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FHIR IG Statistics: StructureDefinition/2.16.840.1.113883.10.20.22.4.121

Packagehl7.cda.us.ccdar2dot2
TypeStructureDefinition
Id2.16.840.1.113883.10.20.22.4.121
FHIR VersionR4
Sourcehttp://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.4.121.html
URLhttp://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.121
Version2.2
Statusactive
Date2022-05-13T15:50:12+00:00
NameGoalObservation
TitleGoal Observation
Realmus
Authorityhl7
DescriptionThis template represents a patient health goal. A Goal Observation template may have related components that are acts, encounters, observations, procedures, substance administrations, or supplies. A goal may be a patient or provider goal. If the author is set to the recordTarget (patient), this is a patient goal. If the author is set to a provider, this is a provider goal. If both patient and provider are set as authors, this is a negotiated goal. A goal usually has a related health concern and/or risk. A goal may have components consisting of other goals (milestones). These milestones are related to the overall goal through entryRelationships.
TypeObservation
Kindresource

Resources that use this resource

StructureDefinition
2.16.840.1.113883.10.20.22.2.10Plan of Treatment Section
2.16.840.1.113883.10.20.22.2.60Goals Section
2.16.840.1.113883.10.20.22.4.121Goal Observation

Resources that this resource uses

StructureDefinition
2.16.840.1.113883.10.20.22.4.115External Document Reference
2.16.840.1.113883.10.20.22.4.119Author Participation
2.16.840.1.113883.10.20.22.4.121Goal Observation
2.16.840.1.113883.10.20.22.4.122Entry Reference
2.16.840.1.113883.10.20.22.4.143Priority Preference

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: GOL
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.121
... id 1..*II
... code 1..1CD
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: active
... effectiveTime 0..1IVL_TS
... value 0..1BL, ED, ED, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ
... author 0..*AuthorParticipationIf the author is the recordTarget (patient), this is a patient goal. If the author is a provider, this is a provider goal. If both patient and provider are authors, this is a negotiated goal. If no author is present, it is assumed the document or section author(s) is the author of this goal.
... Slices for entryRelationship 0..*ElementWhere a Goal Observation needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
Slice: Unordered, Open by profile:act, profile:observation
.... entryRelationship:healthConcern 0..*ElementThe following entryRelationship represents the relationship between a Goal Observation and a Health Concern Act (Goal Observation REFERS TO Health Concern Act). As Health Concern Act is already defined in Health Concerns Section, rather than clone the whole Health Concern Act template, an Entry Reference may be used in entryRelationship to refer the template.
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1EntryReference
.... entryRelationship:plannedComponent 0..*ElementThe following entryRelationship represents a planned component of the goal such as Planned Encounter (V2), Planned Observation (V2), Planned Procedure (V2), Planned Medication Activity (V2), Planned Supply (V2), Planned Act (V2) or Planned Immunization Activity. Because these entries are already described in the Interventions Section of the CDA document instance, rather than repeating the full content of the entries, the Entry Reference template may be used to reference the entries.
..... typeCode 1..1codeRequired Pattern: COMP
..... act 1..1EntryReference
.... entryRelationship:priority 0..1ElementThe following entryRelationship represents the priority that the patient or a provider puts on the goal.
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1PriorityPreference
.... entryRelationship:goal 0..*ElementThe following entryRelationship represents the relationship between two Goal Observations where the target is a component of the source (Goal Observation HAS COMPONENT Goal Observation). The component goal (target) is a Milestone.
..... typeCode 1..1codeRequired Pattern: COMP
..... observation 1..1GoalObservation
.... entryRelationship:entryReference 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1EntryReference
... reference 0..*ElementWhere it is necessary to reference an external clinical document such a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.
.... typeCode 1..1codeRequired Pattern: REFR
.... externalDocument 1..1ExternalDocumentReference

doco Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "2.16.840.1.113883.10.20.22.4.121",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.121",
  "identifier": [
    {
      "value": "urn:oid:2.16.840.1.113883.10.20.22.4.121"
    }
  ],
  "version": "2.2",
  "name": "GoalObservation",
  "title": "Goal Observation",
  "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 a patient health goal. A Goal Observation template may have related components that are acts, encounters, observations, procedures, substance administrations, or supplies. \n\nA goal may be a patient or provider goal. If the author is set to the recordTarget (patient), this is a patient goal. If the author is set to a provider, this is a provider goal. If both patient and provider are set as authors, this is a negotiated goal.\n\nA goal usually has a related health concern and/or risk.\n\nA goal may have components consisting of other goals (milestones). These milestones are related to the overall goal through entryRelationships.",
  "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) (CONF:1098-30418).",
        "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=\"GOL\" Goal (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-30419).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.moodCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "GOL"
      },
      {
        "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"
            }
          ],
          "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:1098-8583) 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=\"2.16.840.1.113883.10.20.22.4.121\" (CONF:1098-10512).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "II.root",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "2.16.840.1.113883.10.20.22.4.121"
      },
      {
        "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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "II.extension",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.id",
        "path": "Observation.id",
        "requirements": "SHALL contain at least one [1..*] id (CONF:1098-32332).",
        "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, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-30784).",
        "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.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:1098-32333).",
        "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=\"active\" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32334).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CD.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "active"
      },
      {
        "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",
        "requirements": "SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-32335).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.effectiveTime",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-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": "MAY contain zero or one [0..1] value (CONF:1098-32743).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.value",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ST"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CV"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SC"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/AD"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/EN"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/REAL"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/PQ"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/MO"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/TS"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ"
          }
        ]
      },
      {
        "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"
          }
        ],
        "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"
          }
        ],
        "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"
          }
        ]
      },
      {
        "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"
          }
        ]
      },
      {
        "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"
          }
        ]
      },
      {
        "id": "Observation.author",
        "path": "Observation.author",
        "short": "If the author is the recordTarget (patient), this is a patient goal.  If the author is a provider, this is a provider goal. If both patient and provider are authors, this is a negotiated goal. If no author is present, it is assumed the document or section author(s) is the author of this goal.",
        "requirements": "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-30995).",
        "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"
            ]
          }
        ],
        "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"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.informant.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "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",
        "base": {
          "path": "Observation.informant.contextControlCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "defaultValueCode": "OP",
        "fixedCode": "OP",
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl"
        }
      },
      {
        "id": "Observation.informant.assignedEntity",
        "path": "Observation.informant.assignedEntity",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.informant.assignedEntity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
          }
        ]
      },
      {
        "id": "Observation.informant.relatedEntity",
        "path": "Observation.informant.relatedEntity",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.informant.relatedEntity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"
          }
        ]
      },
      {
        "id": "Observation.participant",
        "path": "Observation.participant",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.participant",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Participant2"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship",
        "path": "Observation.entryRelationship",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "act"
            },
            {
              "type": "profile",
              "path": "observation"
            }
          ],
          "rules": "open"
        },
        "short": "Where a Goal Observation needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.entryRelationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ],
        "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"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.typeCode",
        "path": "Observation.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.inversionInd",
        "path": "Observation.entryRelationship.inversionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.inversionInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.contextConductionInd",
        "path": "Observation.entryRelationship.contextConductionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.contextConductionInd",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Observation.entryRelationship.sequenceNumber",
        "path": "Observation.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.sequenceNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.negationInd",
        "path": "Observation.entryRelationship.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.seperatableInd",
        "path": "Observation.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.observation",
        "path": "Observation.entryRelationship.observation",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.regionOfInterest",
        "path": "Observation.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.regionOfInterest",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.observationMedia",
        "path": "Observation.entryRelationship.observationMedia",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.observationMedia",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.substanceAdministration",
        "path": "Observation.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.supply",
        "path": "Observation.entryRelationship.supply",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.supply",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.procedure",
        "path": "Observation.entryRelationship.procedure",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.procedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.encounter",
        "path": "Observation.entryRelationship.encounter",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.organizer",
        "path": "Observation.entryRelationship.organizer",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.organizer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship.act",
        "path": "Observation.entryRelationship.act",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern",
        "path": "Observation.entryRelationship",
        "sliceName": "healthConcern",
        "short": "The following entryRelationship represents the relationship between a Goal Observation and a Health Concern Act (Goal Observation REFERS TO Health Concern Act). As Health Concern Act is already defined in Health Concerns Section, rather than clone the whole Health Concern Act template, an Entry Reference may be used in entryRelationship to refer the template.",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-30701) such that it",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.entryRelationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ],
        "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"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.typeCode",
        "path": "Observation.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-30702).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "REFR"
      },
      {
        "id": "Observation.entryRelationship:healthConcern.inversionInd",
        "path": "Observation.entryRelationship.inversionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.inversionInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.contextConductionInd",
        "path": "Observation.entryRelationship.contextConductionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.contextConductionInd",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Observation.entryRelationship:healthConcern.sequenceNumber",
        "path": "Observation.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.sequenceNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.negationInd",
        "path": "Observation.entryRelationship.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.seperatableInd",
        "path": "Observation.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.observation",
        "path": "Observation.entryRelationship.observation",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.regionOfInterest",
        "path": "Observation.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.regionOfInterest",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.observationMedia",
        "path": "Observation.entryRelationship.observationMedia",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.observationMedia",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.substanceAdministration",
        "path": "Observation.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.supply",
        "path": "Observation.entryRelationship.supply",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.supply",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.procedure",
        "path": "Observation.entryRelationship.procedure",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.procedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.encounter",
        "path": "Observation.entryRelationship.encounter",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.organizer",
        "path": "Observation.entryRelationship.organizer",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.organizer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:healthConcern.act",
        "path": "Observation.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-30703).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Observation.entryRelationship:plannedComponent",
        "path": "Observation.entryRelationship",
        "sliceName": "plannedComponent",
        "short": "The following entryRelationship represents a planned component of the goal such as Planned Encounter (V2), Planned Observation (V2), Planned Procedure (V2), Planned Medication Activity (V2), Planned Supply (V2), Planned Act (V2) or Planned Immunization Activity. Because these entries are already described in the Interventions Section of the CDA document instance, rather than repeating the full content of the entries, the Entry Reference template may be used to reference the entries.",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-30704) such that it",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.entryRelationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ],
        "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"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.typeCode",
        "path": "Observation.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"COMP\" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-30705).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "COMP"
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.inversionInd",
        "path": "Observation.entryRelationship.inversionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.inversionInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.contextConductionInd",
        "path": "Observation.entryRelationship.contextConductionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.contextConductionInd",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.sequenceNumber",
        "path": "Observation.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.sequenceNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.negationInd",
        "path": "Observation.entryRelationship.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.seperatableInd",
        "path": "Observation.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.observation",
        "path": "Observation.entryRelationship.observation",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.regionOfInterest",
        "path": "Observation.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.regionOfInterest",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.observationMedia",
        "path": "Observation.entryRelationship.observationMedia",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.observationMedia",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.substanceAdministration",
        "path": "Observation.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.supply",
        "path": "Observation.entryRelationship.supply",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.supply",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.procedure",
        "path": "Observation.entryRelationship.procedure",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.procedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.encounter",
        "path": "Observation.entryRelationship.encounter",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.organizer",
        "path": "Observation.entryRelationship.organizer",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.organizer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.act",
        "path": "Observation.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-32879).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Observation.entryRelationship:priority",
        "path": "Observation.entryRelationship",
        "sliceName": "priority",
        "short": "The following entryRelationship represents the priority that the patient or a provider puts on the goal.",
        "requirements": "SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-30785) such that it",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ],
        "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"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.typeCode",
        "path": "Observation.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-30786).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "REFR"
      },
      {
        "id": "Observation.entryRelationship:priority.inversionInd",
        "path": "Observation.entryRelationship.inversionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.inversionInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.contextConductionInd",
        "path": "Observation.entryRelationship.contextConductionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.contextConductionInd",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Observation.entryRelationship:priority.sequenceNumber",
        "path": "Observation.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.sequenceNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.negationInd",
        "path": "Observation.entryRelationship.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.seperatableInd",
        "path": "Observation.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.observation",
        "path": "Observation.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1098-30787).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.143"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Observation.entryRelationship:priority.regionOfInterest",
        "path": "Observation.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.regionOfInterest",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.observationMedia",
        "path": "Observation.entryRelationship.observationMedia",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.observationMedia",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.substanceAdministration",
        "path": "Observation.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.supply",
        "path": "Observation.entryRelationship.supply",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.supply",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.procedure",
        "path": "Observation.entryRelationship.procedure",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.procedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.encounter",
        "path": "Observation.entryRelationship.encounter",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.organizer",
        "path": "Observation.entryRelationship.organizer",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.organizer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority.act",
        "path": "Observation.entryRelationship.act",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal",
        "path": "Observation.entryRelationship",
        "sliceName": "goal",
        "short": "The following entryRelationship represents the relationship between two Goal Observations where the target is a component of the source (Goal Observation HAS COMPONENT Goal Observation). The component goal (target) is a Milestone.",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31448) such that it",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.entryRelationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ],
        "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"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.typeCode",
        "path": "Observation.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"COMP\" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31449).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "COMP"
      },
      {
        "id": "Observation.entryRelationship:goal.inversionInd",
        "path": "Observation.entryRelationship.inversionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.inversionInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.contextConductionInd",
        "path": "Observation.entryRelationship.contextConductionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.contextConductionInd",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Observation.entryRelationship:goal.sequenceNumber",
        "path": "Observation.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.sequenceNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.negationInd",
        "path": "Observation.entryRelationship.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.seperatableInd",
        "path": "Observation.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.observation",
        "path": "Observation.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.121) (CONF:1098-32880).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.121"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Observation.entryRelationship:goal.regionOfInterest",
        "path": "Observation.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.regionOfInterest",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.observationMedia",
        "path": "Observation.entryRelationship.observationMedia",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.observationMedia",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.substanceAdministration",
        "path": "Observation.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.supply",
        "path": "Observation.entryRelationship.supply",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.supply",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.procedure",
        "path": "Observation.entryRelationship.procedure",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.procedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.encounter",
        "path": "Observation.entryRelationship.encounter",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.organizer",
        "path": "Observation.entryRelationship.organizer",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.organizer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal.act",
        "path": "Observation.entryRelationship.act",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference",
        "path": "Observation.entryRelationship",
        "sliceName": "entryReference",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31559) such that it",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.entryRelationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ],
        "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"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.typeCode",
        "path": "Observation.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31560).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "REFR"
      },
      {
        "id": "Observation.entryRelationship:entryReference.inversionInd",
        "path": "Observation.entryRelationship.inversionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.inversionInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.contextConductionInd",
        "path": "Observation.entryRelationship.contextConductionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.contextConductionInd",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Observation.entryRelationship:entryReference.sequenceNumber",
        "path": "Observation.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.sequenceNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.negationInd",
        "path": "Observation.entryRelationship.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.seperatableInd",
        "path": "Observation.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.observation",
        "path": "Observation.entryRelationship.observation",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.regionOfInterest",
        "path": "Observation.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.regionOfInterest",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.observationMedia",
        "path": "Observation.entryRelationship.observationMedia",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.observationMedia",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.substanceAdministration",
        "path": "Observation.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.supply",
        "path": "Observation.entryRelationship.supply",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.supply",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.procedure",
        "path": "Observation.entryRelationship.procedure",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.procedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.encounter",
        "path": "Observation.entryRelationship.encounter",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.organizer",
        "path": "Observation.entryRelationship.organizer",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Observation.entryRelationship.organizer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference.act",
        "path": "Observation.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-31588).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Observation.reference",
        "path": "Observation.reference",
        "short": "Where it is necessary to reference an external clinical document such a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document.  However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.",
        "requirements": "MAY contain zero or more [0..*] reference (CONF:1098-32754).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.reference",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ]
      },
      {
        "id": "Observation.reference.typeCode",
        "path": "Observation.reference.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "The reference, if present, SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32755).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.reference.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "REFR"
      },
      {
        "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",
        "requirements": "The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1098-32756).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.reference.externalDocument",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.115"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "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) (CONF:1098-30418).",
        "min": 1,
        "max": "1",
        "patternCode": "OBS"
      },
      {
        "id": "Observation.moodCode",
        "path": "Observation.moodCode",
        "requirements": "SHALL contain exactly one [1..1] @moodCode=\"GOL\" Goal (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-30419).",
        "min": 1,
        "max": "1",
        "patternCode": "GOL"
      },
      {
        "id": "Observation.templateId",
        "path": "Observation.templateId",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "root"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.templateId:primary",
        "path": "Observation.templateId",
        "sliceName": "primary",
        "requirements": "SHALL contain exactly one [1..1] templateId (CONF:1098-8583) such that it",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.templateId:primary.root",
        "path": "Observation.templateId.root",
        "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.121\" (CONF:1098-10512).",
        "min": 1,
        "max": "1",
        "patternString": "2.16.840.1.113883.10.20.22.4.121"
      },
      {
        "id": "Observation.id",
        "path": "Observation.id",
        "requirements": "SHALL contain at least one [1..*] id (CONF:1098-32332).",
        "min": 1,
        "max": "*"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "requirements": "SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-30784).",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.statusCode",
        "path": "Observation.statusCode",
        "requirements": "SHALL contain exactly one [1..1] statusCode (CONF:1098-32333).",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.statusCode.code",
        "path": "Observation.statusCode.code",
        "requirements": "This statusCode SHALL contain exactly one [1..1] @code=\"active\" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32334).",
        "min": 1,
        "max": "1",
        "patternString": "active"
      },
      {
        "id": "Observation.effectiveTime",
        "path": "Observation.effectiveTime",
        "requirements": "SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-32335).",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Observation.value",
        "path": "Observation.value",
        "requirements": "MAY contain zero or one [0..1] value (CONF:1098-32743).",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Observation.author",
        "path": "Observation.author",
        "short": "If the author is the recordTarget (patient), this is a patient goal.  If the author is a provider, this is a provider goal. If both patient and provider are authors, this is a negotiated goal. If no author is present, it is assumed the document or section author(s) is the author of this goal.",
        "requirements": "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-30995).",
        "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"
            ]
          }
        ]
      },
      {
        "id": "Observation.entryRelationship",
        "path": "Observation.entryRelationship",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "act"
            },
            {
              "type": "profile",
              "path": "observation"
            }
          ],
          "rules": "open"
        },
        "short": "Where a Goal Observation needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry."
      },
      {
        "id": "Observation.entryRelationship:healthConcern",
        "path": "Observation.entryRelationship",
        "sliceName": "healthConcern",
        "short": "The following entryRelationship represents the relationship between a Goal Observation and a Health Concern Act (Goal Observation REFERS TO Health Concern Act). As Health Concern Act is already defined in Health Concerns Section, rather than clone the whole Health Concern Act template, an Entry Reference may be used in entryRelationship to refer the template.",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-30701) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Observation.entryRelationship:healthConcern.typeCode",
        "path": "Observation.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-30702).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Observation.entryRelationship:healthConcern.act",
        "path": "Observation.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-30703).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
            ]
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:plannedComponent",
        "path": "Observation.entryRelationship",
        "sliceName": "plannedComponent",
        "short": "The following entryRelationship represents a planned component of the goal such as Planned Encounter (V2), Planned Observation (V2), Planned Procedure (V2), Planned Medication Activity (V2), Planned Supply (V2), Planned Act (V2) or Planned Immunization Activity. Because these entries are already described in the Interventions Section of the CDA document instance, rather than repeating the full content of the entries, the Entry Reference template may be used to reference the entries.",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-30704) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.typeCode",
        "path": "Observation.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"COMP\" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-30705).",
        "min": 1,
        "max": "1",
        "patternCode": "COMP"
      },
      {
        "id": "Observation.entryRelationship:plannedComponent.act",
        "path": "Observation.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-32879).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
            ]
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:priority",
        "path": "Observation.entryRelationship",
        "sliceName": "priority",
        "short": "The following entryRelationship represents the priority that the patient or a provider puts on the goal.",
        "requirements": "SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-30785) such that it",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Observation.entryRelationship:priority.typeCode",
        "path": "Observation.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-30786).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Observation.entryRelationship:priority.observation",
        "path": "Observation.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1098-30787).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.143"
            ]
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:goal",
        "path": "Observation.entryRelationship",
        "sliceName": "goal",
        "short": "The following entryRelationship represents the relationship between two Goal Observations where the target is a component of the source (Goal Observation HAS COMPONENT Goal Observation). The component goal (target) is a Milestone.",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31448) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Observation.entryRelationship:goal.typeCode",
        "path": "Observation.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"COMP\" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31449).",
        "min": 1,
        "max": "1",
        "patternCode": "COMP"
      },
      {
        "id": "Observation.entryRelationship:goal.observation",
        "path": "Observation.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.121) (CONF:1098-32880).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.121"
            ]
          }
        ]
      },
      {
        "id": "Observation.entryRelationship:entryReference",
        "path": "Observation.entryRelationship",
        "sliceName": "entryReference",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31559) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Observation.entryRelationship:entryReference.typeCode",
        "path": "Observation.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31560).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Observation.entryRelationship:entryReference.act",
        "path": "Observation.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-31588).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
            ]
          }
        ]
      },
      {
        "id": "Observation.reference",
        "path": "Observation.reference",
        "short": "Where it is necessary to reference an external clinical document such a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document.  However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.",
        "requirements": "MAY contain zero or more [0..*] reference (CONF:1098-32754).",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Observation.reference.typeCode",
        "path": "Observation.reference.typeCode",
        "requirements": "The reference, if present, SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32755).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Observation.reference.externalDocument",
        "path": "Observation.reference.externalDocument",
        "requirements": "The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1098-32756).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.115"
            ]
          }
        ]
      }
    ]
  }
}