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Packagehl7.cda.us.adi
Resource TypeStructureDefinition
IdStructureDefinition-MedicallyAssistedNutritionOrderDetailPart.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/HL7/cda-adi/StructureDefinition-MedicallyAssistedNutritionOrderDetailPart.html
URLhttp://hl7.org/cda/us/adi/StructureDefinition/MedicallyAssistedNutritionOrderDetailPart
Version0.1.0
Statusactive
Date2026-03-14T11:47:55+00:00
NameMedically_Assisted_Nutrition_Order_Detail_Part
TitleMedically Assisted Nutrition Order Detail
Realmus
Authorityhl7
DescriptionThis entry is an act in moodCode RQO. In FHIR this expresses the ServiceRequest.orderDetail. For a CPR order, there can be only one order detail.
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
Kindlogical

Resources that use this resource

StructureDefinition
hl7.cda.us.adi#currentMedicallyAssistedNutritionOrderEntryMedically Assisted Nutrition Order Entry

Resources that this resource uses

StructureDefinition
au.digitalhealth.cda.schema#currentActAct (CDA Class)
ValueSet
us.nlm.vsac#0.24.02.16.840.1.113762.1.4.1115.35Medically Assisted Nutrition Order Options

Narrative

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

Generated Narrative: StructureDefinition MedicallyAssistedNutritionOrderDetailPart

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1ActXML Namespace: urn:hl7-org:v3
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:medically-assisted-nutrition-order-detail-part 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.9.275.3.4.1
..... @extension 1..1stRequired Pattern: 2026-08-28
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csFixed Value: RQO
... id 0..*II
... code
.... @code 0..1csBinding: Medically Assisted Nutrition Order Options . (extensible)
... text 1..1EDlinks to the rendering of the portable medical order
... statusCode 1..1CS
.... @code 0..1csRequired Pattern: active

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "MedicallyAssistedNutritionOrderDetailPart",
  "text": {
    "status": "extensions",
    "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/us/adi/StructureDefinition/MedicallyAssistedNutritionOrderDetailPart",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:hl7ii:2.16.840.1.113883.9.275.3.4.1:2026-08-28"
    }
  ],
  "version": "0.1.0",
  "name": "Medically_Assisted_Nutrition_Order_Detail_Part",
  "title": "Medically Assisted Nutrition Order Detail",
  "status": "active",
  "date": "2026-03-14T11:47:55+00:00",
  "publisher": "Health Level Seven",
  "contact": [
    {
      "name": "Health Level Seven",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/structure"
        }
      ]
    }
  ],
  "description": "This entry is an act in moodCode RQO. In FHIR this expresses the ServiceRequest.orderDetail. \nFor a CPR order, there can be only one order detail.",
  "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/Act",
  "derivation": "constraint",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "2.0.2-sd"
      }
    ],
    "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",
        "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": 1,
        "max": "*",
        "base": {
          "path": "InfrastructureRoot.templateId",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.templateId:medically-assisted-nutrition-order-detail-part",
        "path": "Act.templateId",
        "sliceName": "medically-assisted-nutrition-order-detail-part",
        "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": 1,
        "max": "1",
        "base": {
          "path": "InfrastructureRoot.templateId",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.templateId:medically-assisted-nutrition-order-detail-part.nullFlavor",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id": "Act.templateId:medically-assisted-nutrition-order-detail-part.assigningAuthorityName",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.templateId:medically-assisted-nutrition-order-detail-part.displayable",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.templateId:medically-assisted-nutrition-order-detail-part.root",
        "path": "Act.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.",
        "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"
            ]
          }
        ],
        "patternString": "2.16.840.1.113883.9.275.3.4.1"
      },
      {
        "id": "Act.templateId:medically-assisted-nutrition-order-detail-part.extension",
        "path": "Act.templateId.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"
            ]
          }
        ],
        "patternString": "2026-08-28"
      },
      {
        "id": "Act.classCode",
        "path": "Act.classCode",
        "representation": [
          "xmlAttr"
        ],
        "comment": "SHALL contain exactly one [1..1] @classCode=\"ACT\" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC).",
        "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"
            ]
          }
        ],
        "fixedCode": "ACT",
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0"
        }
      },
      {
        "id": "Act.moodCode",
        "path": "Act.moodCode",
        "representation": [
          "xmlAttr"
        ],
        "comment": "SHALL contain exactly one [1..1] @moodCode=\"RQO\" Request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC).",
        "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"
            ]
          }
        ],
        "fixedCode": "RQO",
        "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",
        "comment": "Entry parts don't really need to be separately identified.\nIf needed, the identifier for the order detail part of this clinical statement can be the id of the statement suffixed with a part# to make it distinct.",
        "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|3.0.0"
        }
      },
      {
        "id": "Act.code.nullFlavor",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id": "Act.code.code",
        "path": "Act.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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.35"
        }
      },
      {
        "id": "Act.code.codeSystem",
        "path": "Act.code.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",
            "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"
            ]
          }
        ]
      },
      {
        "id": "Act.code.codeSystemName",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.code.codeSystemVersion",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.code.displayName",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.code.sdtcValueSet",
        "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": "valueSet"
          }
        ],
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid"
            ]
          }
        ]
      },
      {
        "id": "Act.code.sdtcValueSetVersion",
        "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": "valueSetVersion"
          }
        ],
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.code.originalText",
        "path": "Act.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/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Act.code.qualifier",
        "path": "Act.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/cda/stds/core/StructureDefinition/CR"
          }
        ]
      },
      {
        "id": "Act.code.translation",
        "path": "Act.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/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id": "Act.text",
        "path": "Act.text",
        "short": "links to the rendering of the portable medical order",
        "min": 1,
        "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": 1,
        "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|3.0.0"
        }
      },
      {
        "id": "Act.statusCode.nullFlavor",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id": "Act.statusCode.code",
        "path": "Act.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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "patternCode": "active"
      },
      {
        "id": "Act.statusCode.codeSystem",
        "path": "Act.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",
            "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"
            ]
          }
        ]
      },
      {
        "id": "Act.statusCode.codeSystemName",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.statusCode.codeSystemVersion",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.statusCode.displayName",
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.statusCode.sdtcValueSet",
        "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": "valueSet"
          }
        ],
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/oid"
            ]
          }
        ]
      },
      {
        "id": "Act.statusCode.sdtcValueSetVersion",
        "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": "valueSetVersion"
          }
        ],
        "path": "Act.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",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.statusCode.originalText",
        "path": "Act.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/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Act.statusCode.qualifier",
        "path": "Act.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/cda/stds/core/StructureDefinition/CR"
          }
        ]
      },
      {
        "id": "Act.statusCode.translation",
        "path": "Act.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/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "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|3.0.0"
        }
      },
      {
        "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"
      },
      {
        "id": "Act.templateId",
        "path": "Act.templateId",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "root"
            },
            {
              "type": "value",
              "path": "extension"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Act.templateId:medically-assisted-nutrition-order-detail-part",
        "path": "Act.templateId",
        "sliceName": "medically-assisted-nutrition-order-detail-part",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.templateId:medically-assisted-nutrition-order-detail-part.root",
        "path": "Act.templateId.root",
        "min": 1,
        "patternString": "2.16.840.1.113883.9.275.3.4.1"
      },
      {
        "id": "Act.templateId:medically-assisted-nutrition-order-detail-part.extension",
        "path": "Act.templateId.extension",
        "min": 1,
        "patternString": "2026-08-28"
      },
      {
        "id": "Act.classCode",
        "path": "Act.classCode",
        "comment": "SHALL contain exactly one [1..1] @classCode=\"ACT\" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC).",
        "fixedCode": "ACT"
      },
      {
        "id": "Act.moodCode",
        "path": "Act.moodCode",
        "comment": "SHALL contain exactly one [1..1] @moodCode=\"RQO\" Request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC).",
        "fixedCode": "RQO"
      },
      {
        "id": "Act.id",
        "path": "Act.id",
        "comment": "Entry parts don't really need to be separately identified.\nIf needed, the identifier for the order detail part of this clinical statement can be the id of the statement suffixed with a part# to make it distinct."
      },
      {
        "id": "Act.code.code",
        "path": "Act.code.code",
        "binding": {
          "strength": "extensible",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.35"
        }
      },
      {
        "id": "Act.text",
        "path": "Act.text",
        "short": "links to the rendering of the portable medical order",
        "min": 1
      },
      {
        "id": "Act.statusCode",
        "path": "Act.statusCode",
        "min": 1
      },
      {
        "id": "Act.statusCode.code",
        "path": "Act.statusCode.code",
        "patternCode": "active"
      }
    ]
  }
}