) | 0..* | InfrastructureRoot | XML: precondition1 (urn:hl7-org:sdtc) | |||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| realmCode | 0..* | CS | 0..* | CS | |||||||||||
| typeId | 0..1 | II | C | 0..1 | II |
| |||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||
| extension | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||
| templateId | 0..* | II | 0..* | II | |||||||||||
| typeCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: PRCN | 0..1 | ?? | Binding: ?? (required) Fixed Value: PRCN | |||||||||
| conjunctionCode | 1..1 | CS | XML Namespace: urn:hl7-org:sdtc Binding: ?? (required) | 1..1 | CS | XML Namespace: urn:hl7-org:sdtc Binding: ?? (required) | |||||||||
| criterion1 | 1..1 | Criterion | XML Namespace: urn:hl7-org:sdtc | 1..1 | Criterion | XML Namespace: urn:hl7-org:sdtc | |||||||||
| sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |||||||||
| Slices for sdtcCategory | 0..* | CD | Category is optional, but if present it SHALL contain a category with code=survey. Slice: Unordered, Open by value:code, value:codeSystem XML: category (urn:hl7-org:sdtc) |
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| Documentation for this format | |||||||||||||||