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Resource StructureDefinition/FHIR Server from package hl7.cda.us.ccdar2dot2#current (141 ms)

Package hl7.cda.us.ccdar2dot2
Type StructureDefinition
Id Id
FHIR Version R4
Source http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.4.78.html
Url http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.78
Version 2.2
Status active
Date 2022-05-13T15:50:12+00:00
Name SmokingStatusMeaningfulUse
Title Smoking Status - Meaningful Use
Experimental False
Realm us
Authority hl7
Description This template represents the current smoking status of the patient as specified in Meaningful Use (MU) Stage 2 requirements. Historic smoking status observations as well as details about the smoking habit (e.g., how many per day) would be represented in the Tobacco Use template. This template represents a "snapshot in time" observation, simply reflecting what the patient's current smoking status is at the time of the observation. As a result, the effectiveTime is constrained to a time stamp, and will approximately correspond with the author/time. Details regarding the time period when the patient is/was smoking would be recorded in the Tobacco Use template. If the patient's current smoking status is unknown, the value element must be populated with SNOMED CT code 266927001 to communicate "Unknown if ever smoked" from the Current Smoking Status Value Set.
Type Observation
Kind resource

Resources that use this resource

StructureDefinition
http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.17 Social History Section
http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.132 Health Concern Act
http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.136 Risk Concern Act

Resources that this resource uses

StructureDefinition
http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119 Author Participation


Narrative

Note: links and images are rebased to the (stated) source

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1CDAR2.Observation
... classCode 1..1codeRequired Pattern: OBS
... moodCode 1..1codeRequired Pattern: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.78
..... extension 1..1stringRequired Pattern: 2014-06-09
... id 1..*II
... code 1..1CD
.... code 1..1stringRequired Pattern: 72166-2
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.1
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: completed
... effectiveTime 1..1IVL_TSThis template represents a "snapshot in time" observation, simply reflecting what the patient's current smoking status is at the time of the observation. As a result, the effectiveTime is constrained to just a time stamp, and will approximately correspond with the author/time.
.... low 0..0
.... high 0..0
.... width 0..0
.... center 0..0
... value I1..1CD1098-31019: If the patient's current smoking status is unknown, @code **SHALL** contain '266927001' (Unknown if ever smoked) from ValueSet Current Smoking Status (2.16.840.1.113883.11.20.9.38 STATIC 2014-09-01) (CONF:1098-31019).
.... code 1..1stringBinding: Smoking Status (required)
... author 0..*AuthorParticipation

doco Documentation for this format

Source

{
  "resourceType" : "StructureDefinition",
  "id" : "2.16.840.1.113883.10.20.22.4.78",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">CDAR2.Observation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.classCode\">classCode</a><a name=\"Observation.classCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">OBS</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.moodCode\">moodCode</a><a name=\"Observation.moodCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">EVN</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.templateId\">Slices for templateId</a><a name=\"Observation.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:root, value:extension</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.templateId:primary\" title=\"Slice primary\">templateId:primary</a><a name=\"Observation.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.templateId:primary.root\">root</a><a name=\"Observation.templateId.root\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.10.20.22.4.78</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.templateId:primary.extension\">extension</a><a name=\"Observation.templateId.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2014-06-09</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.id\">id</a><a name=\"Observation.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.code.code\">code</a><a name=\"Observation.code.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">72166-2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.code.codeSystem\">codeSystem</a><a name=\"Observation.code.codeSystem\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.6.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.statusCode\">statusCode</a><a name=\"Observation.statusCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CS.html\">CS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.statusCode.code\">code</a><a name=\"Observation.statusCode.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">completed</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.effectiveTime\">effectiveTime</a><a name=\"Observation.effectiveTime\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-IVL-TS.html\">IVL_TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">This template represents a &quot;snapshot in time&quot; observation, simply reflecting what the patient's current smoking status is at the time of the observation. As a result, the effectiveTime is constrained to just a time stamp, and will approximately correspond with the author/time.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"text-decoration:line-through\">low</span><a name=\"Observation.effectiveTime.low\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"text-decoration:line-through\">high</span><a name=\"Observation.effectiveTime.high\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"text-decoration:line-through\">width</span><a name=\"Observation.effectiveTime.width\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"text-decoration:line-through\">center</span><a name=\"Observation.effectiveTime.center\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.value\">value</a><a name=\"Observation.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants (1098-31019)\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">1098-31019: </span>If the patient's current smoking status is unknown, @code **SHALL** contain '266927001' (Unknown if ever smoked) from ValueSet Current Smoking Status (2.16.840.1.113883.11.20.9.38 STATIC 2014-09-01) (CONF:1098-31019).</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.value.code\">code</a><a name=\"Observation.value.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.38/expansion\">Smoking Status</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.78-definitions.html#Observation.author\">author</a><a name=\"Observation.author\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.119.html\" title=\"http://hl7.org/fhir/cda/StructureDefinition/Author\">AuthorParticipation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "url" : "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.78",
  "identifier" : [
    {
      "value" : "urn:hl7ii:2.16.840.1.113883.10.20.22.4.78:2014-06-09"
    }
  ],
  "version" : "2.2",
  "name" : "SmokingStatusMeaningfulUse",
  "title" : "Smoking Status - Meaningful Use",
  "status" : "active",
  "date" : "2022-05-13T15:50:12+00:00",
  "publisher" : "Health Level Seven",
  "contact" : [
    {
      "name" : "HL7 International - Structured Documents",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/structure"
        }
      ]
    }
  ],
  "description" : "This template represents the current smoking status of the patient as specified in Meaningful Use (MU) Stage 2 requirements. Historic smoking status observations as well as details about the smoking habit (e.g., how many per day) would be represented in the Tobacco Use template.\n\nThis template represents a \"snapshot in time\" observation, simply reflecting what the patient's current smoking status is at the time of the observation. As a result, the effectiveTime is constrained to a time stamp, and will approximately correspond with the author/time. Details regarding the time period when the patient is/was smoking would be recorded in the Tobacco Use template.\n\nIf the patient's current smoking status is unknown, the value element must be populated with SNOMED CT code 266927001 to communicate \"Unknown if ever smoked\" from the Current Smoking Status Value Set.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "fhirVersion" : "4.0.1",
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/cda/StructureDefinition/Observation",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "isModifier" : false
      },
      {
        "id" : "Observation.classCode",
        "path" : "Observation.classCode",
        "representation" : [
          "xmlAttr"
        ],
        "requirements" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-14806).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.classCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "OBS",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActClassObservation"
        }
      },
      {
        "id" : "Observation.moodCode",
        "path" : "Observation.moodCode",
        "representation" : [
          "xmlAttr"
        ],
        "requirements" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-14807).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.moodCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "EVN"
      },
      {
        "id" : "Observation.negationInd",
        "path" : "Observation.negationInd",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.negationInd",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ]
      },
      {
        "id" : "Observation.realmCode",
        "path" : "Observation.realmCode",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.realmCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
          }
        ]
      },
      {
        "id" : "Observation.typeId",
        "path" : "Observation.typeId",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.typeId",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.templateId",
        "path" : "Observation.templateId",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "root"
            },
            {
              "type" : "value",
              "path" : "extension"
            }
          ],
          "rules" : "open"
        },
        "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.templateId:primary",
        "path" : "Observation.templateId",
        "sliceName" : "primary",
        "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "requirements" : "SHALL contain exactly one [1..1] templateId (CONF:1098-14815) such that it",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.templateId:primary.nullFlavor",
        "path" : "Observation.templateId.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id" : "Observation.templateId:primary.assigningAuthorityName",
        "path" : "Observation.templateId.assigningAuthorityName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Assigning Authority Name",
        "definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.assigningAuthorityName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.templateId:primary.displayable",
        "path" : "Observation.templateId.displayable",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Displayable",
        "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.displayable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ]
      },
      {
        "id" : "Observation.templateId:primary.root",
        "path" : "Observation.templateId.root",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Root",
        "definition" : "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
        "requirements" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.78\" (CONF:1098-14816).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.root",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "2.16.840.1.113883.10.20.22.4.78"
      },
      {
        "id" : "Observation.templateId:primary.extension",
        "path" : "Observation.templateId.extension",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Extension",
        "definition" : "A character string as a unique identifier within the scope of the identifier root.",
        "requirements" : "SHALL contain exactly one [1..1] @extension=\"2014-06-09\" (CONF:1098-32573).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "2014-06-09"
      },
      {
        "id" : "Observation.id",
        "path" : "Observation.id",
        "requirements" : "SHALL contain at least one [1..*] id (CONF:1098-32401).",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "Observation.id",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "representation" : [
          "typeAttr"
        ],
        "requirements" : "SHALL contain exactly one [1..1] code (CONF:1098-19170).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.code",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationType"
        }
      },
      {
        "id" : "Observation.code.nullFlavor",
        "path" : "Observation.code.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id" : "Observation.code.code",
        "path" : "Observation.code.code",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code",
        "definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
        "requirements" : "This code SHALL contain exactly one [1..1] @code=\"72166-2\" Tobacco smoking status NHIS (CONF:1098-31039).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CD.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "72166-2"
      },
      {
        "id" : "Observation.code.codeSystem",
        "path" : "Observation.code.codeSystem",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System",
        "definition" : "Specifies the code system that defines the code.",
        "requirements" : "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32157).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystem",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "2.16.840.1.113883.6.1"
      },
      {
        "id" : "Observation.code.codeSystemName",
        "path" : "Observation.code.codeSystemName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Name",
        "definition" : "The common name of the coding system.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystemName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.code.codeSystemVersion",
        "path" : "Observation.code.codeSystemVersion",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Version",
        "definition" : "If applicable, a version descriptor defined specifically for the given code system.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystemVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.code.displayName",
        "path" : "Observation.code.displayName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Display Name",
        "definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.displayName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.code.sdtcValueSet",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString" : "valueSet"
          }
        ],
        "path" : "Observation.code.sdtcValueSet",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.valueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.code.sdtcValueSetVersion",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString" : "valueSetVersion"
          }
        ],
        "path" : "Observation.code.sdtcValueSetVersion",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.sdtcValueSetVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.code.originalText",
        "path" : "Observation.code.originalText",
        "label" : "Original Text",
        "definition" : "The text or phrase used as the basis for the coding.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.originalText",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.code.qualifier",
        "path" : "Observation.code.qualifier",
        "label" : "Qualifier",
        "definition" : "Specifies additional codes that increase the specificity of the the primary code.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "CD.qualifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CR"
          }
        ]
      },
      {
        "id" : "Observation.code.translation",
        "path" : "Observation.code.translation",
        "representation" : [
          "typeAttr"
        ],
        "label" : "Translation",
        "definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "CD.translation",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.derivationExpr",
        "path" : "Observation.derivationExpr",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.derivationExpr",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ST"
          }
        ]
      },
      {
        "id" : "Observation.text",
        "path" : "Observation.text",
        "representation" : [
          "typeAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.statusCode",
        "path" : "Observation.statusCode",
        "requirements" : "SHALL contain exactly one [1..1] statusCode (CONF:1098-14809).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.statusCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActStatus"
        }
      },
      {
        "id" : "Observation.statusCode.nullFlavor",
        "path" : "Observation.statusCode.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id" : "Observation.statusCode.code",
        "path" : "Observation.statusCode.code",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code",
        "definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
        "requirements" : "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19116).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CD.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "completed"
      },
      {
        "id" : "Observation.statusCode.codeSystem",
        "path" : "Observation.statusCode.codeSystem",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System",
        "definition" : "Specifies the code system that defines the code.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.codeSystem",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.codeSystemName",
        "path" : "Observation.statusCode.codeSystemName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Name",
        "definition" : "The common name of the coding system.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.codeSystemName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.codeSystemVersion",
        "path" : "Observation.statusCode.codeSystemVersion",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Version",
        "definition" : "If applicable, a version descriptor defined specifically for the given code system.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.codeSystemVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.displayName",
        "path" : "Observation.statusCode.displayName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Display Name",
        "definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.displayName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.sdtcValueSet",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString" : "valueSet"
          }
        ],
        "path" : "Observation.statusCode.sdtcValueSet",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.valueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.sdtcValueSetVersion",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString" : "valueSetVersion"
          }
        ],
        "path" : "Observation.statusCode.sdtcValueSetVersion",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.sdtcValueSetVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.originalText",
        "path" : "Observation.statusCode.originalText",
        "label" : "Original Text",
        "definition" : "The text or phrase used as the basis for the coding.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.originalText",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.qualifier",
        "path" : "Observation.statusCode.qualifier",
        "label" : "Qualifier",
        "definition" : "Specifies additional codes that increase the specificity of the the primary code.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.qualifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CR"
          }
        ]
      },
      {
        "id" : "Observation.statusCode.translation",
        "path" : "Observation.statusCode.translation",
        "representation" : [
          "typeAttr"
        ],
        "label" : "Translation",
        "definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "CD.translation",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime",
        "path" : "Observation.effectiveTime",
        "label" : "This template represents a \"snapshot in time\" observation, simply reflecting what the patient's current smoking status is at the time of the observation. As a result, the effectiveTime is constrained to just a time stamp, and will approximately correspond with the author/time.",
        "short" : "This template represents a \"snapshot in time\" observation, simply reflecting what the patient's current smoking status is at the time of the observation. As a result, the effectiveTime is constrained to just a time stamp, and will approximately correspond with the author/time.",
        "requirements" : "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31928).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.effectiveTime",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.nullFlavor",
        "path" : "Observation.effectiveTime.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id" : "Observation.effectiveTime.value",
        "extension" : [
          {
            "url" : "http://www.healthintersections.com.au/fhir/StructureDefinition/elementdefinition-dateformat",
            "valueString" : "v3"
          }
        ],
        "path" : "Observation.effectiveTime.value",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "TS.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.inclusive",
        "path" : "Observation.effectiveTime.inclusive",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "TS.inclusive",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.operator",
        "path" : "Observation.effectiveTime.operator",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "SXCM_TS.operator",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.low",
        "path" : "Observation.effectiveTime.low",
        "label" : "Low Boundary",
        "definition" : "This is the low limit of the interval.",
        "requirements" : "This effectiveTime SHALL NOT contain [0..0] low (CONF:1098-32894).",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "IVL_TS.low",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.high",
        "path" : "Observation.effectiveTime.high",
        "label" : "High Boundary",
        "definition" : "This is the high limit of the interval.",
        "requirements" : "This effectiveTime SHALL NOT contain [0..0] high (CONF:1098-32896).",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "IVL_TS.high",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.width",
        "path" : "Observation.effectiveTime.width",
        "label" : "Width",
        "definition" : "The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.",
        "requirements" : "This effectiveTime SHALL NOT contain [0..0] width (CONF:1098-32895).",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "IVL_TS.width",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/PQ"
          }
        ]
      },
      {
        "id" : "Observation.effectiveTime.center",
        "path" : "Observation.effectiveTime.center",
        "label" : "Central Value",
        "definition" : "The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.",
        "requirements" : "This effectiveTime SHALL NOT contain [0..0] center (CONF:1098-32897).",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "IVL_TS.center",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
          }
        ]
      },
      {
        "id" : "Observation.priorityCode",
        "path" : "Observation.priorityCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.priorityCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPriority"
        }
      },
      {
        "id" : "Observation.repeatNumber",
        "path" : "Observation.repeatNumber",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.repeatNumber",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-INT"
          }
        ]
      },
      {
        "id" : "Observation.languageCode",
        "path" : "Observation.languageCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.languageCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-HumanLanguage"
        }
      },
      {
        "id" : "Observation.value",
        "path" : "Observation.value",
        "representation" : [
          "typeAttr"
        ],
        "requirements" : "SHALL contain exactly one [1..1] value with @xsi:type=\"CD\" (CONF:1098-14810).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.value",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ],
        "constraint" : [
          {
            "key" : "1098-31019",
            "severity" : "warning",
            "human" : "If the patient's current smoking status is unknown, @code **SHALL** contain '266927001' (Unknown if ever smoked) from ValueSet Current Smoking Status (2.16.840.1.113883.11.20.9.38 STATIC 2014-09-01) (CONF:1098-31019)."
          }
        ]
      },
      {
        "id" : "Observation.value.nullFlavor",
        "path" : "Observation.value.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id" : "Observation.value.code",
        "path" : "Observation.value.code",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code",
        "definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
        "requirements" : "This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Smoking Status urn:oid:2.16.840.1.113883.11.20.9.38 DYNAMIC (CONF:1098-14817).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CD.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.38"
        }
      },
      {
        "id" : "Observation.value.codeSystem",
        "path" : "Observation.value.codeSystem",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System",
        "definition" : "Specifies the code system that defines the code.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystem",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.value.codeSystemName",
        "path" : "Observation.value.codeSystemName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Name",
        "definition" : "The common name of the coding system.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystemName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.value.codeSystemVersion",
        "path" : "Observation.value.codeSystemVersion",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Code System Version",
        "definition" : "If applicable, a version descriptor defined specifically for the given code system.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.codeSystemVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.value.displayName",
        "path" : "Observation.value.displayName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Display Name",
        "definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.displayName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.value.sdtcValueSet",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString" : "valueSet"
          }
        ],
        "path" : "Observation.value.sdtcValueSet",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.valueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.value.sdtcValueSetVersion",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString" : "valueSetVersion"
          }
        ],
        "path" : "Observation.value.sdtcValueSetVersion",
        "representation" : [
          "xmlAttr"
        ],
        "definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.sdtcValueSetVersion",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Observation.value.originalText",
        "path" : "Observation.value.originalText",
        "label" : "Original Text",
        "definition" : "The text or phrase used as the basis for the coding.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CD.originalText",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Observation.value.qualifier",
        "path" : "Observation.value.qualifier",
        "label" : "Qualifier",
        "definition" : "Specifies additional codes that increase the specificity of the the primary code.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "CD.qualifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CR"
          }
        ]
      },
      {
        "id" : "Observation.value.translation",
        "path" : "Observation.value.translation",
        "representation" : [
          "typeAttr"
        ],
        "label" : "Translation",
        "definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "CD.translation",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.interpretationCode",
        "path" : "Observation.interpretationCode",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.interpretationCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"
        }
      },
      {
        "id" : "Observation.methodCode",
        "path" : "Observation.methodCode",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.methodCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationMethod"
        }
      },
      {
        "id" : "Observation.targetSiteCode",
        "path" : "Observation.targetSiteCode",
        "definition" : "Drawn from concept domain ActSite",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.targetSiteCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Observation.subject",
        "path" : "Observation.subject",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.subject",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Element"
          }
        ]
      },
      {
        "id" : "Observation.subject.typeCode",
        "path" : "Observation.subject.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.subject.typeCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "defaultValueCode" : "SBJ",
        "fixedCode" : "SBJ",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"
        }
      },
      {
        "id" : "Observation.subject.contextControlCode",
        "path" : "Observation.subject.contextControlCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.subject.contextControlCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
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        ],
        "defaultValueCode" : "OP",
        "fixedCode" : "OP",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
        }
      },
      {
        "id" : "Observation.subject.awarenessCode",
        "path" : "Observation.subject.awarenessCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.subject.awarenessCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
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        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-TargetAwareness"
        }
      },
      {
        "id" : "Observation.subject.relatedSubject",
        "path" : "Observation.subject.relatedSubject",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.subject.relatedSubject",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"
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        ]
      },
      {
        "id" : "Observation.specimen",
        "path" : "Observation.specimen",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.specimen",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Specimen"
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        ]
      },
      {
        "id" : "Observation.performer",
        "path" : "Observation.performer",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.performer",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Performer2"
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        ]
      },
      {
        "id" : "Observation.author",
        "path" : "Observation.author",
        "requirements" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31148).",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.author",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Author",
            "profile" : [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"
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          }
        ],
        "isModifier" : false
      },
      {
        "id" : "Observation.informant",
        "path" : "Observation.informant",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.informant",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Element"
          }
        ]
      },
      {
        "id" : "Observation.informant.typeCode",
        "path" : "Observation.informant.typeCode",
        "representation" : [
          "xmlAttr"
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        "min" : 1,
        "max" : "1",
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          "path" : "Observation.informant.typeCode",
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          "max" : "1"
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        "type" : [
          {
            "code" : "code"
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        ],
        "defaultValueCode" : "INF",
        "fixedCode" : "INF",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"
        }
      },
      {
        "id" : "Observation.informant.contextControlCode",
        "path" : "Observation.informant.contextControlCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
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          "path" : "Observation.informant.contextControlCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
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        ],
        "defaultValueCode" : "OP",
        "fixedCode" : "OP",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
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      },
      {
        "id" : "Observation.informant.assignedEntity",
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        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.informant.assignedEntity",
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          "max" : "1"
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        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
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      },
      {
        "id" : "Observation.informant.relatedEntity",
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        "max" : "1",
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          "path" : "Observation.informant.relatedEntity",
          "min" : 0,
          "max" : "1"
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        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"
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      },
      {
        "id" : "Observation.participant",
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        "max" : "*",
        "base" : {
          "path" : "Observation.participant",
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          "max" : "*"
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        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Participant2"
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        ]
      },
      {
        "id" : "Observation.entryRelationship",
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        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.entryRelationship",
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          "max" : "*"
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        "type" : [
          {
            "code" : "Element"
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        ],
        "constraint" : [
          {
            "key" : "obs-er-1",
            "severity" : "error",
            "human" : "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
            "expression" : "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
            "source" : "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
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      },
      {
        "id" : "Observation.entryRelationship.typeCode",
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        "min" : 1,
        "max" : "1",
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          "path" : "Observation.entryRelationship.typeCode",
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        "type" : [
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            "code" : "code"
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      {
        "id" : "Observation.entryRelationship.inversionInd",
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        "type" : [
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      {
        "id" : "Observation.entryRelationship.contextConductionInd",
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        "type" : [
          {
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        "defaultValueBoolean" : true
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        "id" : "Observation.entryRelationship.sequenceNumber",
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        "max" : "1",
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          "path" : "Observation.entryRelationship.sequenceNumber",
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          "max" : "1"
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        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/INT"
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      },
      {
        "id" : "Observation.entryRelationship.negationInd",
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        "max" : "1",
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          "max" : "1"
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        "type" : [
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      {
        "id" : "Observation.entryRelationship.seperatableInd",
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        "max" : "1",
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          "max" : "1"
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        "type" : [
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
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      {
        "id" : "Observation.entryRelationship.observation",
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        "max" : "1",
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          "path" : "Observation.entryRelationship.observation",
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          "max" : "1"
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        "type" : [
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Observation"
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        "max" : "1",
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
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      {
        "id" : "Observation.entryRelationship.observationMedia",
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        "max" : "1",
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          "path" : "Observation.entryRelationship.observationMedia",
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
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        "id" : "Observation.entryRelationship.substanceAdministration",
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        "max" : "1",
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        "id" : "Observation.entryRelationship.supply",
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        "max" : "1",
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          "max" : "1"
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        "id" : "Observation.entryRelationship.procedure",
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        "max" : "1",
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          "max" : "1"
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
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        "id" : "Observation.entryRelationship.encounter",
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        "max" : "1",
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        "id" : "Observation.entryRelationship.organizer",
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        "min" : 0,
        "max" : "1",
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
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        "id" : "Observation.entryRelationship.act",
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        "max" : "1",
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          "path" : "Observation.entryRelationship.act",
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          "max" : "1"
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        "type" : [
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            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Act"
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      },
      {
        "id" : "Observation.reference",
        "path" : "Observation.reference",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.reference",
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          "max" : "*"
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        "type" : [
          {
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      {
        "id" : "Observation.reference.typeCode",
        "path" : "Observation.reference.typeCode",
        "representation" : [
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        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.reference.typeCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "Observation.reference.seperatableInd",
        "path" : "Observation.reference.seperatableInd",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.reference.seperatableInd",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
          }
        ]
      },
      {
        "id" : "Observation.reference.externalAct",
        "path" : "Observation.reference.externalAct",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.reference.externalAct",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"
          }
        ]
      },
      {
        "id" : "Observation.reference.externalObservation",
        "path" : "Observation.reference.externalObservation",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.reference.externalObservation",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"
          }
        ]
      },
      {
        "id" : "Observation.reference.externalProcedure",
        "path" : "Observation.reference.externalProcedure",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.reference.externalProcedure",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"
          }
        ]
      },
      {
        "id" : "Observation.reference.externalDocument",
        "path" : "Observation.reference.externalDocument",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.reference.externalDocument",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"
          }
        ]
      },
      {
        "id" : "Observation.precondition",
        "path" : "Observation.precondition",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.precondition",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Precondition"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange",
        "path" : "Observation.referenceRange",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.referenceRange",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Element"
          }
        ]
      },
      {
        "id" : "Observation.referenceRange.typeCode",
        "path" : "Observation.referenceRange.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.referenceRange.typeCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "defaultValueCode" : "REFV",
        "fixedCode" : "REFV",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActRelationshipPertains"
        }
      },
      {
        "id" : "Observation.referenceRange.observationRange",
        "path" : "Observation.referenceRange.observationRange",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.referenceRange.observationRange",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/ObservationRange"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation"
      },
      {
        "id" : "Observation.classCode",
        "path" : "Observation.classCode",
        "requirements" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-14806).",
        "min" : 1,
        "max" : "1",
        "patternCode" : "OBS"
      },
      {
        "id" : "Observation.moodCode",
        "path" : "Observation.moodCode",
        "requirements" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-14807).",
        "min" : 1,
        "max" : "1",
        "patternCode" : "EVN"
      },
      {
        "id" : "Observation.templateId",
        "path" : "Observation.templateId",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "root"
            },
            {
              "type" : "value",
              "path" : "extension"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Observation.templateId:primary",
        "path" : "Observation.templateId",
        "sliceName" : "primary",
        "requirements" : "SHALL contain exactly one [1..1] templateId (CONF:1098-14815) such that it",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.templateId:primary.root",
        "path" : "Observation.templateId.root",
        "requirements" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.78\" (CONF:1098-14816).",
        "min" : 1,
        "max" : "1",
        "patternString" : "2.16.840.1.113883.10.20.22.4.78"
      },
      {
        "id" : "Observation.templateId:primary.extension",
        "path" : "Observation.templateId.extension",
        "requirements" : "SHALL contain exactly one [1..1] @extension=\"2014-06-09\" (CONF:1098-32573).",
        "min" : 1,
        "max" : "1",
        "patternString" : "2014-06-09"
      },
      {
        "id" : "Observation.id",
        "path" : "Observation.id",
        "requirements" : "SHALL contain at least one [1..*] id (CONF:1098-32401).",
        "min" : 1,
        "max" : "*"
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "requirements" : "SHALL contain exactly one [1..1] code (CONF:1098-19170).",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.code.code",
        "path" : "Observation.code.code",
        "requirements" : "This code SHALL contain exactly one [1..1] @code=\"72166-2\" Tobacco smoking status NHIS (CONF:1098-31039).",
        "min" : 1,
        "max" : "1",
        "patternString" : "72166-2"
      },
      {
        "id" : "Observation.code.codeSystem",
        "path" : "Observation.code.codeSystem",
        "requirements" : "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32157).",
        "min" : 1,
        "max" : "1",
        "patternString" : "2.16.840.1.113883.6.1"
      },
      {
        "id" : "Observation.statusCode",
        "path" : "Observation.statusCode",
        "requirements" : "SHALL contain exactly one [1..1] statusCode (CONF:1098-14809).",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.statusCode.code",
        "path" : "Observation.statusCode.code",
        "requirements" : "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19116).",
        "min" : 1,
        "max" : "1",
        "patternString" : "completed"
      },
      {
        "id" : "Observation.effectiveTime",
        "path" : "Observation.effectiveTime",
        "label" : "This template represents a \"snapshot in time\" observation, simply reflecting what the patient's current smoking status is at the time of the observation. As a result, the effectiveTime is constrained to just a time stamp, and will approximately correspond with the author/time.",
        "short" : "This template represents a \"snapshot in time\" observation, simply reflecting what the patient's current smoking status is at the time of the observation. As a result, the effectiveTime is constrained to just a time stamp, and will approximately correspond with the author/time.",
        "requirements" : "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31928).",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.effectiveTime.low",
        "path" : "Observation.effectiveTime.low",
        "requirements" : "This effectiveTime SHALL NOT contain [0..0] low (CONF:1098-32894).",
        "min" : 0,
        "max" : "0"
      },
      {
        "id" : "Observation.effectiveTime.high",
        "path" : "Observation.effectiveTime.high",
        "requirements" : "This effectiveTime SHALL NOT contain [0..0] high (CONF:1098-32896).",
        "min" : 0,
        "max" : "0"
      },
      {
        "id" : "Observation.effectiveTime.width",
        "path" : "Observation.effectiveTime.width",
        "requirements" : "This effectiveTime SHALL NOT contain [0..0] width (CONF:1098-32895).",
        "min" : 0,
        "max" : "0"
      },
      {
        "id" : "Observation.effectiveTime.center",
        "path" : "Observation.effectiveTime.center",
        "requirements" : "This effectiveTime SHALL NOT contain [0..0] center (CONF:1098-32897).",
        "min" : 0,
        "max" : "0"
      },
      {
        "id" : "Observation.value",
        "path" : "Observation.value",
        "requirements" : "SHALL contain exactly one [1..1] value with @xsi:type=\"CD\" (CONF:1098-14810).",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ],
        "constraint" : [
          {
            "key" : "1098-31019",
            "severity" : "warning",
            "human" : "If the patient's current smoking status is unknown, @code **SHALL** contain '266927001' (Unknown if ever smoked) from ValueSet Current Smoking Status (2.16.840.1.113883.11.20.9.38 STATIC 2014-09-01) (CONF:1098-31019)."
          }
        ]
      },
      {
        "id" : "Observation.value.code",
        "path" : "Observation.value.code",
        "requirements" : "This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Smoking Status urn:oid:2.16.840.1.113883.11.20.9.38 DYNAMIC (CONF:1098-14817).",
        "min" : 1,
        "max" : "1",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.38"
        }
      },
      {
        "id" : "Observation.author",
        "path" : "Observation.author",
        "requirements" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31148).",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/fhir/cda/StructureDefinition/Author",
            "profile" : [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"
            ]
          }
        ]
      }
    ]
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.