Submission scheme
Creating object
Updating objects
Deleting objects
Special cases
Update main condition
Create an episode of care with an encounter and a main condition observation.
<hl7:ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:hl7="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 https://raw.githubusercontent.com/cdaapi/cdaapi_core/master/reference/CDA.xsd">
<hl7:realmCode code="DK"/>
<hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<hl7:templateId root="1.2.208.176.7.1.10.71"/>
<hl7:templateId root="2.16.840.1.113883.10.12.2"/>
<hl7:templateId root="2.16.840.1.113883.10.12.1"/>
<hl7:id root="5016AD8F-26A5-47A4-AB7B-EDB035B88595" extension="05D12F25-D420-46B5-BEC3-19C671404672"/>
<hl7:code codeSystem="2.16.840.1.113883.6.1" code="34133-9"/>
<hl7:effectiveTime value="20180814085746+0200"/>
<hl7:confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
<hl7:setId assigningAuthorityName="DXC Technology" root="5016AD8F-26A5-47A4-AB7B-EDB035B88595"/>
<hl7:versionNumber value="-731548"/>
<hl7:recordTarget>
<hl7:templateId root="2.16.840.1.113883.10.12.101"/>
<hl7:templateId root="1.2.208.176.7.1.10.101"/>
<hl7:patientRole classCode="PAT">
<hl7:templateId root="1.2.208.176.7.1.10.106"/>
<hl7:id assigningAuthorityName="CPR" root="1.2.208.176.1.2" extension="1304621201"/>
</hl7:patientRole>
</hl7:recordTarget>
<hl7:author typeCode="AUT">
<hl7:templateId root="2.16.840.1.113883.10.12.102"/>
<hl7:templateId root="1.2.208.176.7.1.10.102"/>
<hl7:time value="20180814075746+0200"/>
<hl7:assignedAuthor classCode="ASSIGNED">
<hl7:id nullFlavor="NI"/>
<hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="6071000016008"/>
</hl7:representedOrganization>
</hl7:assignedAuthor>
</hl7:author>
<hl7:custodian typeCode="CST">
<hl7:templateId root="2.16.840.1.113883.10.12.104"/>
<hl7:templateId root="1.2.208.176.7.1.10.103"/>
<hl7:assignedCustodian classCode="ASSIGNED">
<hl7:representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id root="2.16.840.1.113883.2.24.1.1" extension="25469364"/>
</hl7:representedCustodianOrganization>
</hl7:assignedCustodian>
</hl7:custodian>
<hl7:component contextConductionInd="true">
<hl7:structuredBody>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="1.2.208.176.7.1.10.75"/>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:entry typeCode="COMP">
<hl7:encounter classCode="ENC" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.302"/>
<hl7:templateId root="1.2.208.176.7.1.10.74"/>
<hl7:id root="5016AD8F-26A5-47A4-AB7B-EDB035B88595" extension="A37ECD01-9C3B-5507-ABE3-59154CBDA852"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALCA00"/>
<hl7:effectiveTime>
<hl7:low value="20180814085746+0200"/>
</hl7:effectiveTime>
<hl7:priorityCode codeSystemName="Sundhedsvæsenets Klassifikations System" codeSystem="1.2.208.176.2.4" code="ATA1"/>
<hl7:participant typeCode="RESP">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.49"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:participant typeCode="LOC">
<hl7:templateId root="1.2.208.176.7.1.10.50"/>
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:time>
<hl7:low value="20180814085746+0200"/>
</hl7:time>
<hl7:participantRole classCode="SDLOC">
<hl7:templateId root="1.2.208.176.7.1.22.4"/>
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.48"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALCC01"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="REFR">
<hl7:act classCode="PCPR" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.72"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:id root="5016AD8F-26A5-47A4-AB7B-EDB035B88595" extension="24821928-5521-5B2A-A54D-0BF135B16FFC"/>
<hl7:code nullFlavor="NA"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="REFR">
<hl7:act classCode="ACT" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.7"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALFA2"/>
<hl7:effectiveTime>
<hl7:low value="20180814085746+0200"/>
</hl7:effectiveTime>
<hl7:participant typeCode="IND">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.8"/>
<hl7:participantRole classCode="PAYOR">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="Sundhedsdatastyrelsen" root="1.2.208.176.2.4" extension="ALFB01"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="ACT" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.10"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALFC4"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
</hl7:encounter>
</hl7:entry>
</hl7:section>
</hl7:component>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.113"/>
<hl7:entry typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN" negationInd="false">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.36"/>
<hl7:templateId root="1.2.208.176.7.1.10.45"/>
<hl7:id root="5016AD8F-26A5-47A4-AB7B-EDB035B88595" extension="1011BE6B-072B-59C6-831E-71B9632678B6"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DO000"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.43"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALGA01"/>
</hl7:observation>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="REFR">
<hl7:encounter classCode="ENC" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.77"/>
<hl7:id root="5016AD8F-26A5-47A4-AB7B-EDB035B88595" extension="A37ECD01-9C3B-5507-ABE3-59154CBDA852"/>
<hl7:code nullFlavor="NA"/>
</hl7:encounter>
</hl7:entryRelationship>
</hl7:observation>
</hl7:entry>
</hl7:section>
</hl7:component>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.95"/>
<hl7:entry typeCode="COMP">
<hl7:act classCode="PCPR" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.80"/>
<hl7:id root="5016AD8F-26A5-47A4-AB7B-EDB035B88595" extension="24821928-5521-5B2A-A54D-0BF135B16FFC"/>
<hl7:code nullFlavor="NA"/>
<hl7:effectiveTime>
<hl7:low value="20180814085746+0200"/>
</hl7:effectiveTime>
<hl7:participant typeCode="RESP">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.49"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="PCPR" moodCode="RQO">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.51"/>
<hl7:code nullFlavor="NA"/>
<hl7:effectiveTime value="20180814085746+0200"/>
<hl7:participant typeCode="REF">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.52"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="486811000016002"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.54"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALDA11"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.55"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DD429"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.5"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ZDW10"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.53"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALDB00"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.81"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALAL01"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entry>
</hl7:section>
</hl7:component>
</hl7:structuredBody>
</hl7:component>
</hl7:ClinicalDocument>
Replace it with the new data.
<hl7:ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:hl7="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 https://raw.githubusercontent.com/cdaapi/cdaapi_core/master/reference/CDA.xsd">
<hl7:realmCode code="DK"/>
<hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<hl7:templateId root="1.2.208.176.7.1.10.71"/>
<hl7:templateId root="2.16.840.1.113883.10.12.2"/>
<hl7:templateId root="2.16.840.1.113883.10.12.1"/>
<hl7:id root="5016AD8F-26A5-47A4-AB7B-EDB035B88595" extension="6071E737-EABF-4D1C-8C97-75AF79A2AF1B"/>
<hl7:code codeSystem="2.16.840.1.113883.6.1" code="34133-9"/>
<hl7:effectiveTime value="20180814085746+0200"/>
<hl7:confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
<hl7:setId assigningAuthorityName="DXC Technology" root="5016AD8F-26A5-47A4-AB7B-EDB035B88595"/>
<hl7:versionNumber value="-596947"/>
<hl7:recordTarget>
<hl7:templateId root="2.16.840.1.113883.10.12.101"/>
<hl7:templateId root="1.2.208.176.7.1.10.101"/>
<hl7:patientRole classCode="PAT">
<hl7:templateId root="1.2.208.176.7.1.10.106"/>
<hl7:id assigningAuthorityName="CPR" root="1.2.208.176.1.2" extension="1304621201"/>
</hl7:patientRole>
</hl7:recordTarget>
<hl7:author typeCode="AUT">
<hl7:templateId root="2.16.840.1.113883.10.12.102"/>
<hl7:templateId root="1.2.208.176.7.1.10.102"/>
<hl7:time value="20180814075746+0200"/>
<hl7:assignedAuthor classCode="ASSIGNED">
<hl7:id nullFlavor="NI"/>
<hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="6071000016008"/>
</hl7:representedOrganization>
</hl7:assignedAuthor>
</hl7:author>
<hl7:custodian typeCode="CST">
<hl7:templateId root="2.16.840.1.113883.10.12.104"/>
<hl7:templateId root="1.2.208.176.7.1.10.103"/>
<hl7:assignedCustodian classCode="ASSIGNED">
<hl7:representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id root="2.16.840.1.113883.2.24.1.1" extension="25469364"/>
</hl7:representedCustodianOrganization>
</hl7:assignedCustodian>
</hl7:custodian>
<hl7:relatedDocument typeCode="APND">
<hl7:parentDocument classCode="DOCCLIN" moodCode="EVN">
<hl7:id root="5016AD8F-26A5-47A4-AB7B-EDB035B88595" extension="05D12F25-D420-46B5-BEC3-19C671404672"/>
<hl7:setId root="5016AD8F-26A5-47A4-AB7B-EDB035B88595"/>
<hl7:versionNumber value="-731548"/>
</hl7:parentDocument>
</hl7:relatedDocument>
<hl7:component contextConductionInd="true">
<hl7:structuredBody>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.113"/>
<hl7:entry typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN" negationInd="true">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.36"/>
<hl7:templateId root="1.2.208.176.7.1.10.45"/>
<hl7:id root="5016AD8F-26A5-47A4-AB7B-EDB035B88595" extension="1011BE6B-072B-59C6-831E-71B9632678B6"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DO000"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.43"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALGA01"/>
</hl7:observation>
</hl7:entryRelationship>
<hl7:reference typeCode="RPLC">
<hl7:externalObservation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.326"/>
<hl7:templateId root="1.2.208.176.7.1.10.100"/>
<hl7:id root="5016AD8F-26A5-47A4-AB7B-EDB035B88595" extension="1011BE6B-072B-59C6-831E-71B9632678B6"/>
</hl7:externalObservation>
</hl7:reference>
<hl7:reference typeCode="REFR">
<hl7:templateId root="2.16.840.1.113883.10.12.324"/>
<hl7:externalAct classCode="ACT" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.325"/>
<hl7:templateId root="1.2.208.176.7.1.10.78"/>
<hl7:id root="5016AD8F-26A5-47A4-AB7B-EDB035B88595" extension="A37ECD01-9C3B-5507-ABE3-59154CBDA852"/>
</hl7:externalAct>
</hl7:reference>
</hl7:observation>
</hl7:entry>
</hl7:section>
</hl7:component>
</hl7:structuredBody>
</hl7:component>
</hl7:ClinicalDocument>
Update minor condition
Create an episode of care with an encounter and a minor condition
<hl7:ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:hl7="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 https://raw.githubusercontent.com/cdaapi/cdaapi_core/master/reference/CDA.xsd">
<hl7:realmCode code="DK"/>
<hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<hl7:templateId root="1.2.208.176.7.1.10.71"/>
<hl7:templateId root="2.16.840.1.113883.10.12.2"/>
<hl7:templateId root="2.16.840.1.113883.10.12.1"/>
<hl7:id root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859" extension="F1617307-4273-412C-82C0-CCF6DB96A370"/>
<hl7:code codeSystem="2.16.840.1.113883.6.1" code="34133-9"/>
<hl7:effectiveTime value="20180814085744+0200"/>
<hl7:confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
<hl7:setId assigningAuthorityName="DXC Technology" root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859"/>
<hl7:versionNumber value="-571219"/>
<hl7:recordTarget>
<hl7:templateId root="2.16.840.1.113883.10.12.101"/>
<hl7:templateId root="1.2.208.176.7.1.10.101"/>
<hl7:patientRole classCode="PAT">
<hl7:templateId root="1.2.208.176.7.1.10.106"/>
<hl7:id assigningAuthorityName="CPR" root="1.2.208.176.1.2" extension="1304621201"/>
</hl7:patientRole>
</hl7:recordTarget>
<hl7:author typeCode="AUT">
<hl7:templateId root="2.16.840.1.113883.10.12.102"/>
<hl7:templateId root="1.2.208.176.7.1.10.102"/>
<hl7:time value="20180814075744+0200"/>
<hl7:assignedAuthor classCode="ASSIGNED">
<hl7:id nullFlavor="NI"/>
<hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="6071000016008"/>
</hl7:representedOrganization>
</hl7:assignedAuthor>
</hl7:author>
<hl7:custodian typeCode="CST">
<hl7:templateId root="2.16.840.1.113883.10.12.104"/>
<hl7:templateId root="1.2.208.176.7.1.10.103"/>
<hl7:assignedCustodian classCode="ASSIGNED">
<hl7:representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id root="2.16.840.1.113883.2.24.1.1" extension="25469364"/>
</hl7:representedCustodianOrganization>
</hl7:assignedCustodian>
</hl7:custodian>
<hl7:component contextConductionInd="true">
<hl7:structuredBody>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.113"/>
<hl7:entry typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN" negationInd="false">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.36"/>
<hl7:templateId root="1.2.208.176.7.1.10.46"/>
<hl7:id root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859" extension="E53C1AC6-A5EC-527A-9EEC-C67358C09D99"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DA000"/>
<hl7:entryRelationship typeCode="REFR">
<hl7:encounter classCode="ENC" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.77"/>
<hl7:id root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859" extension="E9772494-5F67-583C-B383-5FBF3EA71217"/>
<hl7:code nullFlavor="NA"/>
</hl7:encounter>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.43"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALGA02"/>
</hl7:observation>
</hl7:entryRelationship>
</hl7:observation>
</hl7:entry>
</hl7:section>
</hl7:component>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="1.2.208.176.7.1.10.75"/>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:entry typeCode="COMP">
<hl7:encounter classCode="ENC" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.302"/>
<hl7:templateId root="1.2.208.176.7.1.10.74"/>
<hl7:id root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859" extension="E9772494-5F67-583C-B383-5FBF3EA71217"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALCA00"/>
<hl7:effectiveTime>
<hl7:low value="20180814085744+0200"/>
</hl7:effectiveTime>
<hl7:priorityCode codeSystemName="Sundhedsvæsenets Klassifikations System" codeSystem="1.2.208.176.2.4" code="ATA1"/>
<hl7:participant typeCode="RESP">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.49"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:participant typeCode="LOC">
<hl7:templateId root="1.2.208.176.7.1.10.50"/>
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:time>
<hl7:low value="20180814085744+0200"/>
</hl7:time>
<hl7:participantRole classCode="SDLOC">
<hl7:templateId root="1.2.208.176.7.1.22.4"/>
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="REFR">
<hl7:act classCode="ACT" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.7"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALFA2"/>
<hl7:effectiveTime>
<hl7:low value="20180814085744+0200"/>
</hl7:effectiveTime>
<hl7:participant typeCode="IND">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.8"/>
<hl7:participantRole classCode="PAYOR">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="Sundhedsdatastyrelsen" root="1.2.208.176.2.4" extension="ALFB01"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="ACT" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.10"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALFC4"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="REFR">
<hl7:act classCode="PCPR" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.72"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:id root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859" extension="241EF3ED-B086-5497-B27D-B8C2500BED99"/>
<hl7:code nullFlavor="NA"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.48"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALCC01"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:encounter>
</hl7:entry>
</hl7:section>
</hl7:component>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.95"/>
<hl7:entry typeCode="COMP">
<hl7:act classCode="PCPR" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.80"/>
<hl7:id root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859" extension="241EF3ED-B086-5497-B27D-B8C2500BED99"/>
<hl7:code nullFlavor="NA"/>
<hl7:effectiveTime>
<hl7:low value="20180814085744+0200"/>
</hl7:effectiveTime>
<hl7:participant typeCode="RESP">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.49"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.81"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALAL01"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="PCPR" moodCode="RQO">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.51"/>
<hl7:code nullFlavor="NA"/>
<hl7:effectiveTime value="20180814085744+0200"/>
<hl7:participant typeCode="REF">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.52"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="486811000016002"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.54"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALDA11"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.53"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALDB00"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.55"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DD429"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.5"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ZDW10"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entry>
</hl7:section>
</hl7:component>
</hl7:structuredBody>
</hl7:component>
</hl7:ClinicalDocument>
Replace it with the new data
<hl7:ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:hl7="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 https://raw.githubusercontent.com/cdaapi/cdaapi_core/master/reference/CDA.xsd">
<hl7:realmCode code="DK"/>
<hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<hl7:templateId root="1.2.208.176.7.1.10.71"/>
<hl7:templateId root="2.16.840.1.113883.10.12.2"/>
<hl7:templateId root="2.16.840.1.113883.10.12.1"/>
<hl7:id root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859" extension="F22E9967-C93A-4E37-9CEC-17D540BD07DD"/>
<hl7:code codeSystem="2.16.840.1.113883.6.1" code="34133-9"/>
<hl7:effectiveTime value="20180814085744+0200"/>
<hl7:confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
<hl7:setId assigningAuthorityName="DXC Technology" root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859"/>
<hl7:versionNumber value="408263"/>
<hl7:recordTarget>
<hl7:templateId root="2.16.840.1.113883.10.12.101"/>
<hl7:templateId root="1.2.208.176.7.1.10.101"/>
<hl7:patientRole classCode="PAT">
<hl7:templateId root="1.2.208.176.7.1.10.106"/>
<hl7:id assigningAuthorityName="CPR" root="1.2.208.176.1.2" extension="1304621201"/>
</hl7:patientRole>
</hl7:recordTarget>
<hl7:author typeCode="AUT">
<hl7:templateId root="2.16.840.1.113883.10.12.102"/>
<hl7:templateId root="1.2.208.176.7.1.10.102"/>
<hl7:time value="20180814075744+0200"/>
<hl7:assignedAuthor classCode="ASSIGNED">
<hl7:id nullFlavor="NI"/>
<hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="6071000016008"/>
</hl7:representedOrganization>
</hl7:assignedAuthor>
</hl7:author>
<hl7:custodian typeCode="CST">
<hl7:templateId root="2.16.840.1.113883.10.12.104"/>
<hl7:templateId root="1.2.208.176.7.1.10.103"/>
<hl7:assignedCustodian classCode="ASSIGNED">
<hl7:representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id root="2.16.840.1.113883.2.24.1.1" extension="25469364"/>
</hl7:representedCustodianOrganization>
</hl7:assignedCustodian>
</hl7:custodian>
<hl7:relatedDocument typeCode="APND">
<hl7:parentDocument classCode="DOCCLIN" moodCode="EVN">
<hl7:id root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859" extension="F1617307-4273-412C-82C0-CCF6DB96A370"/>
<hl7:setId root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859"/>
<hl7:versionNumber value="-571219"/>
</hl7:parentDocument>
</hl7:relatedDocument>
<hl7:component contextConductionInd="true">
<hl7:structuredBody>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.113"/>
<hl7:entry typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN" negationInd="true">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.36"/>
<hl7:templateId root="1.2.208.176.7.1.10.46"/>
<hl7:id root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859" extension="E53C1AC6-A5EC-527A-9EEC-C67358C09D99"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DA000"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.43"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALGA02"/>
</hl7:observation>
</hl7:entryRelationship>
<hl7:reference typeCode="RPLC">
<hl7:externalObservation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.326"/>
<hl7:templateId root="1.2.208.176.7.1.10.100"/>
<hl7:id root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859" extension="E53C1AC6-A5EC-527A-9EEC-C67358C09D99"/>
</hl7:externalObservation>
</hl7:reference>
<hl7:reference typeCode="REFR">
<hl7:templateId root="2.16.840.1.113883.10.12.324"/>
<hl7:externalAct classCode="ACT" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.325"/>
<hl7:templateId root="1.2.208.176.7.1.10.78"/>
<hl7:id root="E2A1742C-F9BF-47DB-B922-3B8EBBFCB859" extension="E9772494-5F67-583C-B383-5FBF3EA71217"/>
</hl7:externalAct>
</hl7:reference>
</hl7:observation>
</hl7:entry>
</hl7:section>
</hl7:component>
</hl7:structuredBody>
</hl7:component>
</hl7:ClinicalDocument>
Update main condition switch to minor
Create an episode of care with an encounter and a main condition
<hl7:ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:hl7="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 https://raw.githubusercontent.com/cdaapi/cdaapi_core/master/reference/CDA.xsd">
<hl7:realmCode code="DK"/>
<hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<hl7:templateId root="1.2.208.176.7.1.10.71"/>
<hl7:templateId root="2.16.840.1.113883.10.12.2"/>
<hl7:templateId root="2.16.840.1.113883.10.12.1"/>
<hl7:id root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB" extension="0A3E9113-36E0-47E8-A876-2958E1D3518A"/>
<hl7:code codeSystem="2.16.840.1.113883.6.1" code="34133-9"/>
<hl7:effectiveTime value="20180814085748+0200"/>
<hl7:confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
<hl7:setId assigningAuthorityName="DXC Technology" root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB"/>
<hl7:versionNumber value="-730876"/>
<hl7:recordTarget>
<hl7:templateId root="2.16.840.1.113883.10.12.101"/>
<hl7:templateId root="1.2.208.176.7.1.10.101"/>
<hl7:patientRole classCode="PAT">
<hl7:templateId root="1.2.208.176.7.1.10.106"/>
<hl7:id assigningAuthorityName="CPR" root="1.2.208.176.1.2" extension="1304621201"/>
</hl7:patientRole>
</hl7:recordTarget>
<hl7:author typeCode="AUT">
<hl7:templateId root="2.16.840.1.113883.10.12.102"/>
<hl7:templateId root="1.2.208.176.7.1.10.102"/>
<hl7:time value="20180814075748+0200"/>
<hl7:assignedAuthor classCode="ASSIGNED">
<hl7:id nullFlavor="NI"/>
<hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="6071000016008"/>
</hl7:representedOrganization>
</hl7:assignedAuthor>
</hl7:author>
<hl7:custodian typeCode="CST">
<hl7:templateId root="2.16.840.1.113883.10.12.104"/>
<hl7:templateId root="1.2.208.176.7.1.10.103"/>
<hl7:assignedCustodian classCode="ASSIGNED">
<hl7:representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id root="2.16.840.1.113883.2.24.1.1" extension="25469364"/>
</hl7:representedCustodianOrganization>
</hl7:assignedCustodian>
</hl7:custodian>
<hl7:component contextConductionInd="true">
<hl7:structuredBody>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.113"/>
<hl7:entry typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN" negationInd="false">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.36"/>
<hl7:templateId root="1.2.208.176.7.1.10.45"/>
<hl7:id root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB" extension="7C832BBB-FC9B-5803-BFE6-E887474FA7F6"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DO000"/>
<hl7:entryRelationship typeCode="REFR">
<hl7:encounter classCode="ENC" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.77"/>
<hl7:id root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB" extension="11BA6EF4-4375-5C73-9757-B6F8C55DAA0F"/>
<hl7:code nullFlavor="NA"/>
</hl7:encounter>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.43"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALGA01"/>
</hl7:observation>
</hl7:entryRelationship>
</hl7:observation>
</hl7:entry>
</hl7:section>
</hl7:component>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="1.2.208.176.7.1.10.75"/>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:entry typeCode="COMP">
<hl7:encounter classCode="ENC" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.302"/>
<hl7:templateId root="1.2.208.176.7.1.10.74"/>
<hl7:id root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB" extension="11BA6EF4-4375-5C73-9757-B6F8C55DAA0F"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALCA00"/>
<hl7:effectiveTime>
<hl7:low value="20180814085748+0200"/>
</hl7:effectiveTime>
<hl7:priorityCode codeSystemName="Sundhedsvæsenets Klassifikations System" codeSystem="1.2.208.176.2.4" code="ATA1"/>
<hl7:participant typeCode="RESP">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.49"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:participant typeCode="LOC">
<hl7:templateId root="1.2.208.176.7.1.10.50"/>
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:time>
<hl7:low value="20180814085748+0200"/>
</hl7:time>
<hl7:participantRole classCode="SDLOC">
<hl7:templateId root="1.2.208.176.7.1.22.4"/>
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.48"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALCC01"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="REFR">
<hl7:act classCode="PCPR" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.72"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:id root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB" extension="C707318E-6BFF-5BFE-909C-BC9EC492CB47"/>
<hl7:code nullFlavor="NA"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="REFR">
<hl7:act classCode="ACT" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.7"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALFA2"/>
<hl7:effectiveTime>
<hl7:low value="20180814085748+0200"/>
</hl7:effectiveTime>
<hl7:participant typeCode="IND">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.8"/>
<hl7:participantRole classCode="PAYOR">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="Sundhedsdatastyrelsen" root="1.2.208.176.2.4" extension="ALFB01"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="ACT" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.10"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALFC4"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
</hl7:encounter>
</hl7:entry>
</hl7:section>
</hl7:component>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.95"/>
<hl7:entry typeCode="COMP">
<hl7:act classCode="PCPR" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.80"/>
<hl7:id root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB" extension="C707318E-6BFF-5BFE-909C-BC9EC492CB47"/>
<hl7:code nullFlavor="NA"/>
<hl7:effectiveTime>
<hl7:low value="20180814085748+0200"/>
</hl7:effectiveTime>
<hl7:participant typeCode="RESP">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.49"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="PCPR" moodCode="RQO">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.51"/>
<hl7:code nullFlavor="NA"/>
<hl7:effectiveTime value="20180814085748+0200"/>
<hl7:participant typeCode="REF">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.52"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="486811000016002"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.55"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DD429"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.5"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ZDW10"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.54"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALDA11"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.53"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALDB00"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.81"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALAL01"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entry>
</hl7:section>
</hl7:component>
</hl7:structuredBody>
</hl7:component>
</hl7:ClinicalDocument>
Replace it with the new data using the minor condition template
<hl7:ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:hl7="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 https://raw.githubusercontent.com/cdaapi/cdaapi_core/master/reference/CDA.xsd">
<hl7:realmCode code="DK"/>
<hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<hl7:templateId root="1.2.208.176.7.1.10.71"/>
<hl7:templateId root="2.16.840.1.113883.10.12.2"/>
<hl7:templateId root="2.16.840.1.113883.10.12.1"/>
<hl7:id root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB" extension="1A482AFA-F261-41D7-9FB2-0D5CC38494BD"/>
<hl7:code codeSystem="2.16.840.1.113883.6.1" code="34133-9"/>
<hl7:effectiveTime value="20180814085748+0200"/>
<hl7:confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
<hl7:setId assigningAuthorityName="DXC Technology" root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB"/>
<hl7:versionNumber value="-229094"/>
<hl7:recordTarget>
<hl7:templateId root="2.16.840.1.113883.10.12.101"/>
<hl7:templateId root="1.2.208.176.7.1.10.101"/>
<hl7:patientRole classCode="PAT">
<hl7:templateId root="1.2.208.176.7.1.10.106"/>
<hl7:id assigningAuthorityName="CPR" root="1.2.208.176.1.2" extension="1304621201"/>
</hl7:patientRole>
</hl7:recordTarget>
<hl7:author typeCode="AUT">
<hl7:templateId root="2.16.840.1.113883.10.12.102"/>
<hl7:templateId root="1.2.208.176.7.1.10.102"/>
<hl7:time value="20180814075748+0200"/>
<hl7:assignedAuthor classCode="ASSIGNED">
<hl7:id nullFlavor="NI"/>
<hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="6071000016008"/>
</hl7:representedOrganization>
</hl7:assignedAuthor>
</hl7:author>
<hl7:custodian typeCode="CST">
<hl7:templateId root="2.16.840.1.113883.10.12.104"/>
<hl7:templateId root="1.2.208.176.7.1.10.103"/>
<hl7:assignedCustodian classCode="ASSIGNED">
<hl7:representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id root="2.16.840.1.113883.2.24.1.1" extension="25469364"/>
</hl7:representedCustodianOrganization>
</hl7:assignedCustodian>
</hl7:custodian>
<hl7:relatedDocument typeCode="APND">
<hl7:parentDocument classCode="DOCCLIN" moodCode="EVN">
<hl7:id root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB" extension="0A3E9113-36E0-47E8-A876-2958E1D3518A"/>
<hl7:setId root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB"/>
<hl7:versionNumber value="-730876"/>
</hl7:parentDocument>
</hl7:relatedDocument>
<hl7:component contextConductionInd="true">
<hl7:structuredBody>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.113"/>
<hl7:entry typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN" negationInd="false">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.36"/>
<hl7:templateId root="1.2.208.176.7.1.10.46"/>
<hl7:id root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB" extension="7C832BBB-FC9B-5803-BFE6-E887474FA7F6"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DA000"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.43"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALGA02"/>
</hl7:observation>
</hl7:entryRelationship>
<hl7:reference typeCode="REFR">
<hl7:templateId root="2.16.840.1.113883.10.12.324"/>
<hl7:externalAct classCode="ACT" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.325"/>
<hl7:templateId root="1.2.208.176.7.1.10.78"/>
<hl7:id root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB" extension="11BA6EF4-4375-5C73-9757-B6F8C55DAA0F"/>
</hl7:externalAct>
</hl7:reference>
<hl7:reference typeCode="RPLC">
<hl7:externalObservation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.326"/>
<hl7:templateId root="1.2.208.176.7.1.10.100"/>
<hl7:id root="8BF23D6D-72FD-4B5F-B44F-1BAAC2F51FDB" extension="7C832BBB-FC9B-5803-BFE6-E887474FA7F6"/>
</hl7:externalObservation>
</hl7:reference>
</hl7:observation>
</hl7:entry>
</hl7:section>
</hl7:component>
</hl7:structuredBody>
</hl7:component>
</hl7:ClinicalDocument>
Update minor condition switch to main
In order update a minor condition and switch it to a main condition, one has to deal with any existing main condition, as the model only allow one main condition per encounter.
No existing main condition
Create an episode of care with an encounter and a minor condition
<hl7:ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:hl7="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 https://raw.githubusercontent.com/cdaapi/cdaapi_core/master/reference/CDA.xsd">
<hl7:realmCode code="DK"/>
<hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<hl7:templateId root="1.2.208.176.7.1.10.71"/>
<hl7:templateId root="2.16.840.1.113883.10.12.2"/>
<hl7:templateId root="2.16.840.1.113883.10.12.1"/>
<hl7:id root="65154A18-95A4-433C-8240-9CB7B3D6B051" extension="FA1CCB91-B40F-4E26-B2F3-DDAA0A8F366A"/>
<hl7:code codeSystem="2.16.840.1.113883.6.1" code="34133-9"/>
<hl7:effectiveTime value="20180814085745+0200"/>
<hl7:confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
<hl7:setId assigningAuthorityName="DXC Technology" root="65154A18-95A4-433C-8240-9CB7B3D6B051"/>
<hl7:versionNumber value="-377002"/>
<hl7:recordTarget>
<hl7:templateId root="2.16.840.1.113883.10.12.101"/>
<hl7:templateId root="1.2.208.176.7.1.10.101"/>
<hl7:patientRole classCode="PAT">
<hl7:templateId root="1.2.208.176.7.1.10.106"/>
<hl7:id assigningAuthorityName="CPR" root="1.2.208.176.1.2" extension="1304621201"/>
</hl7:patientRole>
</hl7:recordTarget>
<hl7:author typeCode="AUT">
<hl7:templateId root="2.16.840.1.113883.10.12.102"/>
<hl7:templateId root="1.2.208.176.7.1.10.102"/>
<hl7:time value="20180814075745+0200"/>
<hl7:assignedAuthor classCode="ASSIGNED">
<hl7:id nullFlavor="NI"/>
<hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="6071000016008"/>
</hl7:representedOrganization>
</hl7:assignedAuthor>
</hl7:author>
<hl7:custodian typeCode="CST">
<hl7:templateId root="2.16.840.1.113883.10.12.104"/>
<hl7:templateId root="1.2.208.176.7.1.10.103"/>
<hl7:assignedCustodian classCode="ASSIGNED">
<hl7:representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id root="2.16.840.1.113883.2.24.1.1" extension="25469364"/>
</hl7:representedCustodianOrganization>
</hl7:assignedCustodian>
</hl7:custodian>
<hl7:component contextConductionInd="true">
<hl7:structuredBody>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.95"/>
<hl7:entry typeCode="COMP">
<hl7:act classCode="PCPR" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.80"/>
<hl7:id root="65154A18-95A4-433C-8240-9CB7B3D6B051" extension="E593F3EF-80BF-5B2C-80AF-A36B8E62967C"/>
<hl7:code nullFlavor="NA"/>
<hl7:effectiveTime>
<hl7:low value="20180814085745+0200"/>
</hl7:effectiveTime>
<hl7:participant typeCode="RESP">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.49"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="PCPR" moodCode="RQO">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.51"/>
<hl7:code nullFlavor="NA"/>
<hl7:effectiveTime value="20180814085745+0200"/>
<hl7:participant typeCode="REF">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.52"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="486811000016002"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.54"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALDA11"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.53"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALDB00"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.55"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DD429"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.5"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ZDW10"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.81"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALAL01"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entry>
</hl7:section>
</hl7:component>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="1.2.208.176.7.1.10.75"/>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:entry typeCode="COMP">
<hl7:encounter classCode="ENC" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.302"/>
<hl7:templateId root="1.2.208.176.7.1.10.74"/>
<hl7:id root="65154A18-95A4-433C-8240-9CB7B3D6B051" extension="9F164F8D-9069-5D8F-8C90-0217691DC3B3"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALCA00"/>
<hl7:effectiveTime>
<hl7:low value="20180814085745+0200"/>
</hl7:effectiveTime>
<hl7:priorityCode codeSystemName="Sundhedsvæsenets Klassifikations System" codeSystem="1.2.208.176.2.4" code="ATA1"/>
<hl7:participant typeCode="RESP">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.49"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:participant typeCode="LOC">
<hl7:templateId root="1.2.208.176.7.1.10.50"/>
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:time>
<hl7:low value="20180814085745+0200"/>
</hl7:time>
<hl7:participantRole classCode="SDLOC">
<hl7:templateId root="1.2.208.176.7.1.22.4"/>
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.48"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALCC01"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="REFR">
<hl7:act classCode="ACT" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.7"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALFA2"/>
<hl7:effectiveTime>
<hl7:low value="20180814085745+0200"/>
</hl7:effectiveTime>
<hl7:participant typeCode="IND">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.8"/>
<hl7:participantRole classCode="PAYOR">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="Sundhedsdatastyrelsen" root="1.2.208.176.2.4" extension="ALFB01"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="ACT" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.10"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALFC4"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="REFR">
<hl7:act classCode="PCPR" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.72"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:id root="65154A18-95A4-433C-8240-9CB7B3D6B051" extension="E593F3EF-80BF-5B2C-80AF-A36B8E62967C"/>
<hl7:code nullFlavor="NA"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:encounter>
</hl7:entry>
</hl7:section>
</hl7:component>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.113"/>
<hl7:entry typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN" negationInd="false">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.36"/>
<hl7:templateId root="1.2.208.176.7.1.10.46"/>
<hl7:id root="65154A18-95A4-433C-8240-9CB7B3D6B051" extension="A2CAB2DB-2546-5A8B-83E4-8825049734D9"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DA000"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.43"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALGA02"/>
</hl7:observation>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="REFR">
<hl7:encounter classCode="ENC" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.77"/>
<hl7:id root="65154A18-95A4-433C-8240-9CB7B3D6B051" extension="9F164F8D-9069-5D8F-8C90-0217691DC3B3"/>
<hl7:code nullFlavor="NA"/>
</hl7:encounter>
</hl7:entryRelationship>
</hl7:observation>
</hl7:entry>
</hl7:section>
</hl7:component>
</hl7:structuredBody>
</hl7:component>
</hl7:ClinicalDocument>
Replace it with the new data using the main condition template
<hl7:ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:hl7="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 https://raw.githubusercontent.com/cdaapi/cdaapi_core/master/reference/CDA.xsd">
<hl7:realmCode code="DK"/>
<hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<hl7:templateId root="1.2.208.176.7.1.10.71"/>
<hl7:templateId root="2.16.840.1.113883.10.12.2"/>
<hl7:templateId root="2.16.840.1.113883.10.12.1"/>
<hl7:id root="65154A18-95A4-433C-8240-9CB7B3D6B051" extension="46E10ECC-B94D-4FE5-8BBD-B2B2E761DDEB"/>
<hl7:code codeSystem="2.16.840.1.113883.6.1" code="34133-9"/>
<hl7:effectiveTime value="20180814085745+0200"/>
<hl7:confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
<hl7:setId assigningAuthorityName="DXC Technology" root="65154A18-95A4-433C-8240-9CB7B3D6B051"/>
<hl7:versionNumber value="454981"/>
<hl7:recordTarget>
<hl7:templateId root="2.16.840.1.113883.10.12.101"/>
<hl7:templateId root="1.2.208.176.7.1.10.101"/>
<hl7:patientRole classCode="PAT">
<hl7:templateId root="1.2.208.176.7.1.10.106"/>
<hl7:id assigningAuthorityName="CPR" root="1.2.208.176.1.2" extension="1304621201"/>
</hl7:patientRole>
</hl7:recordTarget>
<hl7:author typeCode="AUT">
<hl7:templateId root="2.16.840.1.113883.10.12.102"/>
<hl7:templateId root="1.2.208.176.7.1.10.102"/>
<hl7:time value="20180814075745+0200"/>
<hl7:assignedAuthor classCode="ASSIGNED">
<hl7:id nullFlavor="NI"/>
<hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="6071000016008"/>
</hl7:representedOrganization>
</hl7:assignedAuthor>
</hl7:author>
<hl7:custodian typeCode="CST">
<hl7:templateId root="2.16.840.1.113883.10.12.104"/>
<hl7:templateId root="1.2.208.176.7.1.10.103"/>
<hl7:assignedCustodian classCode="ASSIGNED">
<hl7:representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id root="2.16.840.1.113883.2.24.1.1" extension="25469364"/>
</hl7:representedCustodianOrganization>
</hl7:assignedCustodian>
</hl7:custodian>
<hl7:relatedDocument typeCode="APND">
<hl7:parentDocument classCode="DOCCLIN" moodCode="EVN">
<hl7:id root="65154A18-95A4-433C-8240-9CB7B3D6B051" extension="FA1CCB91-B40F-4E26-B2F3-DDAA0A8F366A"/>
<hl7:setId root="65154A18-95A4-433C-8240-9CB7B3D6B051"/>
<hl7:versionNumber value="-377002"/>
</hl7:parentDocument>
</hl7:relatedDocument>
<hl7:component contextConductionInd="true">
<hl7:structuredBody>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.113"/>
<hl7:entry typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN" negationInd="false">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.36"/>
<hl7:templateId root="1.2.208.176.7.1.10.45"/>
<hl7:id root="65154A18-95A4-433C-8240-9CB7B3D6B051" extension="A2CAB2DB-2546-5A8B-83E4-8825049734D9"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DO000"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.43"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALGA01"/>
</hl7:observation>
</hl7:entryRelationship>
<hl7:reference typeCode="RPLC">
<hl7:externalObservation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.326"/>
<hl7:templateId root="1.2.208.176.7.1.10.100"/>
<hl7:id root="65154A18-95A4-433C-8240-9CB7B3D6B051" extension="A2CAB2DB-2546-5A8B-83E4-8825049734D9"/>
</hl7:externalObservation>
</hl7:reference>
<hl7:reference typeCode="REFR">
<hl7:templateId root="2.16.840.1.113883.10.12.324"/>
<hl7:externalAct classCode="ACT" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.325"/>
<hl7:templateId root="1.2.208.176.7.1.10.78"/>
<hl7:id root="65154A18-95A4-433C-8240-9CB7B3D6B051" extension="9F164F8D-9069-5D8F-8C90-0217691DC3B3"/>
</hl7:externalAct>
</hl7:reference>
</hl7:observation>
</hl7:entry>
</hl7:section>
</hl7:component>
</hl7:structuredBody>
</hl7:component>
</hl7:ClinicalDocument>
Main condition exists
Create an episode of care with an encounter and a minor and a main condition
<hl7:ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:hl7="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 https://raw.githubusercontent.com/cdaapi/cdaapi_core/master/reference/CDA.xsd">
<hl7:realmCode code="DK"/>
<hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<hl7:templateId root="1.2.208.176.7.1.10.71"/>
<hl7:templateId root="2.16.840.1.113883.10.12.2"/>
<hl7:templateId root="2.16.840.1.113883.10.12.1"/>
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="6A3D9FF8-AEFF-4497-90A3-C2B3BC06F08B"/>
<hl7:code codeSystem="2.16.840.1.113883.6.1" code="34133-9"/>
<hl7:effectiveTime value="20180814085705+0200"/>
<hl7:confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
<hl7:setId assigningAuthorityName="DXC Technology" root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB"/>
<hl7:versionNumber value="-525178"/>
<hl7:recordTarget>
<hl7:templateId root="2.16.840.1.113883.10.12.101"/>
<hl7:templateId root="1.2.208.176.7.1.10.101"/>
<hl7:patientRole classCode="PAT">
<hl7:templateId root="1.2.208.176.7.1.10.106"/>
<hl7:id assigningAuthorityName="CPR" root="1.2.208.176.1.2" extension="1304621201"/>
</hl7:patientRole>
</hl7:recordTarget>
<hl7:author typeCode="AUT">
<hl7:templateId root="2.16.840.1.113883.10.12.102"/>
<hl7:templateId root="1.2.208.176.7.1.10.102"/>
<hl7:time value="20180814075705+0200"/>
<hl7:assignedAuthor classCode="ASSIGNED">
<hl7:id nullFlavor="NI"/>
<hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="6071000016008"/>
</hl7:representedOrganization>
</hl7:assignedAuthor>
</hl7:author>
<hl7:custodian typeCode="CST">
<hl7:templateId root="2.16.840.1.113883.10.12.104"/>
<hl7:templateId root="1.2.208.176.7.1.10.103"/>
<hl7:assignedCustodian classCode="ASSIGNED">
<hl7:representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id root="2.16.840.1.113883.2.24.1.1" extension="25469364"/>
</hl7:representedCustodianOrganization>
</hl7:assignedCustodian>
</hl7:custodian>
<hl7:component contextConductionInd="true">
<hl7:structuredBody>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.95"/>
<hl7:entry typeCode="COMP">
<hl7:act classCode="PCPR" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.80"/>
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="869840DD-892E-512A-8E28-A55C110ED55A"/>
<hl7:code nullFlavor="NA"/>
<hl7:effectiveTime>
<hl7:low value="20180814085705+0200"/>
</hl7:effectiveTime>
<hl7:participant typeCode="RESP">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.49"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="PCPR" moodCode="RQO">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.51"/>
<hl7:code nullFlavor="NA"/>
<hl7:effectiveTime value="20180814085705+0200"/>
<hl7:participant typeCode="REF">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.52"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="486811000016002"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.54"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALDA11"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.55"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DD429"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.5"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ZDW10"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.53"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALDB00"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.81"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALAL01"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entry>
</hl7:section>
</hl7:component>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.113"/>
<hl7:entry typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN" negationInd="false">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.36"/>
<hl7:templateId root="1.2.208.176.7.1.10.46"/>
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="6463C77D-FA42-5730-B443-F9343875302E"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DA000"/>
<hl7:entryRelationship typeCode="REFR">
<hl7:encounter classCode="ENC" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.77"/>
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="D26694B2-778E-5F07-8D8B-EA9F28473B93"/>
<hl7:code nullFlavor="NA"/>
</hl7:encounter>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.43"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALGA02"/>
</hl7:observation>
</hl7:entryRelationship>
</hl7:observation>
</hl7:entry>
<hl7:entry typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN" negationInd="false">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.36"/>
<hl7:templateId root="1.2.208.176.7.1.10.45"/>
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="BE844372-DE32-527C-A23D-3E3E7377C865"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DO000"/>
<hl7:entryRelationship typeCode="REFR">
<hl7:encounter classCode="ENC" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.77"/>
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="D26694B2-778E-5F07-8D8B-EA9F28473B93"/>
<hl7:code nullFlavor="NA"/>
</hl7:encounter>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.43"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALGA01"/>
</hl7:observation>
</hl7:entryRelationship>
</hl7:observation>
</hl7:entry>
</hl7:section>
</hl7:component>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="1.2.208.176.7.1.10.75"/>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:entry typeCode="COMP">
<hl7:encounter classCode="ENC" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.302"/>
<hl7:templateId root="1.2.208.176.7.1.10.74"/>
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="D26694B2-778E-5F07-8D8B-EA9F28473B93"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALCA00"/>
<hl7:effectiveTime>
<hl7:low value="20180814085705+0200"/>
</hl7:effectiveTime>
<hl7:priorityCode codeSystemName="Sundhedsvæsenets Klassifikations System" codeSystem="1.2.208.176.2.4" code="ATA1"/>
<hl7:participant typeCode="RESP">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.49"/>
<hl7:participantRole classCode="ROL">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:participant typeCode="LOC">
<hl7:templateId root="1.2.208.176.7.1.10.50"/>
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:time>
<hl7:low value="20180814085705+0200"/>
</hl7:time>
<hl7:participantRole classCode="SDLOC">
<hl7:templateId root="1.2.208.176.7.1.22.4"/>
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="276231000016004"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="RSON">
<hl7:act classCode="REG" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.48"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALCC01"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="REFR">
<hl7:act classCode="PCPR" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.72"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="869840DD-892E-512A-8E28-A55C110ED55A"/>
<hl7:code nullFlavor="NA"/>
</hl7:act>
</hl7:entryRelationship>
<hl7:entryRelationship typeCode="REFR">
<hl7:act classCode="ACT" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.7"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALFA2"/>
<hl7:effectiveTime>
<hl7:low value="20180814085705+0200"/>
</hl7:effectiveTime>
<hl7:participant typeCode="IND">
<hl7:templateId root="2.16.840.1.113883.10.12.321"/>
<hl7:templateId root="1.2.208.176.7.1.10.8"/>
<hl7:participantRole classCode="PAYOR">
<hl7:scopingEntity classCode="ORG">
<hl7:id assigningAuthorityName="Sundhedsdatastyrelsen" root="1.2.208.176.2.4" extension="ALFB01"/>
</hl7:scopingEntity>
</hl7:participantRole>
</hl7:participant>
<hl7:entryRelationship typeCode="COMP">
<hl7:act classCode="ACT" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:templateId root="1.2.208.176.7.1.10.10"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALFC4"/>
</hl7:act>
</hl7:entryRelationship>
</hl7:act>
</hl7:entryRelationship>
</hl7:encounter>
</hl7:entry>
</hl7:section>
</hl7:component>
</hl7:structuredBody>
</hl7:component>
</hl7:ClinicalDocument>
Nullify the main condition and replace the minor condition with the new data using the main condition template
<hl7:ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:hl7="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 https://raw.githubusercontent.com/cdaapi/cdaapi_core/master/reference/CDA.xsd">
<hl7:realmCode code="DK"/>
<hl7:typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<hl7:templateId root="1.2.208.176.7.1.10.71"/>
<hl7:templateId root="2.16.840.1.113883.10.12.2"/>
<hl7:templateId root="2.16.840.1.113883.10.12.1"/>
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="96E4EE31-AA9A-4DC8-98AA-FCBD54C3D556"/>
<hl7:code codeSystem="2.16.840.1.113883.6.1" code="34133-9"/>
<hl7:effectiveTime value="20180814085705+0200"/>
<hl7:confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
<hl7:setId assigningAuthorityName="DXC Technology" root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB"/>
<hl7:versionNumber value="291219"/>
<hl7:recordTarget>
<hl7:templateId root="2.16.840.1.113883.10.12.101"/>
<hl7:templateId root="1.2.208.176.7.1.10.101"/>
<hl7:patientRole classCode="PAT">
<hl7:templateId root="1.2.208.176.7.1.10.106"/>
<hl7:id assigningAuthorityName="CPR" root="1.2.208.176.1.2" extension="1304621201"/>
</hl7:patientRole>
</hl7:recordTarget>
<hl7:author typeCode="AUT">
<hl7:templateId root="2.16.840.1.113883.10.12.102"/>
<hl7:templateId root="1.2.208.176.7.1.10.102"/>
<hl7:time value="20180814075705+0200"/>
<hl7:assignedAuthor classCode="ASSIGNED">
<hl7:id nullFlavor="NI"/>
<hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id assigningAuthorityName="SOR" root="1.2.208.176.1.1" extension="6071000016008"/>
</hl7:representedOrganization>
</hl7:assignedAuthor>
</hl7:author>
<hl7:custodian typeCode="CST">
<hl7:templateId root="2.16.840.1.113883.10.12.104"/>
<hl7:templateId root="1.2.208.176.7.1.10.103"/>
<hl7:assignedCustodian classCode="ASSIGNED">
<hl7:representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<hl7:id root="2.16.840.1.113883.2.24.1.1" extension="25469364"/>
</hl7:representedCustodianOrganization>
</hl7:assignedCustodian>
</hl7:custodian>
<hl7:relatedDocument typeCode="APND">
<hl7:parentDocument classCode="DOCCLIN" moodCode="EVN">
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="6A3D9FF8-AEFF-4497-90A3-C2B3BC06F08B"/>
<hl7:setId root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB"/>
<hl7:versionNumber value="-525178"/>
</hl7:parentDocument>
</hl7:relatedDocument>
<hl7:component contextConductionInd="true">
<hl7:structuredBody>
<hl7:component contextConductionInd="true">
<hl7:section>
<hl7:templateId root="2.16.840.1.113883.10.12.201"/>
<hl7:templateId root="1.2.208.176.7.1.10.113"/>
<hl7:entry typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN" negationInd="false">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.36"/>
<hl7:templateId root="1.2.208.176.7.1.10.45"/>
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="6463C77D-FA42-5730-B443-F9343875302E"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="DO000"/>
<hl7:entryRelationship typeCode="COMP">
<hl7:observation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.303"/>
<hl7:templateId root="1.2.208.176.7.1.10.43"/>
<hl7:code codeSystem="1.2.208.176.2.4" code="ALGA01"/>
</hl7:observation>
</hl7:entryRelationship>
<hl7:reference typeCode="REFR">
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<hl7:externalAct classCode="ACT" moodCode="EVN">
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<hl7:templateId root="1.2.208.176.7.1.10.78"/>
<hl7:id root="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB" extension="D26694B2-778E-5F07-8D8B-EA9F28473B93"/>
</hl7:externalAct>
</hl7:reference>
<hl7:reference typeCode="RPLC">
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<hl7:templateId root="1.2.208.176.7.1.10.125"/>
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<hl7:externalObservation classCode="OBS" moodCode="EVN">
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</hl7:component>
<hl7:component contextConductionInd="true">
<hl7:section>
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<hl7:act classCode="ACT" moodCode="EVN">
<hl7:templateId root="1.2.208.176.7.1.10.118"/>
<hl7:templateId root="2.16.840.1.113883.10.12.301"/>
<hl7:code nullFlavor="NA"/>
<hl7:statusCode code="nullified"/>
<hl7:reference typeCode="RPLC">
<hl7:externalObservation classCode="OBS" moodCode="EVN">
<hl7:templateId root="2.16.840.1.113883.10.12.326"/>
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</hl7:act>
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If you do not nullify the main condition you will receice an integrity check error
<RegistryError
codeContext="INTEGRITY_CHECK|||Existing MinorConditionObservation 6463C77D-FA42-5730-B443-F9343875302E cannot be elevated to a MainConditionObservation as its Encounter already has a MainConditonObservation|||CANNOT_REPLACE_MINOR_WITH_MAIN_CONDITION|||6463C77D-FA42-5730-B443-F9343875302E"
errorCode="InvalidDocumentContent"
location="6A3B9FE3-DCA2-4E88-9973-AAA084DBD1EB^96E4EE31-AA9A-4DC8-98AA-FCBD54C3D556|||//*[local-name()='observation' and @classCode='OBS' and @moodCode='EVN'][child::*[local-name()='id' and @extension='6463C77D-FA42-5730-B443-F9343875302E']][child::*[local-name()='templateId' and @root='1.2.208.176.7.1.10.36']][child::*[local-name()='templateId' and @root='2.16.840.1.113883.10.12.303']]"
severity="urn:oasis:names:tc:ebxml-regrep:ErrorSeverityType:Error"/>