<entry>
<act classCode="ACT" moodCode="EVN"> <!-- Conforms to C-CDA 2.1 Problem Concern Act (V3) --> <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01"/> <!-- Symptom Concern Act (V3) --> <templateId root="2.16.840.1.113883.10.20.24.3.138" extension="2019-12-01"/> <id root="1.3.6.1.4.1.115" extension="{{object_id}}"/> <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern"/> {{#prevalencePeriod}} {{#completed_prevalence_period}} <statusCode code="completed" /> {{/completed_prevalence_period}} {{^completed_prevalence_period}} <statusCode code="active" /> {{/completed_prevalence_period}} <!-- QDM Attribute: Prevalence Period --> {{{prevalence_period}}} {{/prevalencePeriod}} <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <!-- Conforms to C-CDA R2.1 Problem Observation (V3) --> <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/> <!-- Symptom (V2) --> <templateId root="2.16.840.1.113883.10.20.24.3.136" extension="2019-12-01"/> <id root="1.3.6.1.4.1.115" extension="{{object_id}}"/> <code code="75325-1" codeSystem="2.16.840.1.113883.6.1"> <translation code="418799008" displayName="Symptom" codeSystem="2.16.840.1.113883.6.96"/> </code> <statusCode code="completed" /> {{#prevalencePeriod}} <!-- QDM Attribute: Prevalence Period --> {{{prevalence_period}}} {{/prevalencePeriod}} <!-- QDM Attribute: Code --> {{> qrda_templates/template_partials/_data_element_codes_as_values}} {{#recorder}} <!-- QDM Attribute: Recorder --> <participant typeCode="PRF"> {{> qrda_templates/template_partials/_entity}} </participant> {{/recorder}} {{#severity}} <!-- QDM Attribute: Severity --> {{> qrda_templates/template_partials/_severity}} {{/severity}} </observation> </entryRelationship> </act>
</entry>