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Source1

{
  "resourceType": "StructureDefinition",
  "id": "Act",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
      "_valueBoolean": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode": "not-applicable"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
      "valueUri": "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
    },
    {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
      "valueUri": "urn:hl7-org:v3"
    },
    {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
      "valueString": "act"
    },
    {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
      "valueCode": "cda"
    }
  ],
  "url": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
  "version": "1.0.1",
  "name": "Act",
  "title": "Act (CDA Class)",
  "status": "active",
  "experimental": false,
  "date": "2025-12-04T21:33:04+00:00",
  "publisher": "HL7",
  "description": "A derivative of the RIM Act class, to be used when the other more specific classes aren't appropriate.\n\nAct.negationInd, when set to \"true\", is a positive assertion that the Act as a whole is negated. Some properties such as Act.id, Act.moodCode, and the participations are not affected. These properties always have the same meaning: i.e., the author remains the author of the negative Act. An act statement with negationInd is still a statement about the specific fact described by the Act. For instance, a negated \"finding of wheezing on July 1\" means that the author positively denies that there was wheezing on July 1, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.",
  "fhirVersion": "5.0.0",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
  "baseDefinition": "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
  "derivation": "specialization",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "1.0.1"
      }
    ],
    "element": [
      {
        "id": "Act",
        "path": "Act",
        "short": "Base for all types and resources",
        "definition": "Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Base",
          "min": 0,
          "max": "*"
        },
        "isModifier": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Act.nullFlavor",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id": "Act.realmCode",
        "path": "Act.realmCode",
        "definition": "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
        "min": 0,
        "max": "*",
        "base": {
          "path": "InfrastructureRoot.realmCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ]
      },
      {
        "id": "Act.typeId",
        "path": "Act.typeId",
        "definition": "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "InfrastructureRoot.typeId",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ],
        "constraint": [
          {
            "key": "II-1",
            "severity": "error",
            "human": "An II instance must have either a root or an nullFlavor.",
            "expression": "root.exists() or nullFlavor.exists()",
            "source": "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
          }
        ]
      },
      {
        "id": "Act.typeId.nullFlavor",
        "path": "Act.typeId.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id": "Act.typeId.assigningAuthorityName",
        "path": "Act.typeId.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.typeId.displayable",
        "path": "Act.typeId.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.typeId.root",
        "path": "Act.typeId.root",
        "representation": [
          "xmlAttr"
        ],
        "label": "Root",
        "definition": "Identifies the type as an HL7 Registered model",
        "min": 1,
        "max": "1",
        "base": {
          "path": "II.root",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid",
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ],
        "fixedString": "2.16.840.1.113883.1.3"
      },
      {
        "id": "Act.typeId.extension",
        "path": "Act.typeId.extension",
        "representation": [
          "xmlAttr"
        ],
        "label": "Extension",
        "definition": "A character string as a unique identifier within the scope of the identifier root.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "II.extension",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.templateId",
        "path": "Act.templateId",
        "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": "InfrastructureRoot.templateId",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.classCode",
        "path": "Act.classCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.classCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0"
        }
      },
      {
        "id": "Act.moodCode",
        "path": "Act.moodCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.moodCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0"
        }
      },
      {
        "id": "Act.negationInd",
        "path": "Act.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.id",
        "path": "Act.id",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.id",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.code",
        "path": "Act.code",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.code",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ],
        "binding": {
          "strength": "example",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode"
        }
      },
      {
        "id": "Act.text",
        "path": "Act.text",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Act.statusCode",
        "path": "Act.statusCode",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.statusCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActStatus"
        }
      },
      {
        "id": "Act.effectiveTime",
        "path": "Act.effectiveTime",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.effectiveTime",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id": "Act.priorityCode",
        "path": "Act.priorityCode",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.priorityCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding": {
          "strength": "example",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActPriority"
        }
      },
      {
        "id": "Act.languageCode",
        "path": "Act.languageCode",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.languageCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/fhir/ValueSet/all-languages"
        }
      },
      {
        "id": "Act.subject",
        "path": "Act.subject",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.subject",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
          }
        ]
      },
      {
        "id": "Act.specimen",
        "path": "Act.specimen",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.specimen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Specimen"
          }
        ]
      },
      {
        "id": "Act.performer",
        "path": "Act.performer",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.performer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Performer2"
          }
        ]
      },
      {
        "id": "Act.author",
        "path": "Act.author",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Author"
          }
        ]
      },
      {
        "id": "Act.informant",
        "path": "Act.informant",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.informant",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
          }
        ]
      },
      {
        "id": "Act.participant",
        "path": "Act.participant",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.participant",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
          }
        ]
      },
      {
        "id": "Act.entryRelationship",
        "path": "Act.entryRelationship",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.entryRelationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
          }
        ]
      },
      {
        "id": "Act.reference",
        "path": "Act.reference",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.reference",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Act.precondition",
        "path": "Act.precondition",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.precondition",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Precondition"
          }
        ]
      },
      {
        "id": "Act.sdtcPrecondition2",
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri": "urn:hl7-org:sdtc"
          },
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString": "precondition2"
          }
        ],
        "path": "Act.sdtcPrecondition2",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.sdtcPrecondition2",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Precondition2"
          }
        ]
      },
      {
        "id": "Act.sdtcInFulfillmentOf1",
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri": "urn:hl7-org:sdtc"
          },
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString": "inFulfillmentOf1"
          }
        ],
        "path": "Act.sdtcInFulfillmentOf1",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.sdtcInFulfillmentOf1",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Act",
        "path": "Act",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.classCode",
        "path": "Act.classCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0"
        }
      },
      {
        "id": "Act.moodCode",
        "path": "Act.moodCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0"
        }
      },
      {
        "id": "Act.negationInd",
        "path": "Act.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "boolean",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.id",
        "path": "Act.id",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.code",
        "path": "Act.code",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ],
        "binding": {
          "strength": "example",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode"
        }
      },
      {
        "id": "Act.text",
        "path": "Act.text",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Act.statusCode",
        "path": "Act.statusCode",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActStatus"
        }
      },
      {
        "id": "Act.effectiveTime",
        "path": "Act.effectiveTime",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id": "Act.priorityCode",
        "path": "Act.priorityCode",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding": {
          "strength": "example",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActPriority"
        }
      },
      {
        "id": "Act.languageCode",
        "path": "Act.languageCode",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/fhir/ValueSet/all-languages"
        }
      },
      {
        "id": "Act.subject",
        "path": "Act.subject",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
          }
        ]
      },
      {
        "id": "Act.specimen",
        "path": "Act.specimen",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Specimen"
          }
        ]
      },
      {
        "id": "Act.performer",
        "path": "Act.performer",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Performer2"
          }
        ]
      },
      {
        "id": "Act.author",
        "path": "Act.author",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Author"
          }
        ]
      },
      {
        "id": "Act.informant",
        "path": "Act.informant",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
          }
        ]
      },
      {
        "id": "Act.participant",
        "path": "Act.participant",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
          }
        ]
      },
      {
        "id": "Act.entryRelationship",
        "path": "Act.entryRelationship",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
          }
        ]
      },
      {
        "id": "Act.reference",
        "path": "Act.reference",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Act.precondition",
        "path": "Act.precondition",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Precondition"
          }
        ]
      },
      {
        "id": "Act.sdtcPrecondition2",
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri": "urn:hl7-org:sdtc"
          },
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString": "precondition2"
          }
        ],
        "path": "Act.sdtcPrecondition2",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Precondition2"
          }
        ]
      },
      {
        "id": "Act.sdtcInFulfillmentOf1",
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri": "urn:hl7-org:sdtc"
          },
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString": "inFulfillmentOf1"
          }
        ],
        "path": "Act.sdtcInFulfillmentOf1",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"
          }
        ]
      }
    ]
  }
}