Patient awareness (templateId 2.16.840.1.113883.10.20.1.48) of a problem, observation, or other clinical statement SHALL be represented with participant. The value for “participant / typeCode” in a patient awareness SHALL be “SBJ” “Subject” 2.16.840.1.113883.5.90 ParticipationType STATIC. Patient awareness SHALL contain exactly one participant / awarenessCode. Patient awareness SHALL contain exactly one participant / participantRole / id (The value of the participant/participantRole/id) SHALL also be present in ClinicalDocument / recordTarget / patientRole / id.