schematron.ccda.Consolidation.sch Maven / Gradle / Ivy
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In order to validate this file against the Consolidated CDA templates, you must include one of the following in ClinicalDocument/templateId/@root:
2.16.840.1.113883.10.20.22.1.2,
2.16.840.1.113883.10.20.22.1.4,
2.16.840.1.113883.10.20.22.1.5,
2.16.840.1.113883.10.20.22.1.8,
2.16.840.1.113883.10.20.22.1.3,
2.16.840.1.113883.10.20.22.1.7,
2.16.840.1.113883.10.20.22.1.6,
2.16.840.1.113883.10.20.22.1.9, or
2.16.840.1.113883.10.20.22.1.10
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:444).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:445).
SHALL contain exactly one [1..1] statusCode (CONF:448).
SHALL contain exactly one [1..1] value with @xsi:type="TS" (CONF:450).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19096).
SHALL contain exactly one [1..1] code (CONF:19139).
This code SHALL contain exactly one [1..1] @code="11778-8" Estimated date of delivery (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19140).
SHALL contain exactly one [1..1] templateId (CONF:16762) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.15.3.1" (CONF:16763).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:451).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:452).
SHALL contain exactly one [1..1] statusCode (CONF:455).
SHALL contain exactly one [1..1] value="77386006" Pregnant with @xsi:type="CD" (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:457).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19110).
SHALL contain exactly one [1..1] code (CONF:19153).
This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:19154).
SHALL contain exactly one [1..1] templateId (CONF:16768) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.15.3.8" (CONF:16868).
This typeId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.1.3" (CONF:5250).
This typeId SHALL contain exactly one [1..1] @extension="POCD_HD000040" (CONF:5251).
SHALL contain exactly one [1..1] code (CONF:5253).
SHALL contain exactly one [1..1] title (CONF:5254).
SHALL contain exactly one [1..1] effectiveTime (CONF:5256).
SHALL contain exactly one [1..1] confidentialityCode, which SHOULD be selected from ValueSet HL7 BasicConfidentialityKind 2.16.840.1.113883.1.11.16926 STATIC 2010-04-21 (CONF:5259).
SHALL contain at least one [1..*] recordTarget (CONF:5266).
Such recordTargets SHALL contain exactly one [1..1] patientRole (CONF:5267).
This patientRole SHALL contain at least one [1..*] id (CONF:5268).
This patientRole SHALL contain at least one [1..*] addr (CONF:5271).
This patientRole SHALL contain at least one [1..*] telecom (CONF:5280).
This patientRole SHALL contain exactly one [1..1] patient (CONF:5283).
This patient SHALL contain exactly one [1..1] name (CONF:5284).
This patient SHALL contain exactly one [1..1] birthTime (CONF:5298).
SHALL be precise to year (CONF:5299).
SHALL contain exactly one [1..1] typeId (CONF:5361).
SHALL contain exactly one [1..1] id (CONF:5363).
SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language 2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:5372).
This assignedAuthor SHALL contain at least one [1..*] telecom (CONF:5428).
SHALL contain at least one [1..*] author (CONF:5444).
Such authors SHALL contain exactly one [1..1] time (CONF:5445).
Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:5448).
This assignedAuthor SHALL contain exactly one [1..1] id (CONF:5449) such that it SHALL contain exactly one [1..1] @root (CONF:16786).
This assignedAuthor SHALL contain at least one [1..*] addr (CONF:5452).
SHALL contain exactly one [1..1] custodian (CONF:5519).
This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:5520).
This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:5521).
This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:5522).
This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:5524).
This representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:5525).
This representedCustodianOrganization SHALL contain exactly one [1..1] addr (CONF:5559).
This patient SHALL contain exactly one [1..1] administrativeGenderCode, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) 2.16.840.1.113883.1.11.1 DYNAMIC (CONF:6394).
The content of name SHALL be a conformant US Realm Patient Name (PTN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1) (CONF:10411).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10412).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10421).
There SHALL be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:16790).
SHALL contain exactly one [1..1] realmCode="US" (CONF:16791).
The content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:16865).
The content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:16866).
The content SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:16871).
If this assignedAuthor is an assignedPerson the assignedAuthor id SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:19521).
SHALL contain exactly one [1..1] templateId (CONF:5252) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.1" (CONF:10036).
SHALL contain exactly one [1..1] text (CONF:6273).
SHALL contain exactly one [1..1] code (CONF:15423).
This code SHALL contain exactly one [1..1] @code="47519-4" History of Procedures (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15424).
SHALL contain exactly one [1..1] title (CONF:17184).
SHALL contain exactly one [1..1] templateId (CONF:6270) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.7" (CONF:6271).
SHALL contain exactly one [1..1] title (CONF:7893).
SHALL contain exactly one [1..1] text (CONF:7894).
SHALL contain exactly one [1..1] code (CONF:15425).
This code SHALL contain exactly one [1..1] @code="47519-4" History of Procedures (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15426).
SHALL contain exactly one [1..1] templateId (CONF:7891) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.7.1" (CONF:10447).
SHALL contain exactly one [1..1] text (CONF:7118).
SHALL contain exactly one [1..1] title (CONF:8891).
SHALL contain exactly one [1..1] code (CONF:15431).
This code SHALL contain exactly one [1..1] @code="30954-2" Relevant diagnostic tests and/or laboratory data (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15432).
SHALL contain exactly one [1..1] templateId (CONF:7116) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.3" (CONF:9136).
SHALL contain exactly one [1..1] text (CONF:7111).
SHALL contain at least one [1..*] entry (CONF:7112) such that it SHALL contain exactly one [1..1] Result Organizer (templateId:2.16.840.1.113883.10.20.22.4.1) (CONF:15516).
SHALL contain exactly one [1..1] title (CONF:8892).
SHALL contain exactly one [1..1] code (CONF:15433).
This code SHALL contain exactly one [1..1] @code="30954-2" Relevant diagnostic tests and/or laboratory data (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15434).
SHALL contain exactly one [1..1] templateId (CONF:7108) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.3.1" (CONF:9137).
SHALL contain exactly one [1..1] text (CONF:7270).
SHALL contain exactly one [1..1] title (CONF:9966).
SHALL contain exactly one [1..1] code (CONF:15242).
This code SHALL contain exactly one [1..1] @code="8716-3" Vital Signs (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15243).
SHALL contain exactly one [1..1] templateId (CONF:7268) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.4" (CONF:10451).
SHALL contain exactly one [1..1] text (CONF:7275).
SHALL contain at least one [1..*] entry (CONF:7276) such that it SHALL contain exactly one [1..1] Vital Signs Organizer (templateId:2.16.840.1.113883.10.20.22.4.26) (CONF:15964).
SHALL contain exactly one [1..1] title (CONF:9967).
SHALL contain exactly one [1..1] code (CONF:15962).
This code SHALL contain exactly one [1..1] @code="8716-3" Vital Signs (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15963).
SHALL contain exactly one [1..1] templateId (CONF:7273) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.4.1" (CONF:10452).
SHALL contain exactly one [1..1] title (CONF:7802).
SHALL contain exactly one [1..1] text (CONF:7803).
SHALL contain exactly one [1..1] code (CONF:15345).
This code SHALL contain exactly one [1..1] @code="48765-2" Allergies, adverse reactions, alerts (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15346).
SHALL contain exactly one [1..1] templateId (CONF:7800) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.6" (CONF:10378).
SHALL contain exactly one [1..1] text (CONF:7530).
SHALL contain at least one [1..*] entry (CONF:7531) such that it SHALL contain exactly one [1..1] Allergy Problem Act (templateId:2.16.840.1.113883.10.20.22.4.30) (CONF:15446).
SHALL contain exactly one [1..1] title (CONF:7534).
SHALL contain exactly one [1..1] code (CONF:15349).
This code SHALL contain exactly one [1..1] @code="48765-2" Allergies, adverse reactions, alerts (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15350).
SHALL contain exactly one [1..1] templateId (CONF:7527) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.6.1" (CONF:10379).
SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7496).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt 2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:7497).
SHALL contain at least one [1..*] id (CONF:7500).
SHALL contain exactly one [1..1] statusCode (CONF:7507).
SHALL contain exactly one [1..1] effectiveTime (CONF:7508) such that it SHALL contain exactly one [1..1] low (CONF:7511). SHALL contain exactly one [1..1] high (CONF:7512).
SHALL contain exactly one [1..1] consumable (CONF:7520).
This consumable SHALL contain exactly one [1..1] Medication Information (templateId:2.16.840.1.113883.10.20.22.4.23) (CONF:16085).
SHALL contain exactly one [1..1] templateId (CONF:7499) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.16" (CONF:10504).
SHALL contain exactly one [1..1] title (CONF:7879).
SHALL contain exactly one [1..1] text (CONF:7880).
SHALL contain exactly one [1..1] code (CONF:15407).
This code SHALL contain exactly one [1..1] @code="11450-4" Problem List (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15408).
SHALL contain exactly one [1..1] templateId (CONF:7877) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.5" (CONF:10440).
SHALL contain exactly one [1..1] title (CONF:9181).
SHALL contain exactly one [1..1] text (CONF:9182).
SHALL contain at least one [1..*] entry (CONF:9183).
SHALL contain exactly one [1..1] code (CONF:15409).
This code SHALL contain exactly one [1..1] @code="11450-4" Problem List (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15410).
Such entries SHALL contain exactly one [1..1] Problem Concern Act (Condition) (templateId:2.16.840.1.113883.10.20.22.4.3) (CONF:15506).
SHALL contain exactly one [1..1] templateId (CONF:9179) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.5.1" (CONF:10441).
SHALL contain exactly one [1..1] @classCode (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7121).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7122).
SHALL contain exactly one [1..1] statusCode (CONF:7123).
SHALL contain at least one [1..*] component (CONF:7124) such that it SHALL contain exactly one [1..1] Result Observation (templateId:2.16.840.1.113883.10.20.22.4.2) (CONF:14850).
SHALL contain at least one [1..*] id (CONF:7127).
SHALL contain exactly one [1..1] code (CONF:7128).
This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Result Status 2.16.840.1.113883.11.20.9.39 STATIC (CONF:14848).
SHALL contain exactly one [1..1] templateId (CONF:7126) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.1" (CONF:9134).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7130).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7131).
SHALL contain exactly one [1..1] code (CONF:7133).
SHALL contain exactly one [1..1] statusCode (CONF:7134).
SHALL contain at least one [1..*] id (CONF:7137).
SHALL contain exactly one [1..1] effectiveTime (CONF:7140).
SHALL contain exactly one [1..1] value (CONF:7143).
This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Result Status 2.16.840.1.113883.11.20.9.39 STATIC (CONF:14849).
SHALL contain exactly one [1..1] templateId (CONF:7136) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.2" (CONF:9138).
SHALL contain at least one [1..*] given (CONF:7157).
SHALL contain exactly one [1..1] family (CONF:7159).
SHALL contain exactly one [1..1] @classCode="CLUSTER" CLUSTER (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7279).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7280).
SHALL contain at least one [1..*] id (CONF:7282).
SHALL contain exactly one [1..1] statusCode (CONF:7284).
SHALL contain at least one [1..*] component (CONF:7285) such that it SHALL contain exactly one [1..1] Vital Sign Observation (templateId:2.16.840.1.113883.10.20.22.4.27) (CONF:15946).
The effectiveTime represents clinically effective time of the measurement, which is most likely when the measurement was performed (e.g., a BP measurement).
SHALL contain exactly one [1..1] effectiveTime (CONF:7288).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19120).
SHALL contain exactly one [1..1] code (CONF:19176).
This code SHALL contain exactly one [1..1] @code="46680005" Vital signs (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:19177).
SHALL contain exactly one [1..1] templateId (CONF:7281) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.26" (CONF:10528).
SHALL contain at least one and not more than 4 streetAddressLine (CONF:7291).
SHALL contain exactly one [1..1] city (CONF:7292).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7297).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7298).
SHALL contain at least one [1..*] id (CONF:7300).
SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Vital Sign Result Value Set 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).
SHALL contain exactly one [1..1] statusCode (CONF:7303).
SHALL contain exactly one [1..1] effectiveTime (CONF:7304).
SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19119).
SHALL contain exactly one [1..1] templateId (CONF:7299) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.27" (CONF:10527).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7318).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7319).
SHALL contain exactly one [1..1] code (CONF:7320).
SHALL contain exactly one [1..1] statusCode (CONF:7321).
SHALL contain exactly one [1..1] value with @xsi:type="CE", where the @code SHALL be selected from ValueSet Problem Status Value Set 2.16.840.1.113883.3.88.12.80.68 DYNAMIC (CONF:7322).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19087).
This code SHALL contain exactly one [1..1] @code="33999-4" Status (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19131).
SHALL contain exactly one [1..1] templateId (CONF:7317) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.28" (CONF:10490).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7325).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7326).
SHALL contain exactly one [1..1] statusCode (CONF:7328).
SHALL contain exactly one [1..1] id (CONF:7329).
SHALL contain exactly one [1..1] value with @xsi:type="CD", where the @code SHALL be selected from ValueSet Problem Value Set 2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:7335).
SHALL contain exactly one [1..1] code (CONF:16851).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19114).
SHALL contain exactly one [1..1] templateId (CONF:7323) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.9" (CONF:10523).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7345).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7346).
SHALL contain exactly one [1..1] statusCode (CONF:7352).
SHALL contain exactly one [1..1] value with @xsi:type="CD", where the @code SHALL be selected from ValueSet Problem Severity 2.16.840.1.113883.3.88.12.3221.6.8 DYNAMIC (CONF:7356).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19115).
SHALL contain exactly one [1..1] code (CONF:19168).
This code SHALL contain exactly one [1..1] @code="SEV" (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:19169).
SHALL contain exactly one [1..1] templateId (CONF:7347) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.8" (CONF:10525).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7357).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7358).
SHALL contain exactly one [1..1] statusCode (CONF:7364).
SHALL contain exactly one [1..1] value with @xsi:type="CD", where the @code SHALL be selected from ValueSet Problem Status Value Set 2.16.840.1.113883.3.88.12.80.68 DYNAMIC (CONF:7365).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19113).
SHALL contain exactly one [1..1] code (CONF:19162).
This code SHALL contain exactly one [1..1] @code="33999-4" Status (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19163).
SHALL contain exactly one [1..1] templateId (CONF:7359) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.6" (CONF:10518).
SHALL contain exactly one [1..1] templateId (CONF:7372) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.25" (CONF:10517).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:16303).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:16304).
SHALL contain at least one [1..*] id (CONF:16307).
SHALL contain exactly one [1..1] statusCode (CONF:16308).
SHALL contain exactly one [1..1] effectiveTime (CONF:16309).
SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:16312).
This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Allergy/Adverse Event Type Value Set 2.16.840.1.113883.3.88.12.3221.6.2 DYNAMIC (CONF:16317).
SHALL contain exactly one [1..1] entryRelationship (CONF:16341) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:16342). SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:16343). SHALL contain exactly one [1..1] Severity Observation (templateId:2.16.840.1.113883.10.20.22.4.8) (CONF:16344).
SHALL contain exactly one [1..1] code (CONF:16345).
This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:16346).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14) (CONF:26354).
SHALL contain exactly one [1..1] templateId (CONF:16305) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.90" (CONF:16306).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7379).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7380).
SHALL contain at least one [1..*] id (CONF:7382).
SHALL contain exactly one [1..1] effectiveTime (CONF:7387).
SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:7390).
This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Allergy/Adverse Event Type Value Set 2.16.840.1.113883.3.88.12.3221.6.2 DYNAMIC (CONF:9139).
SHALL contain exactly one [1..1] code (CONF:15947).
This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:15948).
SHALL contain exactly one [1..1] statusCode (CONF:19084).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19085).
SHALL contain exactly one [1..1] templateId (CONF:7381) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.7" (CONF:10488).
SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7391).
SHALL contain exactly one [1..1] @moodCode="INT" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7392).
SHALL contain exactly one [1..1] statusCode (CONF:7396).
SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Patient Education 2.16.840.1.113883.11.20.9.34 DYNAMIC (CONF:16884).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19106).
SHALL contain exactly one [1..1] templateId (CONF:7393) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.20" (CONF:10503).
SHALL contain exactly one [1..1] @classCode="MANU" (CodeSystem: RoleClass 2.16.840.1.113883.5.110 STATIC) (CONF:7408).
SHALL contain exactly one [1..1] manufacturedMaterial (CONF:7411).
This manufacturedMaterial SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Medication Clinical Drug Name Value Set 2.16.840.1.113883.3.88.12.80.17 DYNAMIC (CONF:7412).
SHALL contain exactly one [1..1] templateId (CONF:7409) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.23" (CONF:10506).
SHALL contain exactly one [1..1] @classCode="SPLY" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7427).
SHALL contain exactly one [1..1] @moodCode="INT" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7428).
SHALL contain at least one [1..*] id (CONF:7430).
SHALL contain exactly one [1..1] statusCode (CONF:7432).
SHALL contain exactly one [1..1] templateId (CONF:7429) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.17" (CONF:10507).
SHALL contain exactly one [1..1] @classCode (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7451).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7452).
SHALL contain at least one [1..*] id (CONF:7454).
SHALL contain exactly one [1..1] statusCode, which SHALL be selected from ValueSet Medication Fill Status 2.16.840.1.113883.3.88.12.80.64 DYNAMIC (CONF:7455).
A supply act SHALL contain one product/Medication Information or one product/Immunization Medication Information template (CONF:9333).
SHALL contain exactly one [1..1] templateId (CONF:7453) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.18" (CONF:10505).
SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7469).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7470).
SHALL contain at least one [1..*] id (CONF:7472).
SHALL contain exactly one [1..1] code (CONF:7477).
SHALL contain exactly one [1..1] statusCode (CONF:7485).
SHALL contain exactly one [1..1] effectiveTime (CONF:7498).
If statusCode/@code="active" Active, then effectiveTime SHALL contain [1..1] low (CONF:7504).
SHALL contain at least one [1..*] entryRelationship (CONF:7509) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:7915). SHALL contain exactly one [1..1] Allergy - Intolerance Observation (templateId:2.16.840.1.113883.10.20.22.4.7) (CONF:14925).
If statusCode/@code="completed" Completed, then effectiveTime SHALL contain [1..1] high (CONF:10085).
This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode 2.16.840.1.113883.11.20.9.19 STATIC 2011-09-09 (CONF:19086).
This code SHALL contain exactly one [1..1] @code="48765-2" Allergies, adverse reactions, alerts (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19158).
SHALL contain exactly one [1..1] templateId (CONF:7471) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.30" (CONF:10489).
SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7480).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7481).
SHALL contain exactly one [1..1] id (CONF:7483).
SHALL contain exactly one [1..1] statusCode (CONF:7487).
SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Problem Type 2.16.840.1.113883.3.88.12.3221.7.2 STATIC 2012-06-01 (CONF:16886).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19105).
SHALL contain exactly one [1..1] templateId (CONF:7482) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.19" (CONF:10502).
SHALL contain exactly one [1..1] @classCode="MANU" (CodeSystem: RoleClass 2.16.840.1.113883.5.110 STATIC) (CONF:7490).
SHALL contain exactly one [1..1] playingEntity (CONF:7492).
This playingEntity/code is used to supply a coded term for the drug vehicle.
This playingEntity SHALL contain exactly one [1..1] code (CONF:7493).
SHALL contain exactly one [1..1] code (CONF:19137).
This code SHALL contain exactly one [1..1] @code="412307009" Drug Vehicle (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:19138).
SHALL contain exactly one [1..1] templateId (CONF:7495) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.24" (CONF:10493).
SHALL contain exactly one [1..1] @classCode="PROC" Procedure (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7652).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt 2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:7653).
SHALL contain at least one [1..*] id (CONF:7655).
SHALL contain exactly one [1..1] code (CONF:7656).
SHALL contain exactly one [1..1] statusCode, which SHALL be selected from ValueSet ProcedureAct statusCode 2.16.840.1.113883.11.20.9.22 DYNAMIC (CONF:7661).
SHALL contain exactly one [1..1] templateId (CONF:7654) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.14" (CONF:10521).
SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7557).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7558).
SHALL contain at least one [1..*] id (CONF:7560).
SHALL contain exactly one [1..1] statusCode (CONF:7562).
SHALL contain exactly one [1..1] value="182904002" Drug treatment unknown (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:7564).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19107).
SHALL contain exactly one [1..1] code (CONF:19149).
This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:19150).
SHALL contain exactly one [1..1] templateId (CONF:7559) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.29" (CONF:10508).
SHALL contain exactly one [1..1] title (CONF:7793).
SHALL contain exactly one [1..1] text (CONF:7794).
SHALL contain exactly one [1..1] code (CONF:15385).
This code SHALL contain exactly one [1..1] @code="10160-0" History of medication use (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15386).
SHALL contain exactly one [1..1] templateId (CONF:7791) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.1" (CONF:10432).
SHALL contain exactly one [1..1] title (CONF:7570).
SHALL contain exactly one [1..1] text (CONF:7571).
SHALL contain at least one [1..*] entry (CONF:7572) such that it SHALL contain exactly one [1..1] Medication Activity (templateId:2.16.840.1.113883.10.20.22.4.16) (CONF:15500).
SHALL contain exactly one [1..1] code (CONF:15387).
This code SHALL contain exactly one [1..1] @code="10160-0" History of medication use (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15388).
SHALL contain exactly one [1..1] templateId (CONF:7568) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.1.1" (CONF:10433).
SHALL contain exactly one [1..1] code/@code, which SHALL be selected from ValueSet ProgressNoteDocumentTypeCode 2.16.840.1.113883.11.20.8.1 DYNAMIC (CONF:7589).
SHALL contain exactly one [1..1] componentOf (CONF:7595).
This componentOf SHALL contain exactly one [1..1] encompassingEncounter (CONF:7596).
This encompassingEncounter SHALL contain at least one [1..*] id (CONF:7597).
This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:7598).
This effectiveTime SHALL contain exactly one [1..1] low (CONF:7599).
This encompassingEncounter SHALL contain exactly one [1..1] location/healthCareFacility/id (CONF:7611).
SHALL include an Assessment and Plan Section, or an Assessment Section and a Plan Section (CONF:8704).
SHALL NOT include an Assessment/Plan Section when an Assessment Section and a Plan of Care Section are present (CONF:10069).
SHALL contain exactly one [1..1] code (CONF:17189).
This code SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProgressNoteDocumentTypeCode 2.16.840.1.113883.11.20.8.1 DYNAMIC (CONF:17190).
The content of effectiveTime SHALL be a conformant US Realm Date and Time (DT.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:10138).
If structuredBody, the component/structuredBody SHALL conform to the section constraints below (CONF:9594).
A Progress Note can have either a structuredBody or a nonXMLBody (CONF:9592).
SHALL contain exactly one [1..1] component (CONF:9591).
SHALL contain exactly one [1..1] templateId (CONF:7588) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.9" (CONF:10052).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7613).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7614).
SHALL contain exactly one [1..1] code (CONF:7615).
SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7617).
This value SHALL contain exactly one [1..1] @unit, which SHALL be selected from ValueSet AgePQ_UCUM 2.16.840.1.113883.11.20.9.21 DYNAMIC (CONF:7618).
SHALL contain exactly one [1..1] statusCode (CONF:15965).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:15966).
This code SHALL contain exactly one [1..1] @code="445518008" Age At Onset (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:16776).
SHALL contain exactly one [1..1] templateId (CONF:7899) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.31" (CONF:10487).
SHALL contain exactly one [1..1] component/nonXMLBody (CONF:7620).
This component/nonXMLBody SHALL contain exactly one [1..1] text (CONF:7622).
SHALL contain exactly one [1..1] author/assignedAuthor (CONF:7640).
This author/assignedAuthor SHALL contain exactly one [1..1] addr (CONF:7641).
This author/assignedAuthor SHALL contain exactly one [1..1] telecom (CONF:7642).
SHALL contain exactly one [1..1] recordTarget/patientRole/id (CONF:7643).
SHALL contain exactly one [1..1] custodian/assignedCustodian/representedCustodianOrganization (CONF:7645).
This custodian/assignedCustodian/representedCustodianOrganization SHALL contain exactly one [1..1] id (CONF:7648).
This custodian/assignedCustodian/representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:7649).
This custodian/assignedCustodian/representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:7650).
This custodian/assignedCustodian/representedCustodianOrganization SHALL contain exactly one [1..1] addr (CONF:7651).
SHALL contain exactly one [1..1] templateId (CONF:7710) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.10" (CONF:10054).
SHALL contain exactly one [1..1] @classCode="SDLOC" (CodeSystem: RoleCode 2.16.840.1.113883.5.111 STATIC) (CONF:7758).
SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet HealthcareServiceLocation 2.16.840.1.113883.1.11.20275 STATIC (CONF:16850).
SHALL contain exactly one [1..1] templateId (CONF:7635) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.32" (CONF:10524).
SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9024).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9025).
SHALL contain at least one [1..*] id (CONF:9026).
SHALL contain exactly one [1..1] code (CONF:9027).
SHALL contain exactly one [1..1] statusCode, which SHALL be selected from ValueSet ProblemAct statusCode 2.16.840.1.113883.11.20.9.19 STATIC 2011-09-09 (CONF:9029).
The effectiveTime element records the starting and ending times during which the concern was active on the Problem List.
SHALL contain exactly one [1..1] effectiveTime (CONF:9030).
This effectiveTime SHALL contain exactly one [1..1] low (CONF:9032).
SHALL contain at least one [1..*] entryRelationship (CONF:9034) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:9035). SHALL contain exactly one [1..1] Problem Observation (templateId:2.16.840.1.113883.10.20.22.4.4) (CONF:15980).
This code SHALL contain exactly one [1..1] @code="CONC" Concern (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:19184).
SHALL contain exactly one [1..1] templateId (CONF:16772) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.3" (CONF:16773).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9041).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9042).
SHALL contain at least one [1..*] id (CONF:9043).
SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Problem Type 2.16.840.1.113883.3.88.12.3221.7.2 STATIC 2012-06-01 (CONF:9045).
SHALL contain exactly one [1..1] statusCode (CONF:9049).
SHALL contain exactly one [1..1] value with @xsi:type="CD", where the @code SHOULD be selected from ValueSet Problem Value Set 2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:9058).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19112).
SHALL contain exactly one [1..1] templateId (CONF:14926) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.4" (CONF:14927).
SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7663).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7664).
SHALL contain at least one [1..*] entryRelationship (CONF:7666) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:7667). SHALL contain exactly one [1..1] Problem Observation (templateId:2.16.840.1.113883.10.20.22.4.4) (CONF:15536).
SHALL contain exactly one [1..1] code (CONF:19147).
This code SHALL contain exactly one [1..1] @code="11535-2" Hospital discharge diagnosis (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19148).
SHALL contain exactly one [1..1] templateId (CONF:16764) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.33" (CONF:16765).
SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7671).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7672).
SHALL contain at least one [1..*] entryRelationship (CONF:7674) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:7675). SHALL contain exactly one [1..1] Problem Observation (templateId:2.16.840.1.113883.10.20.22.4.4) (CONF:15535).
SHALL contain exactly one [1..1] code (CONF:19145).
This code SHALL contain exactly one [1..1] @code="46241-6" Admission diagnosis (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19146).
SHALL contain exactly one [1..1] templateId (CONF:16747) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.34" (CONF:16748).
SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7689).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7690).
SHALL contain exactly one [1..1] code (CONF:7691).
SHALL contain at least one [1..*] entryRelationship (CONF:7692) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:7693). SHALL contain exactly one [1..1] Medication Activity (templateId:2.16.840.1.113883.10.20.22.4.16) (CONF:15525).
This code SHALL contain exactly one [1..1] @code="10183-2" Discharge medication (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19161).
SHALL contain exactly one [1..1] templateId (CONF:16760) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.35" (CONF:16761).
SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:7698).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:7699).
SHALL contain at least one [1..*] entryRelationship (CONF:7701) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:7702). SHALL contain exactly one [1..1] Medication Activity (templateId:2.16.840.1.113883.10.20.22.4.16) (CONF:15520).
SHALL contain exactly one [1..1] code (CONF:15518).
This code SHALL contain exactly one [1..1] @code="42346-7" Medications on Admission (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15519).
SHALL contain exactly one [1..1] templateId (CONF:16758) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.36" (CONF:16759).
SHALL contain exactly one [1..1] text (CONF:7713).
SHALL contain exactly one [1..1] code (CONF:14757).
This code SHALL contain exactly one [1..1] @code="51848-0" Assessments (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:14758).
SHALL contain exactly one [1..1] title (CONF:16774).
SHALL contain exactly one [1..1] templateId (CONF:7711) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.8" (CONF:10382).
SHALL contain exactly one [1..1] text (CONF:7707).
SHALL contain exactly one [1..1] code (CONF:15353).
This code SHALL contain exactly one [1..1] @code="51847-2" Assessment and Plan (CONF:15354).
SHALL contain exactly one [1..1] templateId (CONF:7705) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.9" (CONF:10381).
SHALL contain exactly one [1..1] text (CONF:7725).
SHALL contain exactly one [1..1] code (CONF:14749).
This code SHALL contain exactly one [1..1] @code="18776-5" Plan of Care (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:14750).
SHALL contain exactly one [1..1] title (CONF:16986).
SHALL contain exactly one [1..1] templateId (CONF:7723) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.10" (CONF:10435).
SHALL contain exactly one [1..1] @classCode="MANU" Manufactured Product (CodeSystem: RoleClass 2.16.840.1.113883.5.110 STATIC) (CONF:7900).
SHALL contain at least one [1..*] id (CONF:7902).
SHALL contain exactly one [1..1] playingDevice (CONF:7903).
SHALL contain exactly one [1..1] scopingEntity (CONF:7905).
This scopingEntity SHALL contain at least one [1..*] id (CONF:7908).
SHALL contain exactly one [1..1] templateId (CONF:7901) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.37" (CONF:10522).
SHALL contain exactly one [1..1] title (CONF:7808).
SHALL contain exactly one [1..1] text (CONF:7809).
SHALL contain exactly one [1..1] code (CONF:15397).
This code SHALL contain exactly one [1..1] @code="29545-1" Physical Findings (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15398).
SHALL contain exactly one [1..1] templateId (CONF:7806) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.2.10" (CONF:10465).
SHALL contain exactly one [1..1] title (CONF:7814).
SHALL contain exactly one [1..1] text (CONF:7815).
SHALL contain exactly one [1..1] code (CONF:15435).
This code SHALL contain exactly one [1..1] @code="10187-3" Review of Systems (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15436).
SHALL contain exactly one [1..1] templateId (CONF:7812) such that it SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.5.3.1.3.18" (CONF:10469).
SHALL contain exactly one [1..1] title (CONF:7818).
SHALL contain exactly one [1..1] text (CONF:7819).
SHALL contain exactly one [1..1] code (CONF:15359).
This code SHALL contain exactly one [1..1] @code="10183-2" Hospital Discharge Medications (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15360).
SHALL contain exactly one [1..1] templateId (CONF:7816) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.11" (CONF:10396).
SHALL contain exactly one [1..1] title (CONF:7824).
SHALL contain exactly one [1..1] text (CONF:7825).
SHALL contain at least one [1..*] entry (CONF:7826) such that it SHALL contain exactly one [1..1] Discharge Medication (templateId:2.16.840.1.113883.10.20.22.4.35) (CONF:15491).
SHALL contain exactly one [1..1] code (CONF:15361).
This code SHALL contain exactly one [1..1] @code="10183-2" Hospital Discharge Medications (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15362).
SHALL contain exactly one [1..1] templateId (CONF:7822) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.11.1" (CONF:10397).
SHALL contain exactly one [1..1] title (CONF:7830).
SHALL contain exactly one [1..1] text (CONF:7831).
SHALL contain exactly one [1..1] code (CONF:15474).
This code SHALL contain exactly one [1..1] @code="11348-0" History of Past Illness (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15475).
SHALL contain exactly one [1..1] templateId (CONF:7828) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.20" (CONF:10390).
SHALL contain exactly one [1..1] title (CONF:7834).
SHALL contain exactly one [1..1] text (CONF:7835).
SHALL contain exactly one [1..1] code (CONF:15451).
This code SHALL contain exactly one [1..1] @code="10154-3" Chief Complaint (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15452).
SHALL contain exactly one [1..1] templateId (CONF:7832) such that it SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1" (CONF:10453).
SHALL contain exactly one [1..1] title (CONF:7838).
SHALL contain exactly one [1..1] text (CONF:7839).
SHALL contain exactly one [1..1] code (CONF:15429).
This code SHALL contain exactly one [1..1] @code="29299-5" Reason for Visit (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15430).
SHALL contain exactly one [1..1] templateId (CONF:7836) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.12" (CONF:10448).
SHALL contain exactly one [1..1] title (CONF:7842).
SHALL contain exactly one [1..1] text (CONF:7843).
SHALL contain exactly one [1..1] code (CONF:15449).
This code SHALL contain exactly one [1..1] @code="46239-0" Chief Complaint and Reason for Visit (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15450).
SHALL contain exactly one [1..1] templateId (CONF:7840) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.13" (CONF:10383).
SHALL contain exactly one [1..1] title (CONF:7846).
SHALL contain exactly one [1..1] text (CONF:7847).
SHALL contain exactly one [1..1] code (CONF:15427).
This code SHALL contain exactly one [1..1] @code="42349-1" Reason for Referral (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15428).
SHALL contain exactly one [1..1] templateId (CONF:7844) such that it SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.5.3.1.3.1" (CONF:10468).
SHALL contain exactly one [1..1] title (CONF:7850).
SHALL contain exactly one [1..1] text (CONF:7851).
SHALL contain exactly one [1..1] code (CONF:15477).
This code SHALL contain exactly one [1..1] @code="10164-2" (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15478).
SHALL contain exactly one [1..1] templateId (CONF:7848) such that it SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.5.3.1.3.4" (CONF:10458).
SHALL contain exactly one [1..1] title (CONF:7854).
SHALL contain exactly one [1..1] text (CONF:7855).
SHALL contain exactly one [1..1] code (CONF:15487).
This code SHALL contain exactly one [1..1] @code="8648-8" Hospital Course (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15488).
SHALL contain exactly one [1..1] templateId (CONF:7852) such that it SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.5.3.1.3.5" (CONF:10459).
SHALL contain exactly one [1..1] title (CONF:7871).
SHALL contain exactly one [1..1] text (CONF:7872).
SHALL contain exactly one [1..1] code (CONF:15389).
This code SHALL contain exactly one [1..1] @code="61149-1" Objective (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15390).
SHALL contain exactly one [1..1] templateId (CONF:7869) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.21.2.1" (CONF:10462).
SHALL contain exactly one [1..1] title (CONF:7875).
SHALL contain exactly one [1..1] text (CONF:7876).
SHALL contain exactly one [1..1] code (CONF:15437).
This code SHALL contain exactly one [1..1] @code="61150-9" Subjective (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15438).
SHALL contain exactly one [1..1] templateId (CONF:7873) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.21.2.2" (CONF:10470).
SHALL contain exactly one [1..1] title (CONF:7912).
SHALL contain exactly one [1..1] text (CONF:7913).
SHALL contain exactly one [1..1] code (CONF:15365).
This code SHALL contain exactly one [1..1] @code="11493-4" Hospital Discharge Studies Summary (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15366).
SHALL contain exactly one [1..1] templateId (CONF:7910) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.16" (CONF:10398).
SHALL contain exactly one [1..1] title (CONF:7967).
SHALL contain exactly one [1..1] text (CONF:7968).
SHALL contain exactly one [1..1] code (CONF:15367).
This code SHALL contain exactly one [1..1] @code="11369-6" Immunizations (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15368).
SHALL contain exactly one [1..1] templateId (CONF:7965) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.2" (CONF:10399).
SHALL contain exactly one [1..1] title (CONF:7922).
SHALL contain exactly one [1..1] text (CONF:7923).
SHALL contain exactly one [1..1] code (CONF:14578).
This code SHALL contain exactly one [1..1] @code="47420-5" Functional Status (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:14579).
SHALL contain exactly one [1..1] templateId (CONF:7920) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.14" (CONF:10389).
SHALL contain exactly one [1..1] title (CONF:7926).
SHALL contain exactly one [1..1] text (CONF:7927).
SHALL contain exactly one [1..1] code (CONF:15395).
This code SHALL contain exactly one [1..1] @code="48768-6" Payers (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15396).
SHALL contain exactly one [1..1] templateId (CONF:7924) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.18" (CONF:10434).
SHALL contain exactly one [1..1] title (CONF:7930).
SHALL contain exactly one [1..1] text (CONF:7931).
SHALL contain exactly one [1..1] code (CONF:15340).
This code SHALL contain exactly one [1..1] @code="42348-3" Advance Directives (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15342).
SHALL contain exactly one [1..1] templateId (CONF:7928) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.21" (CONF:10376).
SHALL contain exactly one [1..1] title (CONF:7934).
SHALL contain exactly one [1..1] text (CONF:7935).
SHALL contain exactly one [1..1] code (CONF:15469).
This code SHALL contain exactly one [1..1] @code="10157-6" Family History (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15470).
SHALL contain exactly one [1..1] templateId (CONF:7932) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.15" (CONF:10388).
SHALL contain exactly one [1..1] title (CONF:7938).
SHALL contain exactly one [1..1] text (CONF:7939).
SHALL contain exactly one [1..1] code (CONF:14819).
This code SHALL contain exactly one [1..1] @code="29762-2" Social History (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:14820).
SHALL contain exactly one [1..1] templateId (CONF:7936) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.17" (CONF:10449).
SHALL contain exactly one [1..1] title (CONF:7942).
SHALL contain exactly one [1..1] text (CONF:7943).
SHALL contain exactly one [1..1] @typeCode="COMP" has component (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:14901).
SHALL contain exactly one [1..1] code (CONF:15461).
This code SHALL contain exactly one [1..1] @code="46240-8" Encounters (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15462).
SHALL contain exactly one [1..1] templateId (CONF:7940) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.22" (CONF:10386).
SHALL contain exactly one [1..1] title (CONF:7946).
SHALL contain exactly one [1..1] text (CONF:7947).
SHALL contain exactly one [1..1] code (CONF:15381).
This code SHALL contain exactly one [1..1] @code="46264-8" Medical Equipment (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15382).
SHALL contain exactly one [1..1] templateId (CONF:7944) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.23" (CONF:10404).
SHALL contain exactly one [1..1] title (CONF:7973).
SHALL contain exactly one [1..1] text (CONF:7974).
SHALL contain exactly one [1..1] code (CONF:15363).
This code SHALL contain exactly one [1..1] @code="10184-0" Hospital Discharge Physical (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15364).
SHALL contain exactly one [1..1] templateId (CONF:7971) such that it SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.5.3.1.3.26" (CONF:10460).
SHALL contain exactly one [1..1] title (CONF:7977).
SHALL contain exactly one [1..1] text (CONF:7978).
SHALL contain exactly one [1..1] code (CONF:15459).
This code SHALL contain exactly one [1..1] @code="42344-2" Discharge Diet (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15460).
SHALL contain exactly one [1..1] templateId (CONF:7975) such that it SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.5.3.1.3.33" (CONF:10455).
SHALL contain exactly one [1..1] title (CONF:7981).
SHALL contain exactly one [1..1] text (CONF:7982).
SHALL contain exactly one [1..1] code (CONF:15355).
This code SHALL contain exactly one [1..1] @code="11535-2" Hospital Discharge Diagnosis (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15356).
SHALL contain exactly one [1..1] templateId (CONF:7979) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.24" (CONF:10394).
SHALL contain exactly one [1..1] title (CONF:7987).
SHALL contain exactly one [1..1] text (CONF:7988).
SHALL contain exactly one [1..1] code (CONF:15472).
This code SHALL contain exactly one [1..1] @code="10210-3" General Status (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15473).
SHALL contain exactly one [1..1] templateId (CONF:7985) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.2.5" (CONF:10457).
SHALL contain exactly one [1..1] statusCode, which SHALL be selected from ValueSet ProcedureAct statusCode 2.16.840.1.113883.11.20.9.22 DYNAMIC (CONF:8298).
SHALL contain exactly one [1..1] code (CONF:8293).
SHALL contain at least one [1..*] id (CONF:8292).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt 2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:8290).
SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8289).
SHALL contain exactly one [1..1] templateId (CONF:8291) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.12" (CONF:10519).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt 2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:8237).
SHALL contain at least one [1..*] id (CONF:8239).
SHALL contain exactly one [1..1] statusCode, which SHALL be selected from ValueSet ProcedureAct statusCode 2.16.840.1.113883.11.20.9.22 DYNAMIC (CONF:8245).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8282).
SHALL contain exactly one [1..1] value (CONF:16846).
SHALL contain exactly one [1..1] code (CONF:19197).
SHALL contain exactly one [1..1] templateId (CONF:8238) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.13" (CONF:10520).
SHALL contain exactly one [1..1] title (CONF:8024).
SHALL contain exactly one [1..1] text (CONF:8025).
SHALL contain exactly one [1..1] code (CONF:15439).
This code SHALL contain exactly one [1..1] @code="29554-3" Surgery Description (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15440).
SHALL contain exactly one [1..1] templateId (CONF:8022) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.26" (CONF:10450).
SHALL contain exactly one [1..1] code/@code="10830-8" Complications (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:8027).
SHALL contain exactly one [1..1] title (CONF:8028).
SHALL contain exactly one [1..1] text (CONF:8029).
SHALL contain exactly one [1..1] templateId (CONF:8026) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.32" (CONF:10385).
SHALL contain exactly one [1..1] title (CONF:8032).
SHALL contain exactly one [1..1] text (CONF:8033).
SHALL contain exactly one [1..1] code (CONF:15391).
This code SHALL contain exactly one [1..1] @code="10216-0" Operative Note Fluids (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15392).
SHALL contain exactly one [1..1] templateId (CONF:8030) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.7.12" (CONF:10463).
SHALL contain exactly one [1..1] title (CONF:8036).
SHALL contain exactly one [1..1] text (CONF:8037).
SHALL contain exactly one [1..1] code (CONF:15393).
This code SHALL contain exactly one [1..1] @code="10223-6" Operative Note Surgical Procedure (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15394).
SHALL contain exactly one [1..1] templateId (CONF:8034) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.7.14" (CONF:10464).
SHALL contain exactly one [1..1] title (CONF:8040).
SHALL contain exactly one [1..1] text (CONF:8041).
SHALL contain exactly one [1..1] code (CONF:15441).
This code SHALL contain exactly one [1..1] @code="11537-8" Surgical Drains (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15442).
SHALL contain exactly one [1..1] templateId (CONF:8038) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.7.13" (CONF:10473).
SHALL contain exactly one [1..1] title (CONF:8044).
SHALL contain exactly one [1..1] text (CONF:8045).
SHALL contain exactly one [1..1] code (CONF:15371).
This code SHALL contain exactly one [1..1] @code="55122-6" Implants (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15372).
SHALL contain exactly one [1..1] templateId (CONF:8042) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.33" (CONF:10401).
SHALL contain exactly one [1..1] title (CONF:8060).
SHALL contain exactly one [1..1] text (CONF:8061).
SHALL contain exactly one [1..1] code (CONF:15419).
This code SHALL contain exactly one [1..1] @code="59768-2" Procedure Indications (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15420).
SHALL contain exactly one [1..1] templateId (CONF:8058) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.29" (CONF:10445).
SHALL contain exactly one [1..1] title (CONF:8064).
SHALL contain exactly one [1..1] text (CONF:8065).
SHALL contain exactly one [1..1] code (CONF:15411).
This code SHALL contain exactly one [1..1] @code="29554-3" Procedure Description (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15412).
SHALL contain exactly one [1..1] templateId (CONF:8062) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.27" (CONF:10442).
SHALL contain exactly one [1..1] title (CONF:8068).
SHALL contain exactly one [1..1] text (CONF:8069).
SHALL contain exactly one [1..1] code (CONF:15351).
This code SHALL contain exactly one [1..1] @code="59774-0" Anesthesia (CONF:15352).
SHALL contain exactly one [1..1] templateId (CONF:8066) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.25" (CONF:10380).
SHALL contain exactly one [1..1] title (CONF:8072).
SHALL contain exactly one [1..1] text (CONF:8073).
SHALL contain exactly one [1..1] code (CONF:15413).
This code SHALL contain exactly one [1..1] @code="59775-7" Procedure Disposition (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15414).
SHALL contain exactly one [1..1] templateId (CONF:8070) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.18.2.12" (CONF:10466).
SHALL contain exactly one [1..1] title (CONF:8076).
SHALL contain exactly one [1..1] text (CONF:8077).
SHALL contain exactly one [1..1] code (CONF:15415).
This code SHALL contain exactly one [1..1] @code="59770-8" Procedure Estimated Blood Loss (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15416).
SHALL contain exactly one [1..1] templateId (CONF:8074) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.18.2.9" (CONF:10467).
SHALL contain exactly one [1..1] title (CONF:8080).
SHALL contain exactly one [1..1] text (CONF:8081).
SHALL contain exactly one [1..1] code (CONF:15417).
This code SHALL contain exactly one [1..1] @code="59776-5" Procedure Findings (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15418).
SHALL contain exactly one [1..1] templateId (CONF:8078) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.28" (CONF:10443).
SHALL contain exactly one [1..1] title (CONF:8084).
SHALL contain exactly one [1..1] text (CONF:8085).
SHALL contain exactly one [1..1] code (CONF:15399).
This code SHALL contain exactly one [1..1] @code="59772-4" Planned Procedure (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15400).
SHALL contain exactly one [1..1] templateId (CONF:8082) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.30" (CONF:10436).
SHALL contain exactly one [1..1] title (CONF:8088).
SHALL contain exactly one [1..1] text (CONF:8089).
SHALL contain exactly one [1..1] code (CONF:15421).
This code SHALL contain exactly one [1..1] @code="59773-2" Procedure Specimens Taken (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15422).
SHALL contain exactly one [1..1] templateId (CONF:8086) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.31" (CONF:10446).
SHALL contain exactly one [1..1] title (CONF:8099).
SHALL contain exactly one [1..1] text (CONF:8100).
SHALL contain exactly one [1..1] code (CONF:15405).
This code SHALL contain exactly one [1..1] @code="10219-4" Preoperative Diagnosis (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15406).
SHALL contain exactly one [1..1] templateId (CONF:8097) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.34" (CONF:10439).
SHALL contain exactly one [1..1] title (CONF:8103).
SHALL contain exactly one [1..1] text (CONF:8104).
SHALL contain exactly one [1..1] code (CONF:15401).
This code SHALL contain exactly one [1..1] @code="10218-6" Postoperative Diagnosis (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15402).
SHALL contain exactly one [1..1] templateId (CONF:8101) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.35" (CONF:10437).
SHALL contain exactly one [1..1] title (CONF:8154).
SHALL contain exactly one [1..1] text (CONF:8155).
SHALL contain exactly one [1..1] code (CONF:15383).
This code SHALL contain exactly one [1..1] @code="29549-3" Medications Administered (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15384).
SHALL contain exactly one [1..1] templateId (CONF:8152) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.38" (CONF:10405).
SHALL contain exactly one [1..1] title (CONF:8162).
SHALL contain exactly one [1..1] text (CONF:8163).
SHALL contain exactly one [1..1] code (CONF:15379).
This code SHALL contain exactly one [1..1] @code="11329-0" Medical (General) History (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15380).
SHALL contain exactly one [1..1] templateId (CONF:8160) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.39" (CONF:10403).
SHALL contain exactly one [1..1] title (CONF:8170).
SHALL contain exactly one [1..1] text (CONF:8171).
SHALL contain exactly one [1..1] code (CONF:15403).
This code SHALL contain exactly one [1..1] @code="59769-0" Postprocedure Diagnosis (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15404).
SHALL contain exactly one [1..1] templateId (CONF:8167) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.36" (CONF:10438).
SHALL contain exactly one [1..1] title (CONF:8176).
SHALL contain exactly one [1..1] text (CONF:8177).
SHALL contain exactly one [1..1] code (CONF:15453).
This code SHALL contain exactly one [1..1] @code="55109-3" Complications (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15454).
SHALL contain exactly one [1..1] templateId (CONF:8174) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.37" (CONF:10384).
SHALL contain exactly one [1..1] title (CONF:8180).
SHALL contain exactly one [1..1] text (CONF:8181).
SHALL contain exactly one [1..1] code (CONF:15373).
This code SHALL contain exactly one [1..1] @code="59771-6" Procedure Implants (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15374).
SHALL contain exactly one [1..1] templateId (CONF:8178) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.40" (CONF:10444).
SHALL contain exactly one [1..1] componentOf (CONF:8338).
This componentOf SHALL contain exactly one [1..1] encompassingEncounter (CONF:8339).
This encompassingEncounter SHALL contain exactly one [1..1] id (CONF:8340).
This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:8341).
SHALL contain exactly one [1..1] component (CONF:8349).
A History and Physical document can have either a structuredBody or a nonXMLBody (CONF:8350).
The content of effectiveTime SHALL be a conformant US Realm Date and Time (DT.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:10135).
SHALL contain exactly one [1..1] code (CONF:17185).
This code SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet HPDocumentType 2.16.840.1.113883.1.11.20.22 DYNAMIC (CONF:17186).
SHALL contain exactly one [1..1] templateId (CONF:8283) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.3" (CONF:10046).
SHALL contain exactly one [1..1] Findings Section (DIR) (templateId:2.16.840.1.113883.10.20.6.1.2) (CONF:9484).
SHALL contain exactly one [1..1] code (CONF:14833).
SHALL contain exactly one [1..1] component (CONF:14907).
A Diagnostic Imaging Report can have either a structuredBody or a nonXMLBody (CONF:14908).
If structuredBody, the component/structuredBody SHALL conform to the section constraints below (CONF:14910).
SHALL contain exactly one [1..1] documentationOf (CONF:8416) such that it SHALL contain exactly one [1..1] serviceEvent (CONF:8431). This serviceEvent SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8430). This serviceEvent SHALL contain exactly one [1..1] code (CONF:8419).
SHALL NOT contain [0..0] informant (CONF:8410).
SHALL contain exactly one [1..1] code/@code, which SHALL be selected from ValueSet DIRDocumentTypeCodes 2.16.840.1.113883.11.20.9.32 DYNAMIC (CONF:8408).
SHALL contain exactly one [1..1] templateId (CONF:8404) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.5" (CONF:10042).
SHALL contain exactly one [1..1] templateId (CONF:8375).
SHALL contain at least one [1..*] inFulfillmentOf (CONF:8382).
Such inFulfillmentOfs SHALL contain exactly one [1..1] order (CONF:8385).
SHALL contain exactly one [1..1] componentOf (CONF:8386).
This componentOf SHALL contain exactly one [1..1] encompassingEncounter (CONF:8387).
This encompassingEncounter SHALL contain exactly one [1..1] id (CONF:8388).
This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:8389).
SHALL contain exactly one [1..1] component (CONF:8397).
A Consultation Note can have either a structuredBody or a nonXMLBody (CONF:8398).
This order SHALL contain at least one [1..*] id (CONF:9102).
SHALL contain exactly one [1..1] History of Present Illness Section (templateId:1.3.6.1.4.1.19376.1.5.3.1.3.4) (CONF:9493).
SHALL include an Assessment and Plan Section, or an Assessment Section and a Plan of Care Section (CONF:9501).
If structuredBody, the component/structuredBody SHALL conform to the section constraints below (CONF:9503).
SHALL include a Reason for Referral or Reason for Visit section (CONF:9504).
SHALL NOT include an Assessment/Plan Section when an Assessment Section and a Plan of Care Section are present (CONF:10028).
SHALL NOT include a combined Chief Complaint and Reason for Visit Section with either a Chief Complaint Section or a Reason for Visit Section (CONF:10029).
The content of effectiveTime SHALL be a conformant US Realm Date and Time (DT.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:10132).
SHALL contain exactly one [1..1] code (CONF:17176).
This code SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ConsultDocumentType 2.16.840.1.113883.11.20.9.31 DYNAMIC (CONF:17177).
This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.4" (CONF:10040).
SHALL contain exactly one [1..1] templateId/@root="2.16.840.1.113883.10.20.6.2.1" (CONF:8423).
SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8424).
SHALL contain exactly one [1..1] assignedEntity (CONF:8426).
This assignedEntity SHALL contain exactly one [1..1] code (CONF:8427).
This assignedEntity SHALL contain at least one [1..*] id (CONF:10033).
SHALL contain exactly one [1..1] templateId/@root="2.16.840.1.113883.10.20.6.2.2" (CONF:8440).
SHALL contain exactly one [1..1] @typeCode="ATND" Attender (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:8881).
SHALL contain exactly one [1..1] assignedEntity (CONF:8886).
This assignedEntity SHALL contain at least one [1..*] id (CONF:8887).
This assignedEntity SHALL contain exactly one [1..1] code (CONF:8888).
SHALL contain exactly one [1..1] documentationOf (CONF:8452).
This serviceEvent SHALL contain exactly one [1..1] @classCode="PCPR" Care Provision (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8453).
This effectiveTime SHALL contain exactly one [1..1] low (CONF:8454).
This effectiveTime SHALL contain exactly one [1..1] high (CONF:8455).
SHALL contain exactly one [1..1] assignedPerson or exactly one [1..1] representedOrganization (CONF:8456).
This documentationOf SHALL contain exactly one [1..1] serviceEvent (CONF:8480).
This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:8481).
SHALL contain at least one [1..*] author (CONF:9442).
Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:9443).
SHALL contain exactly one [1..1] code (CONF:17180).
This code SHALL contain exactly one [1..1] @code="34133-9" Summarization of Episode Note (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:17181).
SHALL contain exactly one [1..1] templateId (CONF:8450) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.2" (CONF:10038).
SHALL contain exactly one [1..1] componentOf (CONF:8471).
This componentOf SHALL contain exactly one [1..1] encompassingEncounter (CONF:8472).
This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime/low (CONF:8473).
This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime/high (CONF:8475).
A Discharge Summary can have either a structuredBody or a nonXMLBody (CONF:9537).
SHALL contain exactly one [1..1] component (CONF:9539).
SHALL contain exactly one [1..1] code (CONF:17178).
This code SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet DischargeSummaryDocumentTypeCode 2.16.840.1.113883.11.20.4.1 DYNAMIC (CONF:17179).
SHALL contain exactly one [1..1] templateId (CONF:8463) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.8" (CONF:10044).
SHALL contain at least one [1..*] documentationOf (CONF:8486).
I. The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD9 CM Procedures (CodeSystem 2.16.840.1.113883.6.104), CPT-4 (CodeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (CodeSystem 2.16.840.1.113883.6.96) ValueSet Procedure 2.16.840.1.113883.3.88.12.80.28 DYNAMIC (CONF:8487).
The serviceEvent/effectiveTime SHALL be present with effectiveTime/low (CONF:8488).
This serviceEvent SHALL contain exactly one [1..1] performer (CONF:8489) such that it SHALL contain exactly one [1..1] @typeCode="PPRF" Primary performer (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:8495). SHALL contain exactly one [1..1] assignedEntity (CONF:10917). This assignedEntity SHALL contain exactly one [1..1] code (CONF:8490).
Such documentationOfs SHALL contain exactly one [1..1] serviceEvent (CONF:8493).
This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:8494).
Any assistants SHALL be identified and SHALL be identified as secondary performers (SPRF) (CONF:8512).
SHALL contain exactly one [1..1] component (CONF:9585).
An Operative Note can have either a structuredBody or a nonXMLBody (CONF:9586).
If structuredBody, the component/structuredBody SHALL conform to the section constraints below (CONF:9596).
SHALL contain exactly one [1..1] Anesthesia Section (templateId:2.16.840.1.113883.10.20.22.2.25) (CONF:9883).
SHALL contain exactly one [1..1] Complications Section (templateId:2.16.840.1.113883.10.20.22.2.37) (CONF:9885).
SHALL contain exactly one [1..1] Preoperative Diagnosis Section (templateId:2.16.840.1.113883.10.20.22.2.34) (CONF:9888).
SHALL contain exactly one [1..1] Procedure Estimated Blood Loss Section (templateId:2.16.840.1.113883.10.20.18.2.9) (CONF:9890).
SHALL contain exactly one [1..1] Procedure Findings Section (templateId:2.16.840.1.113883.10.20.22.2.28) (CONF:9892).
SHALL contain exactly one [1..1] Procedure Specimens Taken Section (templateId:2.16.840.1.113883.10.20.22.2.31) (CONF:9894).
SHALL contain exactly one [1..1] Procedure Description Section (templateId:2.16.840.1.113883.10.20.22.2.27) (CONF:9896).
SHALL contain exactly one [1..1] Postoperative Diagnosis Section (templateId:2.16.840.1.113883.10.20.22.2.35) (CONF:9913).
If a width is not present, the serviceEvent/effectiveTime SHALL include effectiveTime/high (CONF:10058).
When only the date and the length of the procedure are known a width element SHALL be present and the serviceEvent/effectiveTime/high SHALL not be present (CONF:10060).
The content of effectiveTime SHALL be a conformant US Realm Date and Time (DT.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:10136).
SHALL contain exactly one [1..1] code (CONF:17187).
This code SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet SurgicalOperationNoteDocumentTypeCode 2.16.840.1.113883.11.20.1.1 DYNAMIC (CONF:17188).
SHALL contain exactly one [1..1] templateId (CONF:8483) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.7" (CONF:10048).
SHALL contain at least one [1..*] documentationOf (CONF:8510) such that it SHALL contain exactly one [1..1] serviceEvent (CONF:10061). This serviceEvent SHALL contain exactly one [1..1] performer (CONF:8520). This performer SHALL contain exactly one [1..1] @typeCode="PPRF" Primary Performer (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:8521). This performer SHALL contain exactly one [1..1] assignedEntity (CONF:14911). This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:10062). This effectiveTime SHALL contain exactly one [1..1] low (CONF:26449).
The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD9 CM Procedures (codeSystem 2.16.840.1.113883.6.104), CPT-4 (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:8511).
The serviceEvent/effectiveTime SHALL be present with effectiveTime/low (CONF:8513).
If a width is not present, the serviceEvent/effectiveTime SHALL include effectiveTime/high (CONF:8514).
When only the date and the length of the procedure are known a width element SHALL be present and the serviceEvent/effectiveTime/high SHALL not be present (CONF:8515).
SHALL contain exactly one [1..1] component (CONF:9588).
A Procedure Note can have either a structuredBody or a nonXMLBody (CONF:9589).
If structuredBody, the component/structuredBody SHALL conform to the section constraints below (CONF:9595).
SHALL include an Assessment and Plan Section, or an Assessment Section and a Plan Section (CONF:9643).
SHALL contain exactly one [1..1] Complications Section (templateId:2.16.840.1.113883.10.20.22.2.37) (CONF:9802).
SHALL contain exactly one [1..1] Procedure Description Section (templateId:2.16.840.1.113883.10.20.22.2.27) (CONF:9805).
SHALL contain exactly one [1..1] Procedure Indications Section (templateId:2.16.840.1.113883.10.20.22.2.29) (CONF:9807).
SHALL contain exactly one [1..1] Postprocedure Diagnosis Section (templateId:2.16.840.1.113883.10.20.22.2.36) (CONF:9850).
The content of effectiveTime SHALL be a conformant US Realm Date and Time (DT.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:10063).
SHALL NOT include an Assessment/Plan Section when an Assessment Section and a Plan of Care Section are present (CONF:10064).
SHALL NOT include a Chief Complaint and Reason for Visit Section with either a Chief Complaint Section or a Reason for Visit Section (CONF:10065).
SHALL contain exactly one [1..1] code (CONF:17182).
This code SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureNoteDocumentTypeCodes 2.16.840.1.113883.11.20.6.1 DYNAMIC (CONF:17183).
SHALL contain exactly one [1..1] templateId (CONF:8496) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.6" (CONF:10050).
SHALL contain at least one [1..*] entry (CONF:8530).
SHALL contain exactly one [1..1] code (CONF:15456).
This code SHALL contain exactly one [1..1] @code="121181" Dicom Object Catalog (CodeSystem: DCM 1.2.840.10008.2.16.4 STATIC) (CONF:15457).
Such entries SHALL contain exactly one [1..1] Study Act (templateId:2.16.840.1.113883.10.20.6.2.6) (CONF:15458).
SHALL contain exactly one [1..1] templateId (CONF:8525) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.1.1" (CONF:10454).
SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9207).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9208).
SHALL contain at least one [1..*] id (CONF:9210).
Such ids SHALL NOT contain [0..0] @extension (CONF:9211).
The @root contains the OID of the study instance UID since DICOM study ids consist only of an OID
Such ids SHALL contain exactly one [1..1] @root (CONF:9213).
SHALL contain at least one [1..*] entryRelationship (CONF:9219) such that it SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:9220). SHALL contain exactly one [1..1] Series Act (templateId:2.16.840.1.113883.10.20.22.4.63) (CONF:15937).
SHALL contain exactly one [1..1] code (CONF:19172).
This code SHALL contain exactly one [1..1] @code="113014" (CodeSystem: DCM 1.2.840.10008.2.16.4 STATIC) (CONF:19173).
SHALL contain exactly one [1..1] templateId (CONF:9209) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.6" (CONF:10533).
SHALL contain exactly one [1..1] templateId (CONF:8531) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.1.2" (CONF:10456).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8548).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:8549).
SHALL contain at least one [1..*] id (CONF:8551).
SHALL contain exactly one [1..1] statusCode (CONF:8553).
SHALL contain exactly one [1..1] code (CONF:8558).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19117).
SHALL contain exactly one [1..1] templateId (CONF:8550) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.38" (CONF:10526).
SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8538).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Plan of Care moodCode (Act/Encounter/Procedure) 2.16.840.1.113883.11.20.9.23 STATIC 2011-09-30 (CONF:8539).
SHALL contain at least one [1..*] id (CONF:8546).
SHALL contain exactly one [1..1] templateId (CONF:8544) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.39" (CONF:10510).
SHALL contain exactly one [1..1] @classCode="ENC" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8564).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Plan of Care moodCode (Act/Encounter/Procedure) 2.16.840.1.113883.11.20.9.23 STATIC 2011-09-30 (CONF:8565).
SHALL contain at least one [1..*] id (CONF:8567).
SHALL contain exactly one [1..1] templateId (CONF:8566) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.40" (CONF:10511).
SHALL contain exactly one [1..1] @classCode="PROC" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8568).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Plan of Care moodCode (Act/Encounter/Procedure) 2.16.840.1.113883.11.20.9.23 STATIC 2011-09-30 (CONF:8569).
SHALL contain at least one [1..*] id (CONF:8571).
SHALL contain exactly one [1..1] templateId (CONF:8570) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.41" (CONF:10513).
SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8572).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Plan of Care moodCode (SubstanceAdministration/Supply) 2.16.840.1.113883.11.20.9.24 STATIC 2011-09-30 (CONF:8573).
SHALL contain at least one [1..*] id (CONF:8575).
SHALL contain exactly one [1..1] templateId (CONF:8574) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.42" (CONF:10514).
SHALL contain exactly one [1..1] @classCode="SPLY" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8577).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Plan of Care moodCode (SubstanceAdministration/Supply) 2.16.840.1.113883.11.20.9.24 STATIC 2011-09-30 (CONF:8578).
SHALL contain at least one [1..*] id (CONF:8580).
SHALL contain exactly one [1..1] templateId (CONF:8579) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.43" (CONF:10515).
SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8581).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Plan of Care moodCode (Observation) 2.16.840.1.113883.11.20.9.25 STATIC 2011-09-30 (CONF:8582).
SHALL contain at least one [1..*] id (CONF:8584).
SHALL contain exactly one [1..1] templateId (CONF:8583) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.44" (CONF:10512).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8586).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:8587).
SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Problem Type 2.16.840.1.113883.3.88.12.3221.7.2 STATIC 2012-06-01 (CONF:8589).
SHALL contain exactly one [1..1] statusCode (CONF:8590).
SHALL contain exactly one [1..1] value with @xsi:type="CD", where the @code SHALL be selected from ValueSet Problem Value Set 2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:8591).
SHALL contain at least one [1..*] id (CONF:8592).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19098).
SHALL contain exactly one [1..1] templateId (CONF:8599) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.46" (CONF:10496).
SHALL contain exactly one [1..1] @classCode="CLUSTER" Cluster (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8600).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:8601).
SHALL contain exactly one [1..1] statusCode (CONF:8602).
SHALL contain at least one [1..*] component (CONF:8607).
SHALL contain exactly one [1..1] subject (CONF:8609).
This subject SHALL contain exactly one [1..1] relatedSubject (CONF:15244).
This relatedSubject SHALL contain exactly one [1..1] @classCode="PRS" Person (CodeSystem: EntityClass 2.16.840.1.113883.5.41 STATIC) (CONF:15245).
This relatedSubject SHALL contain exactly one [1..1] code (CONF:15246).
This code SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Family Member Value Set 2.16.840.1.113883.1.11.19579 DYNAMIC (CONF:15247).
Such components SHALL contain exactly one [1..1] Family History Observation (templateId:2.16.840.1.113883.10.20.22.4.46) (CONF:16888).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19099).
SHALL contain exactly one [1..1] templateId (CONF:8604) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.45" (CONF:10497).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8621).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:8622).
SHALL contain exactly one [1..1] statusCode (CONF:8625).
SHALL contain exactly one [1..1] value="419099009" Dead with @xsi:type="CD" (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:8626).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19097).
SHALL contain exactly one [1..1] code (CONF:19141).
This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:19142).
SHALL contain exactly one [1..1] templateId (CONF:8623) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.47" (CONF:10495).
SHALL contain exactly one [1..1] title (CONF:8645).
SHALL contain exactly one [1..1] text (CONF:8646).
SHALL contain at least one [1..*] entry (CONF:8647) such that it SHALL contain exactly one [1..1] Advance Directive Observation (templateId:2.16.840.1.113883.10.20.22.4.48) (CONF:15445).
SHALL contain exactly one [1..1] code (CONF:15343).
This code SHALL contain exactly one [1..1] @code="42348-3" Advance Directives (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15344).
SHALL contain exactly one [1..1] templateId (CONF:8643) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.21.1" (CONF:10377).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8648).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:8649).
SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet AdvanceDirectiveTypeCode 2.16.840.1.113883.1.11.20.2 STATIC 2006-10-17 (CONF:8651).
SHALL contain exactly one [1..1] statusCode (CONF:8652).
SHALL contain at least one [1..*] id (CONF:8654).
SHALL contain exactly one [1..1] effectiveTime (CONF:8656).
This effectiveTime SHALL contain exactly one [1..1] high (CONF:15521).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19082).
SHALL contain exactly one [1..1] templateId (CONF:8655) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.48" (CONF:10485).
SHALL contain exactly one [1..1] title (CONF:8682).
SHALL contain exactly one [1..1] text (CONF:8683).
SHALL contain exactly one [1..1] code (CONF:15377).
This code SHALL contain exactly one [1..1] @code="62387-6" Interventions Provided (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15378).
SHALL contain exactly one [1..1] templateId (CONF:8680) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.21.2.3" (CONF:10461).
SHALL contain exactly one [1..1] title (CONF:8707).
SHALL contain exactly one [1..1] text (CONF:8708).
SHALL contain at least one [1..*] entry (CONF:8709) such that it SHALL contain exactly one [1..1] Encounter Activities (templateId:2.16.840.1.113883.10.20.22.4.49) (CONF:15468).
SHALL contain exactly one [1..1] code (CONF:15466).
This code SHALL contain exactly one [1..1] @code="46240-8" Encounters (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15467).
SHALL contain exactly one [1..1] templateId (CONF:8705) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.22.1" (CONF:10387).
SHALL contain exactly one [1..1] templateId (CONF:8712) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.49" (CONF:10494). SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.49" (CONF:26353).
SHALL contain exactly one [1..1] @classCode="ENC" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8710).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:8711).
SHALL contain at least one [1..*] id (CONF:8713).
SHALL contain exactly one [1..1] effectiveTime (CONF:8715).
SHALL contain exactly one [1..1] @classCode="SPLY" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8745).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt 2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:8746).
SHALL contain at least one [1..*] id (CONF:8748).
SHALL contain exactly one [1..1] statusCode (CONF:8749).
SHALL contain exactly one [1..1] templateId (CONF:8747) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.50" (CONF:10509).
SHALL contain exactly one [1..1] @classCode="ACT" (CONF:8756).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:8757).
SHALL contain at least one [1..*] entryRelationship (CONF:8759).
Such entryRelationships SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8760).
Such entryRelationships SHALL contain exactly one [1..1] Problem Observation (templateId:2.16.840.1.113883.10.20.22.4.4) (CONF:15583).
SHALL contain exactly one [1..1] code (CONF:19151).
This code SHALL contain exactly one [1..1] @code="59769-0" Postprocedure diagnosis (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19152).
SHALL contain exactly one [1..1] templateId (CONF:16766) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.51" (CONF:16767).
SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8826).
SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt 2.16.840.1.113883.11.20.9.18 STATIC (CONF:8827).
SHALL contain at least one [1..*] id (CONF:8829).
SHALL contain exactly one [1..1] statusCode (CONF:8833).
SHALL contain exactly one [1..1] effectiveTime (CONF:8834).
SHALL contain exactly one [1..1] consumable (CONF:8847).
This consumable SHALL contain exactly one [1..1] Immunization Medication Information (templateId:2.16.840.1.113883.10.20.22.4.54) (CONF:15546).
Use negationInd="true" to indicate that the immunization was not given.
SHALL contain exactly one [1..1] @negationInd (CONF:8985).
SHALL contain exactly one [1..1] templateId (CONF:8828) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.52" (CONF:10498).
SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8872).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:8873).
SHALL contain at least one [1..*] id (CONF:8874).
SHALL contain exactly one [1..1] statusCode (CONF:8875).
SHALL contain exactly one [1..1] code (CONF:8876).
SHALL contain at least one [1..*] entryRelationship (CONF:8878) such that it SHALL contain exactly one [1..1] @typeCode="COMP" has component (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8879). SHALL contain exactly one [1..1] Policy Activity (templateId:2.16.840.1.113883.10.20.22.4.61) (CONF:15528).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19094).
This code SHALL contain exactly one [1..1] @code="48768-6" Payment sources (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19160).
SHALL contain exactly one [1..1] templateId (CONF:8897) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.60" (CONF:10492).
SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8898).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:8899).
This id is a unique identifier for the policy or program providing the coverage
SHALL contain at least one [1..*] id (CONF:8901).
SHALL contain exactly one [1..1] statusCode (CONF:8902).
SHALL contain exactly one [1..1] code (CONF:8903).
This performer represents the Payer.
SHALL contain exactly one [1..1] performer (CONF:8906) such that it SHALL contain exactly one [1..1] @typeCode (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:8907). SHALL contain exactly one [1..1] assignedEntity (CONF:8908). This assignedEntity SHALL contain at least one [1..*] id (CONF:8909). SHALL contain exactly one [1..1] templateId (CONF:16808). This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:16809).
SHALL contain exactly one [1..1] participant (CONF:8916) such that it SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:8917). SHALL contain exactly one [1..1] participantRole (CONF:8921). This participantRole SHALL contain at least one [1..*] id (CONF:8922). This participantRole SHALL contain exactly one [1..1] code (CONF:8923). SHALL contain exactly one [1..1] templateId (CONF:16812). This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:16814).
SHALL contain at least one [1..*] entryRelationship (CONF:8939) such that it SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8940).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19109).
SHALL contain exactly one [1..1] templateId (CONF:8900) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.61" (CONF:10516).
SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8944).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8945).
SHALL contain exactly one [1..1] id (CONF:8947).
SHALL contain at least one [1..*] entryRelationship (CONF:8948) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8949).
SHALL contain exactly one [1..1] templateId (CONF:8946) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.1.19" (CONF:10529).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8991).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:8992).
SHALL contain at least one [1..*] id (CONF:8994).
SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet No Immunization Reason Value Set 2.16.840.1.113883.1.11.19717 DYNAMIC (CONF:8995).
SHALL contain exactly one [1..1] statusCode (CONF:8996).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19104).
SHALL contain exactly one [1..1] templateId (CONF:8993) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.53" (CONF:10500).
SHALL contain exactly one [1..1] @classCode="MANU" (CodeSystem: RoleClass 2.16.840.1.113883.5.110 STATIC) (CONF:9002).
SHALL contain exactly one [1..1] manufacturedMaterial (CONF:9006).
This manufacturedMaterial SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Vaccine Administered Value Set 2.16.840.1.113883.3.88.12.80.22 DYNAMIC (CONF:9007).
SHALL contain exactly one [1..1] templateId (CONF:9004) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.54" (CONF:10499).
SHALL contain exactly one [1..1] title (CONF:9017).
SHALL contain exactly one [1..1] text (CONF:9018).
SHALL contain at least one [1..*] entry (CONF:9019) such that it SHALL contain exactly one [1..1] Immunization Activity (templateId:2.16.840.1.113883.10.20.22.4.52) (CONF:15495).
SHALL contain exactly one [1..1] code (CONF:15369).
This code SHALL contain exactly one [1..1] @code="11369-6" Immunizations (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15370).
SHALL contain exactly one [1..1] templateId (CONF:9015) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.2.1" (CONF:10400).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9057).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9072).
SHALL contain exactly one [1..1] statusCode (CONF:9074).
SHALL contain exactly one [1..1] value with @xsi:type="CD", where the @code SHALL be selected from ValueSet HealthStatus 2.16.840.1.113883.1.11.20.12 DYNAMIC (CONF:9075).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19103).
SHALL contain exactly one [1..1] code (CONF:19143).
This code SHALL contain exactly one [1..1] @code="11323-3" Health status (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19144).
SHALL contain exactly one [1..1] templateId (CONF:16756) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.5" (CONF:16757).
SHALL contain exactly one [1..1] code with @xsi:type="CD" (CONF:9190).
SHALL contain exactly one [1..1] subject (CONF:9191).
The name element is used to store the DICOM fetus ID, typically a pseudonym such as fetus_1.
This subject SHALL contain exactly one [1..1] name (CONF:15347).
This code SHALL contain exactly one [1..1] @code="121026" (CodeSystem: DCM 1.2.840.10008.2.16.4 STATIC) (CONF:19129).
SHALL contain exactly one [1..1] templateId (CONF:9189) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.3" (CONF:10535).
The id element contains the author's id or the DICOM device observer UID
SHALL contain at least one [1..*] id (CONF:9196).
SHALL contain exactly one [1..1] templateId (CONF:9194) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.4" (CONF:10536).
SHALL contain exactly one [1..1] code (CONF:9201).
SHALL contain exactly one [1..1] templateId (CONF:9200) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.5" (CONF:10530).
SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9222).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9223).
SHALL contain at least one [1..*] id (CONF:9224).
The @root contains the OID of the study instance UID since DICOM study ids consist only of an OID
Such ids SHALL contain exactly one [1..1] @root (CONF:9225).
Such ids SHALL NOT contain [0..0] @extension (CONF:9226).
SHALL contain at least one [1..*] entryRelationship (CONF:9237) such that it SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:9238). SHALL contain exactly one [1..1] SOP Instance Observation (templateId:2.16.840.1.113883.10.20.6.2.8) (CONF:15927).
SHALL contain exactly one [1..1] code (CONF:19166).
This code SHALL contain exactly one [1..1] @code="113015" (CodeSystem: DCM 1.2.840.10008.2.16.4 STATIC) (CONF:19167).
SHALL contain exactly one [1..1] templateId (CONF:10918) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.63" (CONF:10919).
SHALL contain exactly one [1..1] @classCode="DGIMG" Diagnostic Image (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9240).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9241).
The @root contains an OID representing the DICOM SOP Instance UID
SHALL contain at least one [1..*] id (CONF:9242).
SHALL contain exactly one [1..1] code (CONF:9244).
This code SHALL contain exactly one [1..1] @code (CONF:19225).
@code is an OID for a valid SOP class name UID (CONF:19226).
This code SHALL contain exactly one [1..1] @codeSystem="1.2.840.10008.2.6.1" DCMUID (CONF:19227).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9264).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9265).
SHALL contain exactly one [1..1] code (CONF:9267).
SHALL contain exactly one [1..1] templateId (CONF:9266) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.9" (CONF:10531).
SHALL contain exactly one [1..1] @classCode="ROIBND" Bounded Region of Interest (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9276).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9277).
SHALL contain exactly one [1..1] entryRelationship (CONF:9279).
This entryRelationship SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:9280).
This entryRelationship SHALL contain exactly one [1..1] Boundary Observation (templateId:2.16.840.1.113883.10.20.6.2.11) (CONF:15923).
SHALL contain exactly one [1..1] code (CONF:19164).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9282).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9283).
SHALL contain exactly one [1..1] code (CONF:9284).
Each number represents a frame for display.
SHALL contain at least one [1..*] value with @xsi:type="INT" (CONF:9285).
This code SHALL contain exactly one [1..1] @code="113036" Frames for Display (CodeSystem: DCM 1.2.840.10008.2.16.4 STATIC) (CONF:19157).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:9288).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9289).
SHALL contain exactly one [1..1] code (CONF:9291).
SHALL contain exactly one [1..1] value with @xsi:type="ED" (CONF:9292).
SHALL contain exactly one [1..1] templateId (CONF:9290) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.12" (CONF:10534).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9304).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9305).
SHALL contain exactly one [1..1] value (CONF:9308).
SHALL contain exactly one [1..1] templateId (CONF:15523).
SHALL contain exactly one [1..1] code (CONF:19181).
This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.13" (CONF:15524).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9317).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9318).
The value set of the observation/code includes numeric measurement types for linear dimensions, areas, volumes, and other numeric measurements. This value set is extensible and comprises the union of SNOMED codes for observable entities as reproduced in DIRQuantityMeasurementTypeCodes (ValueSet: 2.16.840.1.113883.11.20.9.29) and DICOM Codes in DICOMQuantityMeasurementTypeCodes (ValueSet: 2.16.840.1.113883.11.20.9.30).
SHALL contain exactly one [1..1] code (CONF:9320).
SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:9324).
SHALL contain exactly one [1..1] templateId (CONF:9319) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.14" (CONF:10532).
SHALL contain exactly one [1..1] name (CONF:9368).
The content of name SHALL be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:9371).
The string SHALL NOT contain name parts (CONF:9372).
SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:9425).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:9426).
SHALL contain exactly one [1..1] code (CONF:9428).
SHALL contain exactly one [1..1] text (CONF:9430).
This text SHALL contain exactly one [1..1] reference/@value (CONF:9431).
This text SHALL contain exactly one [1..1] reference (CONF:15967).
This reference SHALL contain exactly one [1..1] @value (CONF:15968).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15969).
This code SHALL contain exactly one [1..1] @code="48767-8" Annotation Comment (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19159).
SHALL contain exactly one [1..1] templateId (CONF:9427) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.64" (CONF:10491).
SHALL contain exactly one [1..1] title (CONF:9921).
SHALL contain exactly one [1..1] text (CONF:9922).
SHALL contain exactly one [1..1] code (CONF:15357).
This code SHALL contain exactly one [1..1] @code="8653-8" Hospital Discharge Instructions (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15358).
SHALL contain exactly one [1..1] templateId (CONF:9919) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.41" (CONF:10395).
SHALL contain exactly one [1..1] title (CONF:9917).
SHALL contain exactly one [1..1] text (CONF:9918).
SHALL contain exactly one [1..1] code (CONF:15485).
This code SHALL contain exactly one [1..1] @code="18841-7" Hospital Consultations Section (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15486).
SHALL contain exactly one [1..1] templateId (CONF:9915) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.42" (CONF:10393).
SHALL contain exactly one [1..1] title (CONF:9932).
SHALL contain exactly one [1..1] text (CONF:9933).
SHALL contain exactly one [1..1] code (CONF:15479).
This code SHALL contain exactly one [1..1] @code="46241-6" Hospital Admission Diagnosis (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15480).
SHALL contain exactly one [1..1] templateId (CONF:9930) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.43" (CONF:10391).
SHALL be precise to the day (CONF:10078).
SHALL contain exactly one [1..1] @classCode="ACT" (CONF:10090).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:10091).
SHALL contain at least one [1..*] entryRelationship (CONF:10093).
Such entryRelationships SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:10094).
Such entryRelationships SHALL contain exactly one [1..1] Problem Observation (templateId:2.16.840.1.113883.10.20.22.4.4) (CONF:15605).
SHALL contain exactly one [1..1] code (CONF:19155).
This code SHALL contain exactly one [1..1] @code="10219-4" Preoperative Diagnosis (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19156).
SHALL contain exactly one [1..1] templateId (CONF:16770) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.65" (CONF:16771).
SHALL contain exactly one [1..1] title (CONF:10100).
SHALL contain exactly one [1..1] text (CONF:10101).
SHALL contain exactly one [1..1] code (CONF:15482).
This code SHALL contain exactly one [1..1] @code="42346-7" Medications on Admission (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15483).
SHALL contain exactly one [1..1] templateId (CONF:10098) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.44" (CONF:10392).
SHALL contain exactly one [1..1] title (CONF:10114).
SHALL contain exactly one [1..1] text (CONF:10115).
SHALL contain exactly one [1..1] code (CONF:15375).
This code SHALL contain exactly one [1..1] @code="69730-0" Instructions (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:15376).
SHALL contain exactly one [1..1] templateId (CONF:10112) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.45" (CONF:10402).
SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:13905).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:13906).
SHALL contain at least one [1..*] id (CONF:13907).
SHALL contain exactly one [1..1] code (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:13908).
SHALL contain exactly one [1..1] statusCode (CONF:13929).
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)
SHALL contain exactly one [1..1] effectiveTime (CONF:13930).
SHALL contain exactly one [1..1] value (CONF:13932).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19101).
This code SHALL contain zero or one [0..1] @code, which SHOULD be selected from CodeSystem LOINC (2.16.840.1.113883.6.1) STATIC (CONF:26448).
SHALL contain exactly one [1..1] templateId (CONF:13889) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.67" (CONF:13890).
SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14219).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14220).
SHALL contain at least one [1..*] id (CONF:14223).
SHALL contain at least one [1..*] participant (CONF:14227).
Such participants SHALL contain exactly one [1..1] participantRole (CONF:14228).
This participantRole SHALL contain exactly one [1..1] @classCode="CAREGIVER" (CONF:14229).
SHALL contain exactly one [1..1] code (CONF:14230).
SHALL contain exactly one [1..1] statusCode (CONF:14233).
SHALL contain exactly one [1..1] value (CONF:14599).
Where the @code SHALL be selected from LOINC (codeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:14600).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19090).
SHALL contain exactly one [1..1] templateId (CONF:14221) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.72" (CONF:14222).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14249).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14250).
SHALL contain exactly one [1..1] statusCode (CONF:14254).
SHALL contain at least one [1..*] id (CONF:14257).
Represents clinically effective time of the measurement, which may be the time the measurement was performed (e.g., a BP measurement), or may be the time the sample was taken (and measured some time afterwards).
SHALL contain exactly one [1..1] effectiveTime (CONF:14261).
SHALL contain exactly one [1..1] value (CONF:14263).
SHALL contain exactly one [1..1] code (CONF:14591).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19092).
SHALL contain exactly one [1..1] templateId (CONF:14255) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.74" (CONF:14256).
SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14282).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14283).
SHALL contain at least one [1..*] id (CONF:14284).
SHALL contain exactly one [1..1] statusCode (CONF:14286).
SHALL contain exactly one [1..1] value with @xsi:type="CD", where the @code SHOULD be selected from ValueSet Problem Value Set 2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:14291).
SHALL contain exactly one [1..1] code (CONF:14314).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19100).
SHALL contain exactly one [1..1] templateId (CONF:14312) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.68" (CONF:14313).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14319).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14320).
SHALL contain at least one [1..*] id (CONF:14321).
SHALL contain exactly one [1..1] statusCode (CONF:14323).
SHALL contain exactly one [1..1] value with @xsi:type="CD", where the @code SHOULD be selected from ValueSet Problem Value Set 2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:14349).
SHALL contain exactly one [1..1] code (CONF:14804).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19091).
SHALL contain exactly one [1..1] templateId (CONF:14346) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.73" (CONF:14347).
SHALL contain exactly one [1..1] @classCode="CLUSTER", which SHALL be selected from CodeSystem HL7ActClass (2.16.840.1.113883.5.6) STATIC (CONF:14355).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14357).
SHALL contain exactly one [1..1] statusCode (CONF:14358).
SHALL contain at least one [1..*] component (CONF:14359) such that it SHALL contain exactly one [1..1] Functional Status Result Observation (templateId:2.16.840.1.113883.10.20.22.4.67) (CONF:14368).
SHALL contain at least one [1..*] id (CONF:14363).
SHALL contain exactly one [1..1] code (CONF:14364).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19102).
SHALL contain exactly one [1..1] templateId (CONF:14361) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.66" (CONF:14362).
SHALL contain exactly one [1..1] @classCode="CLUSTER", which SHALL be selected from CodeSystem HL7ActClass (2.16.840.1.113883.5.6) STATIC (CONF:14369).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14371).
SHALL contain exactly one [1..1] statusCode (CONF:14372).
SHALL contain at least one [1..*] component (CONF:14373) such that it SHALL contain exactly one [1..1] Cognitive Status Result Observation (templateId:2.16.840.1.113883.10.20.22.4.74) (CONF:14381).
SHALL contain at least one [1..*] id (CONF:14377).
SHALL contain exactly one [1..1] code (CONF:14378).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19093).
SHALL contain exactly one [1..1] templateId (CONF:14375) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.75" (CONF:14376).
SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14383).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14384).
SHALL contain at least one [1..*] id (CONF:14389).
SHALL contain exactly one [1..1] statusCode (CONF:14394).
SHALL contain exactly one [1..1] effectiveTime (CONF:14395).
SHALL contain exactly one [1..1] value with @xsi:type="CD", where the @code SHOULD be selected from ValueSet Pressure Ulcer Stage 2.16.840.1.113883.11.20.9.35 STATIC (CONF:14396).
SHALL contain exactly one [1..1] code (CONF:14759).
This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:14760).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19111).
SHALL contain exactly one [1..1] templateId (CONF:14387) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.70" (CONF:14388).
SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14434).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14435).
SHALL contain at least one [1..*] id (CONF:14438).
SHALL contain exactly one [1..1] code (CONF:14439).
SHALL contain exactly one [1..1] statusCode (CONF:14444).
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)
SHALL contain exactly one [1..1] effectiveTime (CONF:14445).
SHALL contain exactly one [1..1] value (CONF:14450).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19088).
SHALL contain exactly one [1..1] templateId (CONF:14436) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.69" (CONF:14437).
SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14705).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14706).
SHALL contain at least one [1..*] id (CONF:14709).
SHALL contain exactly one [1..1] statusCode (CONF:14714).
SHALL contain exactly one [1..1] effectiveTime (CONF:14715).
SHALL contain exactly one [1..1] entryRelationship (CONF:14718).
This entryRelationship SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:14719).
This entryRelationship SHALL contain exactly one [1..1] observation (CONF:14720).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14721).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14722).
This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the @code SHOULD be selected from ValueSet Pressure Ulcer Stage 2.16.840.1.113883.11.20.9.35 STATIC (CONF:14725).
SHALL contain exactly one [1..1] code (CONF:14767).
This code SHALL contain exactly one [1..1] @code="2264892003" number of pressure ulcers (CONF:14768).
SHALL contain exactly one [1..1] value with @xsi:type="INT" (CONF:14771).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19108).
SHALL contain exactly one [1..1] templateId (CONF:14707) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.76" (CONF:14708).
SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14726).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14727).
SHALL contain at least one [1..*] id (CONF:14730).
SHALL contain exactly one [1..1] code (CONF:14731).
This code SHALL contain exactly one [1..1] @code="420905001" Highest Pressure Ulcer Stage (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:14732).
SHALL contain exactly one [1..1] value (CONF:14733).
SHALL contain exactly one [1..1] templateId (CONF:14728) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.77" (CONF:14729).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:16558).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:16559).
SHALL contain exactly one [1..1] statusCode (CONF:16561).
SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:16562).
This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Tobacco Use 2.16.840.1.113883.11.20.9.41 DYNAMIC (CONF:16563).
SHALL contain exactly one [1..1] effectiveTime (CONF:16564).
This effectiveTime SHALL contain exactly one [1..1] low (CONF:16565).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19118).
SHALL contain exactly one [1..1] code (CONF:19174).
This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:19175).
SHALL contain exactly one [1..1] templateId (CONF:16566) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.85" (CONF:16567).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14806).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14807).
SHALL contain exactly one [1..1] statusCode (CONF:14809).
SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:14810).
SHALL contain exactly one [1..1] effectiveTime (CONF:14814).
This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Smoking Status 2.16.840.1.113883.11.20.9.38 STATIC (CONF:14817).
This effectiveTime SHALL contain exactly one [1..1] low (CONF:14818).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19116).
SHALL contain exactly one [1..1] code (CONF:19170).
This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:19171).
SHALL contain exactly one [1..1] templateId (CONF:14815) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.78" (CONF:14816).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14851).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14852).
SHALL contain exactly one [1..1] code (CONF:14853).
SHALL contain exactly one [1..1] statusCode (CONF:14854).
SHALL contain exactly one [1..1] effectiveTime (CONF:14855).
SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:14857).
SHALL contain at least one [1..*] id (CONF:14873).
This effectiveTime SHALL contain exactly one [1..1] low (CONF:14874).
This value SHALL contain exactly one [1..1] @code="419099009" Dead (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:15142).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19095).
This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:19135).
SHALL contain exactly one [1..1] templateId (CONF:14871) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.79" (CONF:14872).
SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14889).
SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14890).
SHALL contain at least one [1..*] entryRelationship (CONF:14892) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:14893). SHALL contain exactly one [1..1] Problem Observation (templateId:2.16.840.1.113883.10.20.22.4.4) (CONF:14898).
SHALL contain exactly one [1..1] code (CONF:19182).
This code SHALL contain exactly one [1..1] @code="29308-4" Diagnosis (CodeSystem: LOINC 2.16.840.1.113883.6.1 STATIC) (CONF:19183).
SHALL contain exactly one [1..1] templateId (CONF:14895) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.80" (CONF:14896).
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:16715).
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:16716).
SHALL contain exactly one [1..1] statusCode (CONF:16720).
SHALL contain at least one [1..*] id (CONF:16724).
SHALL contain at least one [1..*] value (CONF:16754).
This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19089).
SHALL contain exactly one [1..1] code (CONF:19178).
This code SHALL contain exactly one [1..1] @code (CONF:19179).
Such that the @code SHALL be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) and represents components of the scale (CONF:19180).
SHALL contain exactly one [1..1] templateId (CONF:16722) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.86" (CONF:16723).
SHOULD contain zero or one [0..1] effectiveTime (CONF:2018).
Can either be a locally defined name or the display name corresponding to clinicalDocument/code (CONF:5255).
SHOULD be precise to day (CONF:5300).
This patient SHOULD contain zero or one [0..1] maritalStatusCode, which SHALL be selected from ValueSet Marital Status Value Set 2.16.840.1.113883.1.11.12212 DYNAMIC (CONF:5303).
The guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet PersonalRelationshipRoleType 2.16.840.1.113883.1.11.19563 DYNAMIC (CONF:5326).
The guardian, if present, SHOULD contain zero or more [0..*] addr (CONF:5359).
Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) 2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:5375).
The guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:5385).
This guardianPerson SHALL contain at least one [1..*] name (CONF:5386).
The birthplace, if present, SHALL contain exactly one [1..1] place (CONF:5396).
This place SHALL contain exactly one [1..1] addr (CONF:5397).
If country is US, this addr SHALL contain exactly one [1..1] state, which SHALL be selected from ValueSet 2.16.840.1.113883.3.88.12.80.1 StateValueSet DYNAMIC (CONF:5402).
This addr SHOULD contain zero or one [0..1] country, which SHALL be selected from ValueSet CountryValueSet 2.16.840.1.113883.3.88.12.80.63 DYNAMIC (CONF:5404).
This patient SHOULD contain zero or more [0..*] languageCommunication (CONF:5406).
The languageCommunication, if present, SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language 2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:5407).
The providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:5417).
The providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:5419).
The providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:5420).
The providerOrganization, if present, SHALL contain at least one [1..*] addr (CONF:5422).
This assignedAuthor SHOULD contain zero or one [0..1] assignedPerson (CONF:5430).
The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:5442).
This assignedEntity SHALL contain at least one [1..*] id (CONF:5443).
This assignedEntity SHALL contain at least one [1..*] addr (CONF:5460).
This assignedEntity SHALL contain at least one [1..*] telecom (CONF:5466).
This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:5469).
This assignedPerson SHALL contain at least one [1..*] name (CONF:5470).
The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:5566).
The informationRecipient, if present, SHALL contain at least one [1..*] name (CONF:5568).
The receivedOrganization, if present, SHALL contain exactly one [1..1] name (CONF:5578).
SHOULD contain zero or one [0..1] legalAuthenticator (CONF:5579).
The legalAuthenticator, if present, SHALL contain exactly one [1..1] time (CONF:5580).
The legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:5583).
This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: Participationsignature 2.16.840.1.113883.5.89 STATIC) (CONF:5584).
The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:5585).
This assignedEntity SHALL contain at least one [1..*] id (CONF:5586).
This assignedEntity SHALL contain at least one [1..*] addr (CONF:5589).
This assignedEntity SHALL contain at least one [1..*] telecom (CONF:5595).
This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:5597).
This assignedPerson SHALL contain at least one [1..*] name (CONF:5598).
The authenticator, if present, SHALL contain exactly one [1..1] time (CONF:5608).
The authenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:5610).
This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: Participationsignature 2.16.840.1.113883.5.89 STATIC) (CONF:5611).
The authenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:5612).
This assignedEntity SHALL contain at least one [1..*] id (CONF:5613).
This assignedEntity SHALL contain at least one [1..*] addr (CONF:5616).
This assignedEntity SHALL contain at least one [1..*] telecom (CONF:5622).
This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:5624).
This assignedPerson SHALL contain at least one [1..*] name (CONF:5625).
The telecom, if present, SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) 2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:7993).
Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) 2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:7994).
Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) 2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:7995).
Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) 2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:7996).
This telecom SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) 2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:7998).
Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) 2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:7999).
Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) 2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:8000).
The informant, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:8002).
This assignedEntity SHALL contain at least one [1..*] addr (CONF:8220).
This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:8221).
This assignedPerson SHALL contain at least one [1..*] name (CONF:8222).
This assignedEntity SHALL contain at least one [1..*] id (CONF:9945).
If assignedEntity/id is a provider then this id, SHOULD include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:9946).
The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:9953).
This order SHALL contain at least one [1..*] id (CONF:9954).
The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:9956).
This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:9958).
This encompassingEncounter SHALL contain at least one [1..*] id (CONF:9959).
The languageCommunication, if present, SHOULD contain zero or one [0..1] proficiencyLevelCode, which SHALL be selected from ValueSet LanguageAbilityProficiency 2.16.840.1.113883.1.11.12199 DYNAMIC (CONF:9965).
This id SHALL be a globally unique identifier for the document (CONF:9991).
This code SHALL specify the particular kind of document (e.g. History and Physical, Discharge Summary, Progress Note) (CONF:9992).
Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:10007).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10413).
The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) (CONF:10414).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10415).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10417).
The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) (CONF:10418).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10419).
The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) (CONF:10420).
The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) (CONF:10424).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10425).
The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) (CONF:10427).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10429).
The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) (CONF:10430).
The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:14836).
This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:14837).
This effectiveTime SHALL contain exactly one [1..1] low (CONF:14838).
This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:14839).
The performer, if present, SHALL contain exactly one [1..1] @typeCode (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:14840).
The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:14841).
This assignedEntity SHOULD contain zero or one [0..1] code (CONF:14842).
The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from CodeSystem NUCCProviderTaxonomy (2.16.840.1.113883.6.101) STATIC (CONF:14843).
This assignedEntity SHALL contain at least one [1..*] id (CONF:14846).
Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:14847).
This assignedAuthor SHOULD contain zero or one [0..1] assignedAuthoringDevice (CONF:16783).
The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] manufacturerModelName (CONF:16784).
The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] softwareName (CONF:16785).
This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:16787).
The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) 2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:16788).
The assignedPerson, if present, SHALL contain at least one [1..*] name (CONF:16789).
The functionCode, if present, SHOULD contain zero or one [0..1] @codeSystem, which SHOULD be selected from CodeSystem participationFunction (2.16.840.1.113883.5.88) STATIC (CONF:16819).
Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:16820).
Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:16821).
Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:16822).
Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:16824).
The content SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) (CONF:16872).
The content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:16873).
The content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:16874).
SHOULD contain zero or more [0..*] entry (CONF:7119) such that it SHALL contain exactly one [1..1] Result Organizer (templateId:2.16.840.1.113883.10.20.22.4.1) (CONF:15515).
SHOULD contain zero or more [0..*] entry (CONF:7271) such that it SHALL contain exactly one [1..1] Vital Signs Organizer (templateId:2.16.840.1.113883.10.20.22.4.26) (CONF:15517).
SHOULD contain zero or more [0..*] entry (CONF:7804) such that it SHALL contain exactly one [1..1] Allergy Problem Act (templateId:2.16.840.1.113883.10.20.22.4.30) (CONF:15444).
SHOULD contain zero or one [0..1] text (CONF:7501).
SHOULD contain zero or one [0..1] effectiveTime (CONF:7513) such that it SHALL contain exactly one [1..1] @operator="A" (CONF:9106).
SHOULD contain zero or one [0..1] doseQuantity (CONF:7516).
The rateQuantity, if present, SHALL contain exactly one [1..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive 2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:7525).
The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive 2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:7526).
SHALL contain exactly one [1..1] @xsi:type=?PIVL_TS? or ?EIVL_TS? (CONF:9105).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15977).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15978).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15979).
SHOULD contain zero or more [0..*] entry (CONF:7881).
The entry, if present, SHALL contain exactly one [1..1] Problem Concern Act (Condition) (templateId:2.16.840.1.113883.10.20.22.4.3) (CONF:15505).
SHOULD contain zero or one [0..1] @classCode="CLUSTER" Cluster (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) OR SHOULD contain zero or one [0..1] @classCode="BATTERY" Battery (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:7165).
SHOULD be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) or SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and MAY be selected from CPT-4 (codeSystem 2.16.840.1.113883.6.12) (CONF:19218).
SHOULD contain zero or one [0..1] text (CONF:7138).
SHOULD contain zero or more [0..*] interpretationCode (CONF:7147).
SHOULD contain zero or more [0..*] referenceRange (CONF:7150).
The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:7151).
This observationRange SHALL NOT contain [0..0] code (CONF:7152).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15924).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15925).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15926).
SHOULD be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:19211).
The second occurrence of given (given[2]) if provided, SHALL include middle name or middle initial (CONF:7163).
SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse 2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:7290).
SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet 2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:7293).
SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCodeValueSet 2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:7294).
SHOULD contain zero or one [0..1] country, which SHALL be selected from ValueSet CountryValueSet 2.16.840.1.113883.3.88.12.80.63 DYNAMIC (CONF:7295).
State is required if the country is US. If country is not specified, its assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:10024).
PostalCode is required if the country is US. If country is not specified, its assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:10025).
SHOULD contain zero or one [0..1] text (CONF:7302).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15943).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15944).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15945).
SHOULD contain zero or one [0..1] text (CONF:7330).
SHOULD contain zero or one [0..1] effectiveTime (CONF:7332).
The effectiveTime, if present, SHOULD contain zero or one [0..1] low (CONF:7333).
The effectiveTime, if present, SHOULD contain zero or one [0..1] high (CONF:7334).
SHOULD contain zero or one [0..1] entryRelationship (CONF:7580) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:7581). SHALL contain exactly one [1..1] @inversionInd="true" TRUE (CONF:10375). SHALL contain exactly one [1..1] Severity Observation (templateId:2.16.840.1.113883.10.20.22.4.8) (CONF:15922).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15917).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15918).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15919).
SHOULD contain zero or one [0..1] text (CONF:7350).
SHOULD contain zero or more [0..*] interpretationCode (CONF:9117).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15928).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15929).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15930).
The interpretationCode, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Observation Interpretation (HL7) 2.16.840.1.113883.1.11.78 DYNAMIC (CONF:16038).
SHOULD contain zero or one [0..1] text (CONF:7362).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15593).
The reference, if present, SHALL contain exactly one [1..1] @value (CONF:15594).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15595).
SHOULD contain zero or one [0..1] value with @xsi:type="CD" (CONF:7369).
SHOULD contain zero or one [0..1] code (CONF:16854).
SHOULD contain zero or more [0..*] participant (CONF:16318).
The participant, if present, SHALL contain exactly one [1..1] @typeCode="CSM" Consumable (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:16319).
The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:16320).
This participantRole SHALL contain exactly one [1..1] @classCode="MANU" Manufactured Product (CodeSystem: RoleClass 2.16.840.1.113883.5.110 STATIC) (CONF:16321).
This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:16322).
This playingEntity SHALL contain exactly one [1..1] @classCode="MMAT" Manufactured Material (CodeSystem: EntityClass 2.16.840.1.113883.5.41 STATIC) (CONF:16323).
This playingEntity SHALL contain exactly one [1..1] code (CONF:16324).
In an allergy to a specific medication the code SHALL be selected from the ValueSet 2.16.840.1.113883.3.88.12.80.16 Medication Brand Name DYNAMIC or the ValueSet 2.16.840.1.113883.3.88.12.80.17 Medication Clinical Drug DYNAMIC (CONF:16325).
This code SHOULD contain zero or one [0..1] originalText (CONF:16326).
The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:16327).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:16328).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:16329).
In an allergy to a class of medications the code SHALL be selected from the ValueSet 2.16.840.1.113883.3.88.12.80.18 Medication Drug Class DYNAMIC (CONF:16331).
In an allergy to a food or other substance the code SHALL be selected from the ValueSet 2.16.840.1.113883.3.88.12.80.20 Ingredient Name DYNAMIC (CONF:16332).
SHOULD contain zero or more [0..*] entryRelationship (CONF:16337) such that it SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:16338). SHALL contain exactly one [1..1] @typeCode="MFST" Is Manifestation of (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:16339). SHALL contain exactly one [1..1] Reaction Observation (templateId:2.16.840.1.113883.10.20.22.4.9) (CONF:16340).
SHOULD contain zero or one [0..1] participant (CONF:7402) such that it SHALL contain exactly one [1..1] @typeCode="CSM" Consumable (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:7403). SHALL contain exactly one [1..1] participantRole (CONF:7404). This participantRole SHALL contain exactly one [1..1] @classCode="MANU" Manufactured Product (CodeSystem: RoleClass 2.16.840.1.113883.5.110 STATIC) (CONF:7405). This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:7406). This playingEntity SHALL contain exactly one [1..1] @classCode="MMAT" Manufactured Material (CodeSystem: EntityClass 2.16.840.1.113883.5.41 STATIC) (CONF:7407). This playingEntity SHALL contain exactly one [1..1] code (CONF:7419).
In an allergy to a specific medication the code SHALL be selected from the ValueSet 2.16.840.1.113883.3.88.12.80.16 Medication Brand Name DYNAMIC or the ValueSet 2.16.840.1.113883.3.88.12.80.17 Medication Clinical Drug DYNAMIC (CONF:7421).
This value SHOULD contain zero or one [0..1] originalText (CONF:7422).
SHOULD contain zero or more [0..*] entryRelationship (CONF:7447) such that it SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:7449). SHALL contain exactly one [1..1] @typeCode="MFST" Is Manifestation of (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:7907). SHALL contain exactly one [1..1] Reaction Observation (templateId:2.16.840.1.113883.10.20.22.4.9) (CONF:15955).
If it is unknown when the allergy began, this effectiveTime SHALL contain low/@nullFLavor="UNK" (CONF:9103).
SHOULD contain zero or one [0..1] entryRelationship (CONF:9961) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:9962). SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:9964). SHALL contain exactly one [1..1] Severity Observation (templateId:2.16.840.1.113883.10.20.22.4.8) (CONF:15956).
If the allergy is no longer a concern, this effectiveTime MAY contain zero or one [0..1] high (CONF:10082).
In an allergy to a class of medications the code SHALL be selected from the ValueSet 2.16.840.1.113883.3.88.12.80.18 Medication Drug Class DYNAMIC (CONF:10083).
In an allergy to a food or other substance the code SHALL be selected from the ValueSet 2.16.840.1.113883.3.88.12.80.20 Ingredient Name DYNAMIC (CONF:10084).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15950).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15951).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15953).
This code SHOULD contain zero or one [0..1] originalText (CONF:7424).
The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:7425).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15952).
SHOULD contain zero or one [0..1] text (CONF:7395).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15577).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15578).
This @value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15579).
This code SHOULD contain zero or one [0..1] originalText (CONF:7413).
The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:15986).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15987).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15988).
SHOULD contain zero or one [0..1] repeatNumber (CONF:7434).
SHOULD contain zero or one [0..1] quantity (CONF:7436).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:7444).
The entryRelationship, if present, SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:7445).
SHOULD contain zero or one [0..1] effectiveTime (CONF:15143) such that it SHALL contain exactly one [1..1] high (CONF:15144).
The entryRelationship, if present, SHALL contain exactly one [1..1] Instructions (templateId:2.16.840.1.113883.10.20.22.4.20) (CONF:16095).
SHOULD contain zero or one [0..1] effectiveTime (CONF:7456).
SHOULD contain zero or one [0..1] repeatNumber (CONF:7457).
SHOULD contain zero or one [0..1] quantity (CONF:7458).
The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:7467).
This assignedEntity SHOULD contain zero or one [0..1] addr (CONF:7468).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10565).
SHOULD contain zero or one [0..1] effectiveTime (CONF:7488).
SHOULD contain zero or one [0..1] value with @xsi:type="CD" (CONF:7489).
The value, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Problem Value Set 2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:15985).
If the diagnosis is unknown or the SNOMED code is unknown, @nullFlavor SHOULD be ?UNK?. If the code is something other than SNOMED, @nullFlavor SHOULD be ?OTH? and the other code SHOULD be placed in the translation element (CONF:15991).
This playingEntity/name MAY be used for the vehicle name in text, such as Normal Saline (CONF:10087).
SHOULD contain zero or one [0..1] effectiveTime (CONF:7662).
SHOULD contain zero or more [0..*] targetSiteCode (CONF:7683).
The specimen, if present, SHALL contain exactly one [1..1] specimenRole (CONF:7704).
This specimenRole SHOULD contain zero or more [0..*] id (CONF:7716).
SHOULD contain zero or more [0..*] performer (CONF:7718) such that it SHALL contain exactly one [1..1] assignedEntity (CONF:7720). This assignedEntity SHALL contain at least one [1..*] id (CONF:7722). This assignedEntity SHALL contain exactly one [1..1] addr (CONF:7731). This assignedEntity SHALL contain exactly one [1..1] telecom (CONF:7732).
The targetSiteCode, if present, SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Body Site Value Set 2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:16082).
This code SHOULD contain zero or one [0..1] originalText (CONF:19203).
The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:19204).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:19205).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:19206).
This code in a procedure activity SHOULD be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and MAY be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) (CONF:19207).
This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:7733).
The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:7734).
The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:7736).
The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:7737).
SHOULD contain zero or one [0..1] effectiveTime (CONF:7563).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15580).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15581).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15582).
SHOULD contain zero or more [0..*] entry (CONF:7795) such that it SHALL contain exactly one [1..1] Medication Activity (templateId:2.16.840.1.113883.10.20.22.4.16) (CONF:15984).
SHOULD contain zero or one [0..1] documentationOf (CONF:7603).
The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:7604).
If a width element is not present, the serviceEvent SHALL include effectiveTime/high (CONF:10066).
This serviceEvent SHALL contain exactly one [1..1] @classCode="PCPR" Care Provision (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:26420).
The content of effectiveTime SHALL be a conformant US Realm Date and Time (DT.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:10137).
A Progress Note can conform to CDA Level 1 (nonXMLBody), CDA Level 2 (structuredBody with sections that contain a narrative block), or CDA Level 3 (structuredBody containing sections that contain a narrative block and coded entries). In this template (templateId 2.16.840.1.113883.10.20.22.1.9), coded entries are optional (CONF:9593).
The serviceEvent/effectiveTime element SHOULD be present with effectiveTime/low element (CONF:9482).
This serviceEvent SHOULD contain zero or one [0..1] effectiveTime (CONF:9481).
The text element SHALL either contain a reference element with a value attribute, or have a representation attribute with the value of B64, a mediaType attribute, and contain the media content (CONF:7623).
The value of @mediaType, if present, SHALL be drawn from the value set 2.16.840.1.113883.11.20.7.1 SupportedFileFormats STATIC 20100512 (CONF:7624).
SHOULD contain zero or more [0..*] addr (CONF:7760).
SHOULD contain zero or more [0..*] telecom (CONF:7761).
The playingEntity, if present, SHALL contain exactly one [1..1] @classCode="PLC" (CodeSystem: EntityClass 2.16.840.1.113883.5.41 STATIC) (CONF:7763).
This effectiveTime SHOULD contain zero or one [0..1] high (CONF:9033).
SHOULD contain zero or one [0..1] effectiveTime (CONF:9050).
SHOULD contain zero or one [0..1] text (CONF:9185).
If the diagnosis is unknown or the SNOMED code is unknown, @nullFlavor SHOULD be ?UNK?. If the code is something other than SNOMED, @nullFlavor SHOULD be ?OTH? and the other code SHOULD be placed in the translation element (CONF:10142).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15587).
The reference, if present, SHALL contain exactly one [1..1] @value (CONF:15588).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15589).
The effectiveTime, if present, SHALL contain exactly one [1..1] low (CONF:15603).
The effectiveTime, if present, SHOULD contain zero or one [0..1] high (CONF:15604).
This playingDevice SHOULD contain zero or one [0..1] code (CONF:16837).
SHOULD contain zero or more [0..*] entry (CONF:7820) such that it SHALL contain exactly one [1..1] Discharge Medication (templateId:2.16.840.1.113883.10.20.22.4.35) (CONF:15490).
SHOULD contain zero or more [0..*] entry (CONF:7969) such that it SHALL contain exactly one [1..1] Immunization Activity (templateId:2.16.840.1.113883.10.20.22.4.52) (CONF:15494).
SHOULD contain zero or more [0..*] entry (CONF:7959) such that it SHALL contain exactly one [1..1] Coverage Activity (templateId:2.16.840.1.113883.10.20.22.4.60) (CONF:15501).
SHOULD contain zero or more [0..*] entry (CONF:14823) such that it SHALL contain exactly one [1..1] Smoking Status Observation (templateId:2.16.840.1.113883.10.20.22.4.78) (CONF:14824).
SHOULD contain zero or more [0..*] entry (CONF:7951) such that it SHALL contain exactly one [1..1] Encounter Activities (templateId:2.16.840.1.113883.10.20.22.4.49) (CONF:15465).
SHOULD contain zero or more [0..*] entry (CONF:7948) such that it SHALL contain exactly one [1..1] Non-Medicinal Supply Activity (templateId:2.16.840.1.113883.10.20.22.4.50) (CONF:15497).
SHOULD contain zero or one [0..1] entry (CONF:7983).
The entry, if present, SHALL contain exactly one [1..1] Hospital Discharge Diagnosis (templateId:2.16.840.1.113883.10.20.22.4.33) (CONF:15489).
The participant, if present, SHALL contain exactly one [1..1] Service Delivery Location (templateId:2.16.840.1.113883.10.20.22.4.32) (CONF:15599).
The entryRelationship, if present, SHALL contain exactly one [1..1] Instructions (templateId:2.16.840.1.113883.10.20.22.4.20) (CONF:15600).
The entryRelationship, if present, SHALL contain exactly one [1..1] Indication (templateId:2.16.840.1.113883.10.20.22.4.19) (CONF:15601).
The entryRelationship, if present, SHALL contain exactly one [1..1] Medication Activity (templateId:2.16.840.1.113883.10.20.22.4.16) (CONF:15602).
This code SHOULD contain zero or one [0..1] originalText (CONF:19186).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:19189).
This code in a procedure activity act SHOULD be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:19190).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8330).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8327).
The entryRelationship, if present, SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:8324).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8323).
This encounter SHALL contain exactly one [1..1] id (CONF:8320).
This encounter SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:8319).
This encounter SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8318).
The entryRelationship, if present, SHALL contain exactly one [1..1] encounter (CONF:8317).
The entryRelationship, if present, SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:8316).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8315).
The participant, if present, SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8312).
The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:8310).
The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:8309).
The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:8307).
This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:8306).
This assignedEntity SHALL contain exactly one [1..1] telecom (CONF:8305).
This assignedEntity SHALL contain exactly one [1..1] addr (CONF:8304).
This assignedEntity SHALL contain at least one [1..*] id (CONF:8303).
The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:8302).
SHOULD contain zero or more [0..*] performer (CONF:8301).
SHOULD contain zero or one [0..1] effectiveTime (CONF:8299).
SHOULD contain zero or one [0..1] effectiveTime (CONF:8246).
SHOULD contain zero or more [0..*] targetSiteCode (CONF:8250).
SHOULD contain zero or more [0..*] performer (CONF:8251).
The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:8252).
This assignedEntity SHALL contain at least one [1..*] id (CONF:8253).
This assignedEntity SHALL contain exactly one [1..1] addr (CONF:8254).
This assignedEntity SHALL contain exactly one [1..1] telecom (CONF:8255).
This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:8256).
The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:8257).
The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:8259).
The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:8260).
The participant, if present, SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8262).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8265).
The entryRelationship, if present, SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:8266).
The entryRelationship, if present, SHALL contain exactly one [1..1] encounter (CONF:8267).
This encounter SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:8268).
This encounter SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:8269).
This encounter SHALL contain exactly one [1..1] id (CONF:8270).
The participant, if present, SHALL contain exactly one [1..1] Service Delivery Location (templateId:2.16.840.1.113883.10.20.22.4.32) (CONF:15904).
The targetSiteCode, if present, SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Body Site Value Set 2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:16071).
This code SHOULD contain zero or one [0..1] originalText (CONF:19198).
The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:19199).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:19200).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:19201).
This @code SHOULD be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and MAY be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12), ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) (CONF:19202).
Such entries SHALL contain exactly one [1..1] Problem Observation (templateId:2.16.840.1.113883.10.20.22.4.4) (CONF:8050).
SHOULD contain zero or one [0..1] entry (CONF:10096) such that it SHALL contain exactly one [1..1] Preoperative Diagnosis (templateId:2.16.840.1.113883.10.20.22.4.65) (CONF:15504).
The entry, if present, SHALL contain exactly one [1..1] Medication Activity (templateId:2.16.840.1.113883.10.20.22.4.16) (CONF:15499).
SHOULD contain zero or one [0..1] entry (CONF:8762) such that it SHALL contain exactly one [1..1] Postprocedure Diagnosis (templateId:2.16.840.1.113883.10.20.22.4.51) (CONF:15503).
An encounterParticipant element, if present, SHALL contain an assignedEntity element, which SHALL contain an assignedPerson element, a representedOrganization element, or both (CONF:8343).
The responsibleParty element, if present, SHALL contain an assignedEntity element, which SHALL contain an assignedPerson element, a representedOrganization element, or both (CONF:8348).
A History and Physical document can conform to CDA Level 1 (nonXMLBody), CDA Level 2 (structuredBody with sections that contain a narrative block), or CDA Level 3 (structuredBody containing sections that contain a narrative block and coded entries). In this template (templateId 2.16.840.1.113883.10.20.22.1.3), coded entries are optional (CONF:8352).
If structuredBody, the component/structuredBody SHALL conform to the section constraints below (CONF:9597).
SHOULD contain zero or one [0..1] History of Present Illness Section (templateId:1.3.6.1.4.1.19376.1.5.3.1.3.4) (CONF:9621).
SHALL include an Assessment and Plan Section, or an Assessment Section and a Plan Section (CONF:9986).
SHALL NOT include an Assessment/Plan Section when an Assessment Section and a Plan of Care Section are present (CONF:10056).
SHALL NOT contain a Chief Complaint and Reason for Visit Section when either a Chief Complaint Section or a Reason for Visit Section is present (CONF:10057).
SHALL include a Chief Complaint and Reason for Visit Section, Chief Complaint Section, or a Reason for Visit Section (CONF:9642).
OIDs SHALL be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID SHALL be in the form ([0-2])(.([1-9][0-9]*|0))+ (CONF:10031).
OIDs SHALL be no more than 64 characters in length (CONF:10032).
The content of effectiveTime SHALL be a conformant US Realm Date and Time (DT.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) (CONF:10133).
The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) (CONF:10478).
This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet DIRDocumentTypeCodes 2.16.840.1.113883.11.20.9.32 DYNAMIC (CONF:14834).
SHOULD contain zero or one [0..1] DICOM Object Catalog Section - DCM 121181 (templateId:2.16.840.1.113883.10.20.6.1.1) (CONF:15141).
This encompassingEncounter SHOULD contain zero or one [0..1] Physician of Record Participant (templateId:2.16.840.1.113883.10.20.6.2.2) (CONF:8448).
SHOULD contain zero or one [0..1] assignedPerson OR SHOULD contain zero or one [0..1] representedOrganization (CONF:8439).
In the case of transformed DICOM SR documents, an appropriate null flavor MAY be used if the id is unavailable (CONF:8436).
The value of serviceEvent/code SHALL NOT conflict with the ClininicalDocument/code. When transforming from DICOM SR documents that do not contain a procedure code, an appropriate nullFlavor SHALL be used on serviceEvent/code (CONF:8420).
The responsibleParty, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:9407).
The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:8449).
This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:8437).
This encompassingEncounter SHALL contain at least one [1..*] id (CONF:8435).
This serviceEvent SHOULD contain zero or more [0..*] Physician Reading Study Performer (templateId:2.16.840.1.113883.10.20.6.2.1) (CONF:8422).
This serviceEvent SHOULD contain zero or more [0..*] id (CONF:8418).
The responsibleParty element, if present, SHALL contain an assignedEntity element which SHALL contain an assignedPerson element, a representedOrganization element, or both (CONF:8394).
An encounterParticipant element, if present, SHALL contain an assignedEntity element which SHALL contain an assignedPerson element, a representedOrganization element, or both (CONF:8396).
A Consultation Note can conform to CDA Level 1 (nonXMLBody), CDA Level 2 (structuredBody with sections that contain a narrative block), or CDA Level 3 (structuredBody containing sections that contain a narrative block and coded entries). In this template (templateId 2.16.840.1.113883.10.20.22.1.4), coded entries are optional (CONF:8399).
SHOULD contain zero or one [0..1] Physical Exam Section (templateId:2.16.840.1.113883.10.20.2.10) (CONF:9495).
SHALL contain a valid DICOM personal identification code sequence (@codeSystem is 1.2.840.10008.2.16.4) or an appropriate national health care provider coding system (e.g., NUCC in the U.S., where @codeSystem is 2.16.840.1.113883.6.101) (CONF:8428).
Every assignedEntity element SHALL have at least one assignedPerson or representedOrganization (CONF:8429).
The id SHOULD include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:10034).
The content of time SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.3) (CONF:10134).
SHALL contain a valid DICOM Organizational Role from DICOM CID 7452 (Value Set 1.2.840.10008.6.1.516)(@codeSystem is 1.2.840.10008.2.16.4) or an appropriate national health care provider coding system (e.g., NUCC in the U.S., where @codeSystem is 2.16.840.1.113883.6.101)Footnote: DICOM Part 16 (NEMA PS3.16), page 631 in the 2011 edition. See ftp://medical.nema.org/medical/dicom/2011/11_16pu.pdf (CONF:8889).
This assignedEntity SHOULD contain zero or one [0..1] name (CONF:8890).
The id SHOULD include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:10035).
The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:16075).
The performer, if present, SHALL contain exactly one [1..1] @typeCode="PRF" Participation physical performer (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:8458).
The assignedEntity, if present, SHALL contain at least one [1..*] id (CONF:8460).
This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:8482).
SHOULD contain zero or one [0..1] Procedures Section (entries required) (templateId:2.16.840.1.113883.10.20.22.2.7.1) (CONF:9451).
ServiceEvent/performer represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient?s key healthcare providers would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors (CONF:10026).
SHOULD include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:10027).
The dischargeDispositionCode SHALL be present where the value of code SHOULD be selected from ValueSet 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17-Patient Status DYNAMIC (www.nubc.org) (CONF:8476).
The dischargeDispositionCode, @displayName, or NUBC UB-04 Print Name, SHALL be displayed when the document is rendered (CONF:8477).
The encounterParticipant elements MAY be present. If present, the encounterParticipant/assignedEntity element SHALL have at least one assignedPerson or representedOrganization element present (CONF:8478).
The responsibleParty element MAY be present. If present, the responsibleParty/assignedEntity element SHALL have at least one assignedPerson or representedOrganization element present (CONF:8479).
A Discharge Summary can conform to CDA Level 1 (nonXMLBody), CDA Level 2 (structuredBody with sections that contain a narrative block), or CDA Level 3 (structuredBody containing sections that contain a narrative block and coded entries). In this template (templateId 2.16.840.1.113883.10.20.22.1.8), coded entries are optional (CONF:9538).
If structuredBody, the component/structuredBody SHALL conform to the section constraints below (CONF:9540).
SHALL NOT include a Chief Complaint and Reason for Visit Section with either a Chief Complaint Section or a Reason for Visit Section (CONF:10055).
This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Provider Role Value Set 2.16.840.1.113883.3.88.12.3221.4 DYNAMIC (CONF:8491).
SHOULD contain zero or one [0..1] componentOf/encompassingEncounter (CONF:8499).
The componentOf/encompassingEncounter, if present, SHALL contain at least one [1..*] location/healthCareFacility/id (CONF:8500).
The componentOf/encompassingEncounter, if present, SHALL contain exactly one [1..1] code (CONF:8501).
Each section SHALL have a title and the title SHALL NOT be empty (CONF:9937).
This assignedEntity SHOULD contain zero or one [0..1] code (CONF:14912).
The code, if present, SHOULD contain zero or one [0..1] @code, which SHALL be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) 2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:14913).
If present, the effectiveTime contains the time the study was started
SHOULD contain zero or one [0..1] effectiveTime (CONF:9216).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15995).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15996).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15997).
Observation/value can be any data type. Where Observation/value is a physical quantity, the unit of measure SHALL be expressed using a valid Unified Code for Units of Measure (UCUM) expression (CONF:8555).
SHOULD contain zero or one [0..1] value (CONF:8559).
This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Social History Type Value Set 2.16.840.1.113883.3.88.12.80.60 STATIC (CONF:19220).
This code SHOULD contain zero or one [0..1] originalText (CONF:19221).
The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:19222).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:19223).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:19224).
SHOULD contain zero or one [0..1] effectiveTime (CONF:8593).
This relatedSubject SHOULD contain zero or one [0..1] subject (CONF:15248).
The subject SHOULD contain zero or more [0..*] sdtc:id. The prefix sdtc: SHALL be bound to the namespace ?urn:hl7-org:sdtc?. The use of the namespace provides a necessary extension to CDA R2 for the use of the id element (CONF:15249).
The subject, if present, SHALL contain exactly one [1..1] administrativeGenderCode (CONF:15974).
This administrativeGenderCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) 2.16.840.1.113883.1.11.1 STATIC (CONF:15975).
The subject, if present, SHOULD contain zero or one [0..1] birthTime (CONF:15976).
SHOULD contain zero or more [0..*] participant (CONF:8662) such that it SHALL contain exactly one [1..1] @typeCode="VRF" Verifier (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:8663). SHALL contain exactly one [1..1] templateId (CONF:8664). This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.1.58" (CONF:10486). SHALL contain exactly one [1..1] participantRole (CONF:8825).
The data type of Observation/participant/time in a verification SHALL be TS (time stamp) (CONF:8666).
SHOULD contain zero or one [0..1] participant (CONF:8667) such that it SHALL contain exactly one [1..1] @typeCode="CST" Custodian (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:8668). SHALL contain exactly one [1..1] participantRole (CONF:8669). This participantRole SHALL contain exactly one [1..1] @classCode="AGNT" Agent (CodeSystem: RoleClass 2.16.840.1.113883.5.110 STATIC) (CONF:8670). This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:8824). This playingEntity SHALL contain exactly one [1..1] name (CONF:8673).
The name of the agent who can provide a copy of the Advance Directive SHALL be recorded in the name element inside the playingEntity element (CONF:8674).
SHOULD contain zero or more [0..*] reference (CONF:8692) such that it SHALL contain exactly one [1..1] externalDocument (CONF:8693). This externalDocument SHALL contain at least one [1..*] id (CONF:8695). SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:8694).
The URL of a referenced advance directive document MAY be present, and SHALL be represented in Observation/reference/ExternalDocument/text/reference (CONF:8698).
If a URL is referenced, then it SHOULD have a corresponding linkHTML element in narrative block (CONF:8699).
SHOULD contain zero or one [0..1] time (CONF:8665).
This participantRole SHOULD contain zero or one [0..1] addr (CONF:8671).
This participantRole SHOULD contain zero or one [0..1] telecom (CONF:8672).
SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet EncounterTypeCode 2.16.840.1.113883.3.88.12.80.32 DYNAMIC (CONF:8714).
The code, if present, SHOULD contain zero or one [0..1] originalText (CONF:8719).
The originalText, if present, SHOULD contain zero or one [0..1] reference/@value (CONF:8720).
The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:8726).
The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:15970).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15971).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15972).
SHOULD contain zero or one [0..1] quantity (CONF:8751).
SHOULD contain zero or one [0..1] effectiveTime (CONF:15498).
The effectiveTime, if present, SHOULD contain zero or one [0..1] high (CONF:16867).
SHOULD contain zero or one [0..1] text (CONF:8831).
SHOULD contain zero or one [0..1] doseQuantity (CONF:8841).
The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive 2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:8842).
SHOULD contain zero or one [0..1] performer (CONF:8849).
The participant, if present, SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:8851).
The participant, if present, SHALL contain exactly one [1..1] Drug Vehicle (templateId:2.16.840.1.113883.10.20.22.4.24) (CONF:15547).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1 (CONF:15545).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15544).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15543).
The sequenceNumber, if present, SHALL contain exactly one [1..1] @value (CONF:17175).
This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:8912).
The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:8913).
This assignedEntity SHOULD contain zero or one [0..1] code (CONF:8914).
This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:8932).
If the member date of birth as recorded by the health plan differs from the patient date of birth as recorded in the registration/medication summary, then the member date of birth SHALL be recorded in sdtc:birthTime. The prefix sdtc: SHALL be bound to the namespace ?urn:hl7-org:sdtc?. The use of the namespace provides a necessary extension to CDA R2 for the use of the birthTime element (CONF:8933).
SHOULD contain zero or one [0..1] participant (CONF:8934) such that it SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:8935). SHALL contain exactly one [1..1] participantRole (CONF:8936). This participantRole SHALL contain at least one [1..*] id (CONF:8937). SHALL contain exactly one [1..1] templateId (CONF:16813). This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:16815).
The target of a policy activity with act/entryRelationship/@typeCode="REFR" SHALL be an authorization activity (templateId 2.16.840.1.113883.10.20.1.19) OR an act, with act[@classCode="ACT"] and act[@moodCode="DEF"], representing a description of the coverage plan (CONF:8942).
A description of the coverage plan SHALL contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:8943).
This participantRole SHOULD contain zero or one [0..1] addr (CONF:8956).
This performer represents the Guarantor.
SHOULD contain zero or one [0..1] performer="PRF" Performer (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90 STATIC) (CONF:8961) such that it SHALL contain exactly one [1..1] assignedEntity (CONF:8962). This assignedEntity SHALL contain exactly one [1..1] code (CONF:8968). This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CodeSystem: RoleCode 2.16.840.1.113883.5.111 STATIC) (CONF:16096). SHALL contain exactly one [1..1] templateId (CONF:16810). This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:16811).
SHOULD contain zero or one [0..1] time (CONF:8963).
This assignedEntity SHOULD contain zero or one [0..1] addr (CONF:8964).
This assignedEntity SHOULD contain zero or one [0..1] telecom (CONF:8965).
SHOULD include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:8967).
This id is a unique identifier for the covered party member. Implementers SHOULD use the same GUID for each instance of a member identifier from the same health plan (CONF:8984).
This id is a unique identifier for the subscriber of the coverage (CONF:10120).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10481).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10482).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10483).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10484).
The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet HL7FinanciallyResponsiblePartyType 2.16.840.1.113883.1.11.10416 DYNAMIC (CONF:15992).
This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set 2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:16078).
This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Health Insurance Type Value Set 2.16.840.1.113883.3.88.12.3221.5.2 DYNAMIC (CONF:19185).
SHOULD contain zero or one [0..1] time (CONF:8918).
The time, if present, SHOULD contain zero or one [0..1] low (CONF:8919).
The time, if present, SHOULD contain zero or one [0..1] high (CONF:8920).
If the covered party?s name is recorded differently in the health plan and in the registration/medication summary (due to marriage or for other reasons), use the name as it is recorded in the health plan.
The playingEntity, if present, SHALL contain exactly one [1..1] name (CONF:8930).
This participantRole SHOULD contain zero or one [0..1] addr (CONF:8925).
The target of an authorization activity with act/entryRelationship/@typeCode="SUBJ" SHALL be a clinical statement with moodCode="PRMS" Promise (CONF:8951).
The target of an authorization activity MAY contain one or more performer, to indicate the providers that have been authorized to provide treatment (CONF:8952).
This code SHOULD contain zero or one [0..1] originalText (CONF:9008).
SHOULD contain zero or one [0..1] manufacturerOrganization (CONF:9012).
This manufacturedMaterial SHOULD contain zero or one [0..1] lotNumberText (CONF:9014).
The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:15555).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15556).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15557).
SHOULD contain zero or one [0..1] text (CONF:9270).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15529).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15530).
SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15531).
SHOULD contain zero or one [0..1] effectiveTime (CONF:9203).
The effectiveTime, if present, SHALL contain exactly one [1..1] @value (CONF:17173).
If present, the effectiveTime contains the time the series was started
SHOULD contain zero or one [0..1] effectiveTime (CONF:9235).
SHOULD contain zero or one [0..1] text (CONF:9246).
The text, if present, SHALL contain exactly one [1..1] @mediaType="application/dicom" (CONF:9247).
The text, if present, SHALL contain exactly one [1..1] reference (CONF:9248).
SHALL contain a @value that contains a WADO reference as a URI (CONF:9249).
SHOULD contain zero or one [0..1] effectiveTime (CONF:9250).
The effectiveTime, if present, SHALL contain exactly one [1..1] @value (CONF:9251).
The effectiveTime, if present, SHALL NOT contain [0..0] low (CONF:9252).
The effectiveTime, if present, SHALL NOT contain [0..0] high (CONF:9253).
The value element is a SHOULD to allow backwards compatibility with the DICOM CMET. Note that the use of ASSERTION for the code differs from the DICOM CMET. This is intentional. The DICOM CMET was created before the Term Info guidelines describing the use of the assertion pattern were released. It was determined that this IG should follow the latest Term Info guidelines. Implementers using both this IG and the DICOM CMET should be aware of this difference and apply appropriate transformations.
SHOULD contain zero or one [0..1] value with @xsi:type="CD", where the @code SHOULD be selected from ValueSet DICOMPurposeOfReference 2.16.840.1.113883.11.20.9.28 DYNAMIC (CONF:9273).
This code SHOULD contain zero or one [0..1] @code="ASSERTION" Assertion (CodeSystem: ActCode 2.16.840.1.113883.5.4 STATIC) (CONF:19208).
SHOULD contain zero or one [0..1] effectiveTime (CONF:9294).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15938).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15939).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15940).
SHOULD contain zero or one [0..1] effectiveTime (CONF:9309).
SHOULD contain zero or one [0..1] effectiveTime (CONF:9326).
This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet DIRQuantityMeasurementTypeCodes 2.16.840.1.113883.11.20.9.29 DYNAMIC (CONF:19210).
The author, if present, SHALL contain exactly one [1..1] time (CONF:9434).
The author, if present, SHALL contain exactly one [1..1] assignedAuthor (CONF:9435).
This assignedAuthor SHALL contain exactly one [1..1] id (CONF:9436).
This assignedAuthor SHALL contain exactly one [1..1] addr (CONF:9437).
SHALL include assignedPerson/name or representedOrganization/name (CONF:9438).
An assignedPerson/name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) (CONF:9439).
The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:10480).
SHOULD contain zero or one [0..1] entry (CONF:9934).
The entry, if present, SHALL contain exactly one [1..1] Hospital Admission Diagnosis (templateId:2.16.840.1.113883.10.20.22.4.34) (CONF:15481).
SHOULD contain zero or more [0..*] entry (CONF:10102) such that it SHALL contain exactly one [1..1] Admission Medication (templateId:2.16.840.1.113883.10.20.22.4.36) (CONF:15484).
SHOULD contain zero or more [0..*] entry (CONF:10116).
The entry, if present, SHALL contain exactly one [1..1] Instructions (templateId:2.16.840.1.113883.10.20.22.4.20) (CONF:15496).
SHOULD contain zero or one [0..1] text (CONF:13926).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:13927).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:13928).
SHOULD contain zero or more [0..*] interpretationCode (CONF:13933).
SHOULD contain zero or more [0..*] referenceRange (CONF:13937).
The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:13938).
This observationRange SHALL NOT contain [0..0] code (CONF:13939).
If xsi:type=?CD?, SHOULD contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:14234).
The time, if present, SHALL contain exactly one [1..1] low (CONF:14831).
SHOULD contain zero or one [0..1] text (CONF:14258).
SHOULD contain zero or more [0..*] interpretationCode (CONF:14264).
SHOULD contain zero or more [0..*] referenceRange (CONF:14267).
The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:14268).
This observationRange SHALL NOT contain [0..0] code (CONF:14269).
If xsi:type=?CD?, SHOULD contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:14271).
This code SHOULD contain zero or one [0..1] @code="373930000" Cognitive function finding (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:14592).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15549).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15550).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15551).
SHOULD contain zero or one [0..1] effectiveTime (CONF:14287).
If the diagnosis is unknown or the SNOMED code is unknown, @nullFlavor SHOULD be ?UNK?. If the code is something other than SNOMED, @nullFlavor SHOULD be ?OTH? and the other code SHOULD be placed in the translation element (CONF:14293).
SHOULD contain zero or one [0..1] text (CONF:14304).
This code SHOULD contain zero or one [0..1] @code="248536006" finding of functional performance and activity (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:14315).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15552).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15553).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15554).
SHOULD contain zero or one [0..1] effectiveTime (CONF:14324).
SHOULD contain zero or one [0..1] text (CONF:14341).
This code SHOULD contain zero or one [0..1] @code="373930000" Cognitive function finding (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:14805).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15532).
The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15533).
SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15534).
This code SHOULD contain zero or one [0..1] @code (CONF:14747).
SHOULD be selected from ICF (codeSystem 2.16.840.1.113883.6.254) or SNOMED CT (codeSystem 2.16.840.1.113883.6.96) (CONF:14748).
This code SHOULD contain zero or one [0..1] @code (CONF:14697).
Should be selected from ICF (codeSystem 2.16.840.1.113883.6.254) or SNOMED CT (codeSystem 2.16.840.1.113883.6.96) (CONF:14698).
SHOULD contain zero or one [0..1] text (CONF:14391).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:14392).
If the stage unknown or the SNOMED code is unknown, @nullFlavor SHOULD be ?UNK?. If the code is something other than SNOMED, @nullFlavor SHOULD be ?OTH? and the other code SHOULD be placed in the translation element (CONF:14398).
SHOULD contain zero or one [0..1] entryRelationship (CONF:14410) such that it SHALL contain exactly one [1..1] @typeCode="COMP" (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:14411). SHALL contain exactly one [1..1] observation (CONF:14619). This observation SHALL contain exactly one [1..1] code (CONF:14620). This code SHALL contain exactly one [1..1] @code="401238003" Length of Wound (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:14621). This observation SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:14622). This observation SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14685). This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14686).
SHOULD contain zero or one [0..1] entryRelationship (CONF:14601) such that it SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:14602). SHALL contain exactly one [1..1] observation (CONF:14623). This observation SHALL contain exactly one [1..1] code (CONF:14624). This code SHALL contain exactly one [1..1] @code="401239006" Width of Wound (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:14625). This observation SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:14626). This observation SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14687). This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14688).
SHOULD contain zero or one [0..1] entryRelationship (CONF:14605) such that it SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:14606). SHALL contain exactly one [1..1] observation (CONF:14627). This observation SHALL contain exactly one [1..1] code (CONF:14628). This code SHALL contain exactly one [1..1] @code="425094009" Depth of Wound (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:14629). This observation SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:14630). This observation SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass 2.16.840.1.113883.5.6 STATIC) (CONF:14689). This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood 2.16.840.1.113883.5.1001 STATIC) (CONF:14690).
SHOULD contain zero or more [0..*] targetSiteCode (CONF:14797).
The targetSiteCode, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Pressure Point 2.16.840.1.113883.11.20.9.36 STATIC (CONF:14798).
The targetSiteCode, if present, SHOULD contain zero or one [0..1] qualifier (CONF:14799).
The qualifier, if present, SHALL contain exactly one [1..1] name (CONF:14800).
This name SHOULD contain zero or one [0..1] @code="272741003" laterality (CodeSystem: SNOMED-CT 2.16.840.1.113883.6.96 STATIC) (CONF:14801).
The qualifier, if present, SHALL contain exactly one [1..1] value (CONF:14802).
This value SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet TargetSite Qualifiers 2.16.840.1.113883.11.20.9.37 STATIC (CONF:14803).
The reference, if present, SHALL contain exactly one [1..1] @value (CONF:15585).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15586).
SHOULD be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) identifying the assessment scale (CONF:14440).
SHOULD contain zero or more [0..*] entryRelationship (CONF:14451) such that it SHALL contain exactly one [1..1] @typeCode="COMP" has component (CONF:16741). SHALL contain exactly one [1..1] Assessment Scale Supporting Observation (templateId:2.16.840.1.113883.10.20.22.4.86) (CONF:16742).
The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:16800).
This observationRange SHOULD contain zero or one [0..1] text (CONF:16801).
The text, if present, SHOULD contain zero or one [0..1] reference (CONF:16802).
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:16804).
SHOULD contain zero or one [0..1] entryRelationship (CONF:14868) such that it SHALL contain exactly one [1..1] Problem Observation (templateId:2.16.840.1.113883.10.20.22.4.4) (CONF:14870). SHALL contain exactly one [1..1] @typeCode="CAUS" Is etiology for (CodeSystem: HL7ActRelationshipType 2.16.840.1.113883.5.1002 STATIC) (CONF:14875).