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The IHE PCC template requires that The <observation> element shall contain a <text> element that points to the narrative text describing the clinical status.
Update the description and specify the constrain (specialzied data type ?)
The author structure for the comment section seems to follow the same constrains defined for the PS author : is this required ?
The OID for the Comment Entry here is the same as for the IHE Comment Entry from PCC. You cannot use the same OID as it defines additional constraints here.
Use the IHE Comment Entry as-is (ref) or clone it with a new template ID.