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Specifications for the document sections are in D3.9.1 Appendix B1/B2, PS-related specifications for the sections.
<section>
<templateId root="2.16.840.1.113883.10.20.1.11"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6"/>
<code code="11450-4" displayName="Problem list" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<title>Problem list</title>
<text>
<table border="1">
<tbody>
<tr>
<th>Code</th>
<th>Description</th>
</tr>
<tr ID="problem.1">
<!-- A code selected from the epSOSCodeProb value set. -->
<td>55607006</td>
<!-- A description of the concern, which can be more precise than the ICD-10 value selected from the code system -->
<!-- This is a free text field, default value of which is the ICD-10 code value. The HCP may provide more details using this field -->
<td>Acute angle closure glaucoma</td>
</tr>
<tr ID="problem.2">
<!-- A code selected from the epSOSCodeProb value set. -->
<td>55607006</td>
<!-- A description of the concern, which can be more precise than the ICD-10 value selected from the code system -->
<!-- This is a free text field, default value of which is the ICD-10 code value. The HCP may provide more details using this field -->
<td>Diabetic ketoacidosis</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.27"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2"/>
<!-- This required element identifies the concern. -->
<!-- Unique identifier for this concern. The identifier is generated by the portal, at least the root must be changeable in the portal configuration -->
<id extension="problem.1" root="2.16.470.1.100.1.1.1000.990.1"/>
<!-- The code is not applicable to a concern act, and so shall be recorded as shown above.-->
<code nullFlavor="NA"/>
<!-- The statusCode associated with any concern must be one part of the above mentioned values.
Note: A concern in the "active" state represents one for which some ongoing clinical activity is expected,
and that no activity is expected in other states. Specific uses of the suspended and aborted states are left to the implementation.-->
<!-- The value is either "active" or "completed", depending on the choice made by the user.
The user has two options: "Clinical activity is expected" (mapped to "active") and "Clinical activity is not expected" (mapped to "completed") -->
<statusCode code="active"/>
<!-- The <effectiveTime> element records the starting and ending times during which the concern was active.-->
<effectiveTime>
<!-- The <low> element shall be present. The value must be editable in the UI. The default value is current time.-->
<low value="20130429101112"/>
<!-- If the user selected "Clinical activity is not expected" in the previous choice, the <high> element (and a corresponding field in the UI) must be present.
Otherwise the element and the field are not present -->
<!-- The value must be editable in the UI. The default value is current time.-->
<high value="20130429101112"/>
</effectiveTime>
<entryRelationship inversionInd="false" typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.28"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>
<!-- Unique identifier for the observation related to this concern. In the portal, the identifier is an extension of the unique identifier for the concern -->
<id extension="problem.1.obs.1" root="2.16.470.1.100.1.1.1000.990.1"/>
<!-- A code selected by the user from the epSOSCodeProb value set. The code goes also to the narrative block. -->
<code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text>
<!-- A reference to the narrative block, reference target must be found in one of ID attributes in the narrative block -->
<reference value="#problem.1"/>
</text>
<!-- A clinical document normally records only those condition observation events that have been com-pleted,
not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'.-->
<statusCode code="completed"/>
<!-- the same contents for the effectiveTime as defined above -->
<effectiveTime>
<low value="20130429101112"/>
<high value="20130429101112"/>
</effectiveTime>
<!-- A code selected by the user from epSOSIllnessesandDisorders (ICD-10). -->
<value code="H40" displayName="Glaucoma" codeSystem="1.3.6.1.4.1.12559.11.10.1.3.1.44.2" codeSystemName="ICD-10" xsi:type="CD"/>
</observation>
</entryRelationship>
</act>
</entry>
<!-- Multiple problems may be reported using the UI. Here is one more example. -->
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.27"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2"/>
<id extension="problem.2" root="2.16.470.1.100.1.1.1000.990.1"/>
<code nullFlavor="NA"/>
<statusCode code="completed"/>
<effectiveTime>
<low value="20130326"/>
</effectiveTime>
<entryRelationship inversionInd="false" typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.28"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>
<id extension="problem.43.obs.1" root="2.16.470.1.100.1.1.1000.990.1"/>
<code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<text>
<reference value="#problem.2"/>
</text>
<statusCode code="completed"/>
<effectiveTime>
<low value="20130326"/>
</effectiveTime>
<value code="E14" displayName="Unspecified diabetes mellitus" codeSystem="1.3.6.1.4.1.12559.11.10.1.3.1.44.2" codeSystemName="ICD-10" xsi:type="CD"/>
</observation>
</entryRelationship>
</act>
</entry>
</section>
</component>
</structuredBody>
</component>