C-32 文档架构错误
C-32 document schematron errors
我已经构建了 C32 CCD 部分 - 家族史，但不确定为什么我会收到 NIST schematron 错误，即使该部分包含该部分中提到的所有模式错误元素。
错误如下：
Message A family history organizer (templateId 2.16.840.1.113883.10.20.1.23) SHALL be represented with Organizer.
Context /ClinicalDocument[1]/component[1]/structuredBody[1]/component[7]/section[1]
Test self::cda:organizer
Specification Schematron schema for validating conformance to CCD documents
Message The value for "Organizer / classCode" in a family history organizer SHALL be "CLUSTER" 2.16.840.1.113883.5.6 ActClass STATIC.
Context /ClinicalDocument[1]/component[1]/structuredBody[1]/component[7]/section[1]
Test @classCode='CLUSTER'
Specification Schematron schema for validating conformance to CCD documents
Message The value for "Organizer / moodCode" in a family history organizer SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC.
Context /ClinicalDocument[1]/component[1]/structuredBody[1]/component[7]/section[1]
Test @moodCode='EVN'
用于验证 CCD 文档一致性的规范 Schematron 架构
下面是家族史部分
<!--*******************Family History***********************--> <component>
<section>
<!-- *** Family history section (V3) *** -->
<templateId root="2.16.840.1.113883.10.20.1.23"/>
<!--<templateId root ="1.3.6.1.4.1.19376.1.5.3.1.4.15"/> -->
<code code="10157-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<title>FAMILY HISTORY</title>
<text>
<paragraph>Father (deceased)</paragraph>
<table border="1" width="100%">
<thead>
<tr>
<th>Diagnosis</th>
<th>Age At Onset</th>
</tr>
</thead>
<tbody>
<tr>
<td>Myocardial Infarction (cause of death)</td>
<td>57</td>
</tr>
<tr>
<td>Diabetes</td>
<td>40</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<organizer moodCode="EVN" classCode="CLUSTER">
<!-- ** Family history organizer (V3) ** -->
<templateId root="2.16.840.1.113883.10.20.1.23"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.15"/>
<id root="d42ebf70-5c89-11db-b0de-0855200c9a66"/>
<statusCode code="completed"/>
<subject typeCode="SBJ">
<!-- <name>Henry Seven</name> -->
<relatedSubject classCode="PRS">
<code code="FTH" displayName="Father" codeSystemName="HL7 FamilyMember" codeSystem="2.16.840.1.113883.5.111">
<translation code="9947008" displayName="Biological father" codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96"/>
</code>
<subject>
<name>Henry Seven</name>
<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male"/>
<birthTime value="1912"/>
</subject>
</relatedSubject>
</subject>
<component typeCode='COMP'>
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history observation (V3) ** -->
<!--Critical Change-->
<templateId root="2.16.840.1.113883.10.20.1.22"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.3'/>
<id root="d42ebf70-5c89-11db-b0de-0800200c9a66"/>
<code code="64572001" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96" displayName="Condition">
<!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
<translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
very likely that the following is present, but use of LOINC as shown above would be better -->
<translation nullFlavor="NI"/>
</code>
<text><reference value='#xxx'/></text>
<statusCode code="completed"/>
<effectiveTime value="1967"/>
<value xsi:type="CD" code="22298006" codeSystem="2.16.840.1.113883.6.96" displayName="Myocardial infarction"/>
<entryRelationship typeCode="CAUS">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history death observation ** -->
<!-- <templateId root="2.16.840.1.113883.10.20.22.4.47"/> -->
<templateId root="2.16.840.1.113883.10.20.1.38"/>
<id root="6898fae0-5c8a-11db-b0de-0800200c9a66"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<value xsi:type="CD" code="419099009" codeSystem="2.16.840.1.113883.6.96" displayName="Dead"/>
</observation>
</entryRelationship>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Age observation ** -->
<templateId root="2.16.840.1.113883.10.20.1.38"/>
<code code="397659008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Age At Onset"/>
<statusCode code="completed"/>
<value xsi:type="PQ" value="57" unit="a"/>
</observation>
</entryRelationship>
</observation>
</component>
<component typeCode='COMP'>
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history observation ** -->
<!--Critical Change-->
<templateId root="2.16.840.1.113883.10.20.1.22"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.3'/>
<id root="5bfe3ec0-5c8b-11db-b0de-0800200c9a66"/>
<code code="64572001" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96" displayName="Condition">
<!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
<translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
very likely that the following is present, but use of LOINC as shown above would be better -->
<translation nullFlavor="NI"/>
</code>
<text><reference value='#xxx'/></text>
<statusCode code="completed"/>
<effectiveTime value="1950"/>
<value xsi:type="CD" code="44054006" codeSystem="2.16.840.1.113883.6.96" displayName="Diabetes mellitus type 2"/>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Age observation ** -->
<templateId root="2.16.840.1.113883.10.20.1.38"/>
<code code="397659008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Age At Onset"/>
<statusCode code="completed"/>
<value xsi:type="PQ" value="40" unit="a"/>
</observation>
</entryRelationship>
</observation>
</component>
</organizer>
</entry>
</section>
</component>
<!--*******************Family History***********************-->
<component>
<section>
<!-- *** Family history section (V3) *** -->
<templateId root="2.16.840.1.113883.10.20.1.4" assigningAuthorityName="CCD"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.14" assigningAuthorityName="IHE PCC"/>
<code code="10157-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<title>FAMILY HISTORY</title>
<text>
<paragraph>Father (deceased)</paragraph>
<table border="1" width="100%">
<thead>
<tr>
<th>Diagnosis</th>
<th>Age At Onset</th>
</tr>
</thead>
<tbody>
<tr>
<td>Myocardial Infarction (cause of death)</td>
<td>57</td>
</tr>
<tr>
<td>Diabetes</td>
<td>40</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<organizer moodCode="EVN" classCode="CLUSTER">
<!-- ** Family history organizer (V3) ** -->
<!--<templateId root="2.16.840.1.113883.10.20.22.4.45" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.45"/> -->
<templateId root="2.16.840.1.113883.10.20.1.23"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.15"/>
<id root="d42ebf70-5c89-11db-b0de-0855200c9a66"/>
<statusCode code="completed"/>
<subject>
<relatedSubject classCode="PRS">
<code code="FTH" displayName="Father" codeSystemName="FamilyRelationshipRoleType" codeSystem="2.16.840.1.113883.5.111">
<!--
<translation code="9947008" displayName="Biological father" codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96"/>
-->
</code>
<subject>
<name>
<given>Patricia</given>
<given qualifier="CL">Patty</given>
<family>Primary</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.1.11.1" displayName="Male"/>
<birthTime value="1910"/>
</subject>
</relatedSubject>
</subject>
<component>
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history observation (V3) ** -->
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<templateId root="2.16.840.1.113883.10.20.1.22"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.3" extension="2015-08-01"/>
<!--Critical Change-->
<id root="d42ebf70-5c89-11db-b0de-0800200c9a66"/>
<code code="64572001" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96" displayName="Condition">
<!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
<translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
very likely that the following is present, but use of LOINC as shown above would be better -->
<translation nullFlavor="NI"/>
</code>
<text>
<reference value="#pr10000000000" />
</text>
<statusCode code="completed"/>
<effectiveTime value="1967"/>
<value xsi:type="CD" code="22298006" codeSystem="2.16.840.1.113883.6.96" displayName="Myocardial infarction"/>
<entryRelationship typeCode="CAUS">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history death observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.47"/>
<id root="6898fae0-5c8a-11db-b0de-0800200c9a66"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<value xsi:type="CD" code="419099009" codeSystem="2.16.840.1.113883.6.96" displayName="Dead"/>
</observation>
</entryRelationship>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Age observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.31"/>
<code code="445518008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Age At Onset"/>
<statusCode code="completed"/>
<value xsi:type="PQ" value="57" unit="a"/>
</observation>
</entryRelationship>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history observation ** -->
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<templateId root="2.16.840.1.113883.10.20.1.22"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.3" extension="2015-08-01"/>
<!--Critical Change-->
<id root="5bfe3ec0-5c8b-11db-b0de-0800200c9a66"/>
<code code="64572001" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96" displayName="Condition">
<!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
<translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
very likely that the following is present, but use of LOINC as shown above would be better -->
<translation nullFlavor="NI"/>
</code>
<text>
<reference value="#pr10000000000" />
</text>
<statusCode code="completed"/>
<effectiveTime value="1950"/>
<value xsi:type="CD" code="44054006" codeSystem="2.16.840.1.113883.6.96" displayName="Diabetes mellitus type 2"/>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Age observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.31"/>
<code code="445518008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Age At Onset"/>
<statusCode code="completed"/>
<value xsi:type="PQ" value="40" unit="a"/>
</observation>
</entryRelationship>
</observation>
</component>
</organizer>
</entry>
</section>
</component>
<!--******************End of Family History****************-->
我已经构建了 C32 CCD 部分 - 家族史，但不确定为什么我会收到 NIST schematron 错误，即使该部分包含该部分中提到的所有模式错误元素。
错误如下：
Message A family history organizer (templateId 2.16.840.1.113883.10.20.1.23) SHALL be represented with Organizer.
Context /ClinicalDocument[1]/component[1]/structuredBody[1]/component[7]/section[1]
Test self::cda:organizer
Specification Schematron schema for validating conformance to CCD documents
Message The value for "Organizer / classCode" in a family history organizer SHALL be "CLUSTER" 2.16.840.1.113883.5.6 ActClass STATIC.
Context /ClinicalDocument[1]/component[1]/structuredBody[1]/component[7]/section[1]
Test @classCode='CLUSTER'
Specification Schematron schema for validating conformance to CCD documents
Message The value for "Organizer / moodCode" in a family history organizer SHALL be "EVN" 2.16.840.1.113883.5.1001 ActMood STATIC.
Context /ClinicalDocument[1]/component[1]/structuredBody[1]/component[7]/section[1]
Test @moodCode='EVN'
用于验证 CCD 文档一致性的规范 Schematron 架构
下面是家族史部分
<!--*******************Family History***********************--> <component>
<section>
<!-- *** Family history section (V3) *** -->
<templateId root="2.16.840.1.113883.10.20.1.23"/>
<!--<templateId root ="1.3.6.1.4.1.19376.1.5.3.1.4.15"/> -->
<code code="10157-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<title>FAMILY HISTORY</title>
<text>
<paragraph>Father (deceased)</paragraph>
<table border="1" width="100%">
<thead>
<tr>
<th>Diagnosis</th>
<th>Age At Onset</th>
</tr>
</thead>
<tbody>
<tr>
<td>Myocardial Infarction (cause of death)</td>
<td>57</td>
</tr>
<tr>
<td>Diabetes</td>
<td>40</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<organizer moodCode="EVN" classCode="CLUSTER">
<!-- ** Family history organizer (V3) ** -->
<templateId root="2.16.840.1.113883.10.20.1.23"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.15"/>
<id root="d42ebf70-5c89-11db-b0de-0855200c9a66"/>
<statusCode code="completed"/>
<subject typeCode="SBJ">
<!-- <name>Henry Seven</name> -->
<relatedSubject classCode="PRS">
<code code="FTH" displayName="Father" codeSystemName="HL7 FamilyMember" codeSystem="2.16.840.1.113883.5.111">
<translation code="9947008" displayName="Biological father" codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96"/>
</code>
<subject>
<name>Henry Seven</name>
<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male"/>
<birthTime value="1912"/>
</subject>
</relatedSubject>
</subject>
<component typeCode='COMP'>
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history observation (V3) ** -->
<!--Critical Change-->
<templateId root="2.16.840.1.113883.10.20.1.22"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.3'/>
<id root="d42ebf70-5c89-11db-b0de-0800200c9a66"/>
<code code="64572001" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96" displayName="Condition">
<!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
<translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
very likely that the following is present, but use of LOINC as shown above would be better -->
<translation nullFlavor="NI"/>
</code>
<text><reference value='#xxx'/></text>
<statusCode code="completed"/>
<effectiveTime value="1967"/>
<value xsi:type="CD" code="22298006" codeSystem="2.16.840.1.113883.6.96" displayName="Myocardial infarction"/>
<entryRelationship typeCode="CAUS">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history death observation ** -->
<!-- <templateId root="2.16.840.1.113883.10.20.22.4.47"/> -->
<templateId root="2.16.840.1.113883.10.20.1.38"/>
<id root="6898fae0-5c8a-11db-b0de-0800200c9a66"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<value xsi:type="CD" code="419099009" codeSystem="2.16.840.1.113883.6.96" displayName="Dead"/>
</observation>
</entryRelationship>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Age observation ** -->
<templateId root="2.16.840.1.113883.10.20.1.38"/>
<code code="397659008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Age At Onset"/>
<statusCode code="completed"/>
<value xsi:type="PQ" value="57" unit="a"/>
</observation>
</entryRelationship>
</observation>
</component>
<component typeCode='COMP'>
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history observation ** -->
<!--Critical Change-->
<templateId root="2.16.840.1.113883.10.20.1.22"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.3'/>
<id root="5bfe3ec0-5c8b-11db-b0de-0800200c9a66"/>
<code code="64572001" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96" displayName="Condition">
<!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
<translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
very likely that the following is present, but use of LOINC as shown above would be better -->
<translation nullFlavor="NI"/>
</code>
<text><reference value='#xxx'/></text>
<statusCode code="completed"/>
<effectiveTime value="1950"/>
<value xsi:type="CD" code="44054006" codeSystem="2.16.840.1.113883.6.96" displayName="Diabetes mellitus type 2"/>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Age observation ** -->
<templateId root="2.16.840.1.113883.10.20.1.38"/>
<code code="397659008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Age At Onset"/>
<statusCode code="completed"/>
<value xsi:type="PQ" value="40" unit="a"/>
</observation>
</entryRelationship>
</observation>
</component>
</organizer>
</entry>
</section>
</component>
<!--*******************Family History***********************-->
<component>
<section>
<!-- *** Family history section (V3) *** -->
<templateId root="2.16.840.1.113883.10.20.1.4" assigningAuthorityName="CCD"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.14" assigningAuthorityName="IHE PCC"/>
<code code="10157-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<title>FAMILY HISTORY</title>
<text>
<paragraph>Father (deceased)</paragraph>
<table border="1" width="100%">
<thead>
<tr>
<th>Diagnosis</th>
<th>Age At Onset</th>
</tr>
</thead>
<tbody>
<tr>
<td>Myocardial Infarction (cause of death)</td>
<td>57</td>
</tr>
<tr>
<td>Diabetes</td>
<td>40</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<organizer moodCode="EVN" classCode="CLUSTER">
<!-- ** Family history organizer (V3) ** -->
<!--<templateId root="2.16.840.1.113883.10.20.22.4.45" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.45"/> -->
<templateId root="2.16.840.1.113883.10.20.1.23"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.15"/>
<id root="d42ebf70-5c89-11db-b0de-0855200c9a66"/>
<statusCode code="completed"/>
<subject>
<relatedSubject classCode="PRS">
<code code="FTH" displayName="Father" codeSystemName="FamilyRelationshipRoleType" codeSystem="2.16.840.1.113883.5.111">
<!--
<translation code="9947008" displayName="Biological father" codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96"/>
-->
</code>
<subject>
<name>
<given>Patricia</given>
<given qualifier="CL">Patty</given>
<family>Primary</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.1.11.1" displayName="Male"/>
<birthTime value="1910"/>
</subject>
</relatedSubject>
</subject>
<component>
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history observation (V3) ** -->
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<templateId root="2.16.840.1.113883.10.20.1.22"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.3" extension="2015-08-01"/>
<!--Critical Change-->
<id root="d42ebf70-5c89-11db-b0de-0800200c9a66"/>
<code code="64572001" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96" displayName="Condition">
<!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
<translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
very likely that the following is present, but use of LOINC as shown above would be better -->
<translation nullFlavor="NI"/>
</code>
<text>
<reference value="#pr10000000000" />
</text>
<statusCode code="completed"/>
<effectiveTime value="1967"/>
<value xsi:type="CD" code="22298006" codeSystem="2.16.840.1.113883.6.96" displayName="Myocardial infarction"/>
<entryRelationship typeCode="CAUS">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history death observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.47"/>
<id root="6898fae0-5c8a-11db-b0de-0800200c9a66"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<value xsi:type="CD" code="419099009" codeSystem="2.16.840.1.113883.6.96" displayName="Dead"/>
</observation>
</entryRelationship>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Age observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.31"/>
<code code="445518008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Age At Onset"/>
<statusCode code="completed"/>
<value xsi:type="PQ" value="57" unit="a"/>
</observation>
</entryRelationship>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<!-- ** Family history observation ** -->
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<templateId root="2.16.840.1.113883.10.20.1.22"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.3" extension="2015-08-01"/>
<!--Critical Change-->
<id root="5bfe3ec0-5c8b-11db-b0de-0800200c9a66"/>
<code code="64572001" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96" displayName="Condition">
<!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
<translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
very likely that the following is present, but use of LOINC as shown above would be better -->
<translation nullFlavor="NI"/>
</code>
<text>
<reference value="#pr10000000000" />
</text>
<statusCode code="completed"/>
<effectiveTime value="1950"/>
<value xsi:type="CD" code="44054006" codeSystem="2.16.840.1.113883.6.96" displayName="Diabetes mellitus type 2"/>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Age observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.31"/>
<code code="445518008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Age At Onset"/>
<statusCode code="completed"/>
<value xsi:type="PQ" value="40" unit="a"/>
</observation>
</entryRelationship>
</observation>
</component>
</organizer>
</entry>
</section>
</component>
<!--******************End of Family History****************-->