CDA documents have no native mechanism to express an explicit replacement of a section's text as often the text id derived from entries within the document. However there may come a time when it is desirable to update (or replace) the text of a level 2 section with new information. In the OpenSHR CDA import module, this is done by submitting a section with the identifier of the section to be replaced. This will cause the observation group within OpenMRS to be voided and replaced with a new text.
This functionality is only supported when the updateExisting SHR configuration flag is set to true, otherwise duplicate identifiers result in an exception while importing.

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