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FHIR IG Statistics: StructureDefinition/2.16.840.1.113883.10.20.22.4.140

Packagehl7.cda.us.ccdar2dot2
TypeStructureDefinition
Id2.16.840.1.113883.10.20.22.4.140
FHIR VersionR4
Sourcehttp://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.4.140.html
URLhttp://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.140
Version2.2
Statusactive
Date2022-05-13T15:50:12+00:00
NamePatientReferralAct
TitlePatient Referral Act
Realmus
Authorityhl7
DescriptionThis template represents the type of referral (e.g., for dental care, to a specialist, for aging problems) and represents whether the referral is for full care or shared care. It may contain a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).
TypeAct
Kindresource

Resources that use this resource

StructureDefinition
1.3.6.1.4.1.19376.1.5.3.1.3.1Reason for Referral Section

Resources that this resource uses

StructureDefinition
2.16.840.1.113883.10.20.22.4.119Author Participation
2.16.840.1.113883.10.20.22.4.19Indication
ValueSet
2.16.840.1.113883.11.20.9.56Referral Types
2.16.840.1.113883.11.20.9.61Care Model
2.16.840.1.113883.11.20.9.66Patient Referral Act moodCode
2.16.840.1.114222.4.11.1066Healthcare Provider Taxonomy

Narrative

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.Act
... classCode 1..1codeRequired Pattern: PCPR
... moodCode 1..1codeBinding: Patient Referral Act moodCode (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.140
... id 1..*IIIn the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note.
... code 1..1CDBinding: Referral Types (required)
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: active
... effectiveTime 1..1IVL_TSThe effectiveTime represents the time when the future referral is intended to take place.
... priorityCode 0..1CE
... author 0..*AuthorParticipation
... participant 0..*Participant2
.... typeCode 1..1codeRequired Pattern: REFT
.... participantRole 1..1ParticipantRole
..... code 0..1CEBinding: Healthcare Provider Taxonomy (preferred)
... Slices for entryRelationship 0..*ElementThe following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).
Slice: Unordered, Open by profile:observation
.... entryRelationship:entryRelationship1 0..*ElementThe following entryRelationship represents whether the referral is for full or shared care.
..... typeCode 1..1codeRequired Pattern: SUBJ
..... observation 1..1Observation
...... classCode 1..1codeRequired Pattern: OBS
...... moodCode 1..1codeRequired Pattern: RQO
...... code 1..1CD
....... code 1..1stringRequired Pattern: ASSERTION
....... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.5.4
...... statusCode 1..1CS
....... code 1..1stringRequired Pattern: completed
...... priorityCode 0..1CEBinding: ActPriority (preferred)
...... value 1..1CDBinding: Care Model (preferred)
.... entryRelationship:indication 0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1Indication

doco Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "2.16.840.1.113883.10.20.22.4.140",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.140",
  "identifier": [
    {
      "value": "urn:oid:2.16.840.1.113883.10.20.22.4.140"
    }
  ],
  "version": "2.2",
  "name": "PatientReferralAct",
  "title": "Patient Referral Act",
  "status": "active",
  "date": "2022-05-13T15:50:12+00:00",
  "publisher": "Health Level Seven",
  "contact": [
    {
      "name": "HL7 International - Structured Documents",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/structure"
        }
      ]
    }
  ],
  "description": "This template represents the type of referral (e.g., for dental care, to a specialist, for aging problems) and represents whether the referral is for full care or shared care. It may contain a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Act",
  "baseDefinition": "http://hl7.org/fhir/cda/StructureDefinition/Act",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Act",
        "path": "Act",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Base",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "id": "Act.classCode",
        "path": "Act.classCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @classCode=\"PCPR\" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.classCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "PCPR"
      },
      {
        "id": "Act.moodCode",
        "path": "Act.moodCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.moodCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.66"
        }
      },
      {
        "id": "Act.realmCode",
        "path": "Act.realmCode",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.realmCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
          }
        ]
      },
      {
        "id": "Act.typeId",
        "path": "Act.typeId",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.typeId",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.templateId",
        "path": "Act.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": "Act.templateId",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.templateId:primary",
        "path": "Act.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:1098-30886) such that it",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.templateId",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.templateId:primary.nullFlavor",
        "path": "Act.templateId.nullFlavor",
        "representation": [
          "xmlAttr"
        ],
        "label": "Exceptional Value Detail",
        "definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ANY.nullFlavor",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id": "Act.templateId:primary.assigningAuthorityName",
        "path": "Act.templateId.assigningAuthorityName",
        "representation": [
          "xmlAttr"
        ],
        "label": "Assigning Authority Name",
        "definition": "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "II.assigningAuthorityName",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.templateId:primary.displayable",
        "path": "Act.templateId.displayable",
        "representation": [
          "xmlAttr"
        ],
        "label": "Displayable",
        "definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "II.displayable",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.templateId:primary.root",
        "path": "Act.templateId.root",
        "representation": [
          "xmlAttr"
        ],
        "label": "Root",
        "definition": "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
        "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.140\" (CONF:1098-30887).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "II.root",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "2.16.840.1.113883.10.20.22.4.140"
      },
      {
        "id": "Act.templateId:primary.extension",
        "path": "Act.templateId.extension",
        "representation": [
          "xmlAttr"
        ],
        "label": "Extension",
        "definition": "A character string as a unique identifier within the scope of the identifier root.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "II.extension",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.id",
        "path": "Act.id",
        "short": "In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note.",
        "requirements": "SHALL contain at least one [1..*] id (CONF:1098-30888).",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Act.id",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.code",
        "path": "Act.code",
        "requirements": "SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.code",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.56"
        }
      },
      {
        "id": "Act.negationInd",
        "path": "Act.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.text",
        "path": "Act.text",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Act.statusCode",
        "path": "Act.statusCode",
        "requirements": "SHALL contain exactly one [1..1] statusCode (CONF:1098-30892).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.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": "Act.statusCode.nullFlavor",
        "path": "Act.statusCode.nullFlavor",
        "representation": [
          "xmlAttr"
        ],
        "label": "Exceptional Value Detail",
        "definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ANY.nullFlavor",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id": "Act.statusCode.code",
        "path": "Act.statusCode.code",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code",
        "definition": "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
        "requirements": "This statusCode SHALL contain exactly one [1..1] @code=\"active\" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31598).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CD.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "active"
      },
      {
        "id": "Act.statusCode.codeSystem",
        "path": "Act.statusCode.codeSystem",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System",
        "definition": "Specifies the code system that defines the code.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.codeSystem",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.statusCode.codeSystemName",
        "path": "Act.statusCode.codeSystemName",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System Name",
        "definition": "The common name of the coding system.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.codeSystemName",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.statusCode.codeSystemVersion",
        "path": "Act.statusCode.codeSystemVersion",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System Version",
        "definition": "If applicable, a version descriptor defined specifically for the given code system.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.codeSystemVersion",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.statusCode.displayName",
        "path": "Act.statusCode.displayName",
        "representation": [
          "xmlAttr"
        ],
        "label": "Display Name",
        "definition": "A name or title for the code, under which the sending system shows the code value to its users.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.displayName",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.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": "Act.statusCode.sdtcValueSet",
        "representation": [
          "xmlAttr"
        ],
        "definition": "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.valueSet",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.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": "Act.statusCode.sdtcValueSetVersion",
        "representation": [
          "xmlAttr"
        ],
        "definition": "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.sdtcValueSetVersion",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.statusCode.originalText",
        "path": "Act.statusCode.originalText",
        "label": "Original Text",
        "definition": "The text or phrase used as the basis for the coding.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.originalText",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Act.statusCode.qualifier",
        "path": "Act.statusCode.qualifier",
        "label": "Qualifier",
        "definition": "Specifies additional codes that increase the specificity of the the primary code.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.qualifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CR"
          }
        ]
      },
      {
        "id": "Act.statusCode.translation",
        "path": "Act.statusCode.translation",
        "representation": [
          "typeAttr"
        ],
        "label": "Translation",
        "definition": "A set of other concept descriptors that translate this concept descriptor into other code systems.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.translation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ]
      },
      {
        "id": "Act.effectiveTime",
        "path": "Act.effectiveTime",
        "short": "The effectiveTime represents the time when the future referral is intended to take place.",
        "requirements": "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.effectiveTime",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id": "Act.priorityCode",
        "path": "Act.priorityCode",
        "requirements": "SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.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": "Act.languageCode",
        "path": "Act.languageCode",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.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": "Act.subject",
        "path": "Act.subject",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.subject",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Element"
          }
        ]
      },
      {
        "id": "Act.subject.typeCode",
        "path": "Act.subject.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.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": "Act.subject.contextControlCode",
        "path": "Act.subject.contextControlCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.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": "Act.subject.awarenessCode",
        "path": "Act.subject.awarenessCode",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.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": "Act.subject.relatedSubject",
        "path": "Act.subject.relatedSubject",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.subject.relatedSubject",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"
          }
        ]
      },
      {
        "id": "Act.specimen",
        "path": "Act.specimen",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.specimen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Specimen"
          }
        ]
      },
      {
        "id": "Act.performer",
        "path": "Act.performer",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.performer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Performer2"
          }
        ]
      },
      {
        "id": "Act.author",
        "path": "Act.author",
        "requirements": "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31612).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.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": "Act.informant",
        "path": "Act.informant",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.informant",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ]
      },
      {
        "id": "Act.informant.typeCode",
        "path": "Act.informant.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.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": "Act.informant.contextControlCode",
        "path": "Act.informant.contextControlCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.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": "Act.informant.assignedEntity",
        "path": "Act.informant.assignedEntity",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.informant.assignedEntity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
          }
        ]
      },
      {
        "id": "Act.informant.relatedEntity",
        "path": "Act.informant.relatedEntity",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.informant.relatedEntity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"
          }
        ]
      },
      {
        "id": "Act.participant",
        "path": "Act.participant",
        "requirements": "MAY contain zero or more [0..*] participant (CONF:1098-32635).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.participant",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Participant2"
          }
        ]
      },
      {
        "id": "Act.participant.nullFlavor",
        "path": "Act.participant.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": "Participant2.nullFlavor",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id": "Act.participant.typeCode",
        "path": "Act.participant.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "The participant, if present, SHALL contain exactly one [1..1] @typeCode=\"REFT\" Referred to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32638).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Participant2.typeCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "REFT",
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType"
        }
      },
      {
        "id": "Act.participant.contextControlCode",
        "path": "Act.participant.contextControlCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Participant2.contextControlCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "fixedCode": "OP",
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl"
        }
      },
      {
        "id": "Act.participant.realmCode",
        "path": "Act.participant.realmCode",
        "definition": "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Participant2.realmCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
          }
        ]
      },
      {
        "id": "Act.participant.typeId",
        "path": "Act.participant.typeId",
        "definition": "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Participant2.typeId",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.participant.templateId",
        "path": "Act.participant.templateId",
        "definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Participant2.templateId",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.participant.sdtcFunctionCode",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri": "urn:hl7-org:sdtc"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString": "functionCode"
          }
        ],
        "path": "Act.participant.sdtcFunctionCode",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Participant2.sdtcFunctionCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
          }
        ]
      },
      {
        "id": "Act.participant.time",
        "path": "Act.participant.time",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Participant2.time",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id": "Act.participant.awarenessCode",
        "path": "Act.participant.awarenessCode",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Participant2.awarenessCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
          }
        ]
      },
      {
        "id": "Act.participant.participantRole",
        "path": "Act.participant.participantRole",
        "requirements": "The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Participant2.participantRole",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole"
          }
        ]
      },
      {
        "id": "Act.participant.participantRole.classCode",
        "path": "Act.participant.participantRole.classCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "ParticipantRole.classCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "defaultValueCode": "ROL",
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassRoot"
        }
      },
      {
        "id": "Act.participant.participantRole.templateId",
        "path": "Act.participant.participantRole.templateId",
        "definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ParticipantRole.templateId",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.participant.participantRole.id",
        "path": "Act.participant.participantRole.id",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ParticipantRole.id",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.participant.participantRole.sdtcIdentifiedBy",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri": "urn:hl7-org:sdtc"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString": "identifiedBy"
          }
        ],
        "path": "Act.participant.participantRole.sdtcIdentifiedBy",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ParticipantRole.sdtcIdentifiedBy",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy"
          }
        ]
      },
      {
        "id": "Act.participant.participantRole.code",
        "path": "Act.participant.participantRole.code",
        "requirements": "This participantRole MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-32637).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ParticipantRole.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
          }
        ],
        "binding": {
          "strength": "preferred",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"
        }
      },
      {
        "id": "Act.participant.participantRole.addr",
        "path": "Act.participant.participantRole.addr",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ParticipantRole.addr",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/AD"
          }
        ]
      },
      {
        "id": "Act.participant.participantRole.telecom",
        "path": "Act.participant.participantRole.telecom",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ParticipantRole.telecom",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL"
          }
        ]
      },
      {
        "id": "Act.participant.participantRole.playingDevice",
        "path": "Act.participant.participantRole.playingDevice",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ParticipantRole.playingDevice",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Device"
          }
        ]
      },
      {
        "id": "Act.participant.participantRole.playingEntity",
        "path": "Act.participant.participantRole.playingEntity",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ParticipantRole.playingEntity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/PlayingEntity"
          }
        ]
      },
      {
        "id": "Act.participant.participantRole.scopingEntity",
        "path": "Act.participant.participantRole.scopingEntity",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ParticipantRole.scopingEntity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Entity"
          }
        ]
      },
      {
        "id": "Act.entryRelationship",
        "path": "Act.entryRelationship",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "observation"
            }
          ],
          "rules": "open"
        },
        "short": "The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.entryRelationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ],
        "constraint": [
          {
            "key": "act-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/Act"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.inversionInd",
        "path": "Act.entryRelationship.inversionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.inversionInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.contextConductionInd",
        "path": "Act.entryRelationship.contextConductionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.contextConductionInd",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Act.entryRelationship.sequenceNumber",
        "path": "Act.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.sequenceNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.negationInd",
        "path": "Act.entryRelationship.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.seperatableInd",
        "path": "Act.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.observation",
        "path": "Act.entryRelationship.observation",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.regionOfInterest",
        "path": "Act.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.regionOfInterest",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.observationMedia",
        "path": "Act.entryRelationship.observationMedia",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.observationMedia",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.supply",
        "path": "Act.entryRelationship.supply",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.supply",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.procedure",
        "path": "Act.entryRelationship.procedure",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.procedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.encounter",
        "path": "Act.entryRelationship.encounter",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.organizer",
        "path": "Act.entryRelationship.organizer",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.organizer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.act",
        "path": "Act.entryRelationship.act",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1",
        "path": "Act.entryRelationship",
        "sliceName": "entryRelationship1",
        "short": "The following entryRelationship represents whether the referral is for full or shared care.",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) such that it",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.entryRelationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ],
        "constraint": [
          {
            "key": "act-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/Act"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"SUBJ\" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31613).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "SUBJ"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.inversionInd",
        "path": "Act.entryRelationship.inversionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.inversionInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.contextConductionInd",
        "path": "Act.entryRelationship.contextConductionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.contextConductionInd",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.sequenceNumber",
        "path": "Act.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.sequenceNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.negationInd",
        "path": "Act.entryRelationship.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.seperatableInd",
        "path": "Act.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation",
        "path": "Act.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] observation (CONF:1098-31605).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.classCode",
        "path": "Act.entryRelationship.observation.classCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "This observation SHALL contain exactly one [1..1] @classCode=\"OBS\" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606).",
        "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": "Act.entryRelationship:entryRelationship1.observation.moodCode",
        "path": "Act.entryRelationship.observation.moodCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "This observation SHALL contain exactly one [1..1] @moodCode=\"RQO\" request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.moodCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "RQO"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.negationInd",
        "path": "Act.entryRelationship.observation.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.realmCode",
        "path": "Act.entryRelationship.observation.realmCode",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.realmCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.typeId",
        "path": "Act.entryRelationship.observation.typeId",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.typeId",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.templateId",
        "path": "Act.entryRelationship.observation.templateId",
        "definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.templateId",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.id",
        "path": "Act.entryRelationship.observation.id",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.id",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code",
        "path": "Act.entryRelationship.observation.code",
        "representation": [
          "typeAttr"
        ],
        "requirements": "This observation SHALL contain exactly one [1..1] code (CONF:1098-31608).",
        "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": "Act.entryRelationship:entryRelationship1.observation.code.nullFlavor",
        "path": "Act.entryRelationship.observation.code.nullFlavor",
        "representation": [
          "xmlAttr"
        ],
        "label": "Exceptional Value Detail",
        "definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ANY.nullFlavor",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.code",
        "path": "Act.entryRelationship.observation.code.code",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code",
        "definition": "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
        "requirements": "This code SHALL contain exactly one [1..1] @code=\"ASSERTION\" assertion (CONF:1098-31619).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CD.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "ASSERTION"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.codeSystem",
        "path": "Act.entryRelationship.observation.code.codeSystem",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System",
        "definition": "Specifies the code system that defines the code.",
        "requirements": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.5.4 \" (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31620).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CD.codeSystem",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "2.16.840.1.113883.5.4"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.codeSystemName",
        "path": "Act.entryRelationship.observation.code.codeSystemName",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System Name",
        "definition": "The common name of the coding system.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.codeSystemName",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.codeSystemVersion",
        "path": "Act.entryRelationship.observation.code.codeSystemVersion",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System Version",
        "definition": "If applicable, a version descriptor defined specifically for the given code system.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.codeSystemVersion",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.displayName",
        "path": "Act.entryRelationship.observation.code.displayName",
        "representation": [
          "xmlAttr"
        ],
        "label": "Display Name",
        "definition": "A name or title for the code, under which the sending system shows the code value to its users.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.displayName",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.sdtcValueSet",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri": "urn:hl7-org:sdtc"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString": "valueSet"
          }
        ],
        "path": "Act.entryRelationship.observation.code.sdtcValueSet",
        "representation": [
          "xmlAttr"
        ],
        "definition": "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.valueSet",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.sdtcValueSetVersion",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri": "urn:hl7-org:sdtc"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString": "valueSetVersion"
          }
        ],
        "path": "Act.entryRelationship.observation.code.sdtcValueSetVersion",
        "representation": [
          "xmlAttr"
        ],
        "definition": "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.sdtcValueSetVersion",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.originalText",
        "path": "Act.entryRelationship.observation.code.originalText",
        "label": "Original Text",
        "definition": "The text or phrase used as the basis for the coding.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.originalText",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.qualifier",
        "path": "Act.entryRelationship.observation.code.qualifier",
        "label": "Qualifier",
        "definition": "Specifies additional codes that increase the specificity of the the primary code.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "CD.qualifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CR"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.translation",
        "path": "Act.entryRelationship.observation.code.translation",
        "representation": [
          "typeAttr"
        ],
        "label": "Translation",
        "definition": "A set of other concept descriptors that translate this concept descriptor into other code systems.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "CD.translation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.derivationExpr",
        "path": "Act.entryRelationship.observation.derivationExpr",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.derivationExpr",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ST"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.text",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.statusCode",
        "path": "Act.entryRelationship.observation.statusCode",
        "requirements": "This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614).",
        "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": "Act.entryRelationship:entryRelationship1.observation.statusCode.nullFlavor",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.statusCode.code",
        "path": "Act.entryRelationship.observation.statusCode.code",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code",
        "definition": "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
        "requirements": "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31615).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CD.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "completed"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystem",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemName",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemVersion",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.statusCode.displayName",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.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": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.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": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.statusCode.originalText",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.statusCode.qualifier",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.statusCode.translation",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.effectiveTime",
        "path": "Act.entryRelationship.observation.effectiveTime",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.effectiveTime",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.priorityCode",
        "path": "Act.entryRelationship.observation.priorityCode",
        "requirements": "This observation SHOULD contain zero or one [0..1] priorityCode, which SHOULD be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-32443).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.priorityCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
          }
        ],
        "binding": {
          "strength": "preferred",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16866"
        }
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.repeatNumber",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.languageCode",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.value",
        "path": "Act.entryRelationship.observation.value",
        "representation": [
          "typeAttr"
        ],
        "requirements": "This observation SHALL contain exactly one [1..1] value with @xsi:type=\"CD\", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 DYNAMIC (CONF:1098-31611).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.value",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ],
        "binding": {
          "strength": "preferred",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.61"
        }
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.interpretationCode",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.methodCode",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.targetSiteCode",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.subject",
        "path": "Act.entryRelationship.observation.subject",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.subject",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Element"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.subject.typeCode",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.subject.contextControlCode",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.subject.awarenessCode",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.subject.relatedSubject",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.specimen",
        "path": "Act.entryRelationship.observation.specimen",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.specimen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Specimen"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.performer",
        "path": "Act.entryRelationship.observation.performer",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.performer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Performer2"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.author",
        "path": "Act.entryRelationship.observation.author",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Author"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.informant",
        "path": "Act.entryRelationship.observation.informant",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.informant",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.informant.typeCode",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.informant.contextControlCode",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.informant.assignedEntity",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.informant.relatedEntity",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.participant",
        "path": "Act.entryRelationship.observation.participant",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.participant",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Participant2"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.entryRelationship",
        "path": "Act.entryRelationship.observation.entryRelationship",
        "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/Act"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.typeCode",
        "path": "Act.entryRelationship.observation.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.inversionInd",
        "path": "Act.entryRelationship.observation.entryRelationship.inversionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.inversionInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.contextConductionInd",
        "path": "Act.entryRelationship.observation.entryRelationship.contextConductionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.contextConductionInd",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.sequenceNumber",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.negationInd",
        "path": "Act.entryRelationship.observation.entryRelationship.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.seperatableInd",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.observation",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.regionOfInterest",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.observationMedia",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.substanceAdministration",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.supply",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.procedure",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.encounter",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.organizer",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.entryRelationship.act",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.reference",
        "path": "Act.entryRelationship.observation.reference",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.reference",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.reference.typeCode",
        "path": "Act.entryRelationship.observation.reference.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.reference.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.reference.seperatableInd",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.reference.externalAct",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.reference.externalObservation",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.reference.externalProcedure",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.reference.externalDocument",
        "path": "Act.entryRelationship.observation.reference.externalDocument",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.reference.externalDocument",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.precondition",
        "path": "Act.entryRelationship.observation.precondition",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.precondition",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Precondition"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.referenceRange",
        "path": "Act.entryRelationship.observation.referenceRange",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.referenceRange",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.referenceRange.typeCode",
        "path": "Act.entryRelationship.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": "Act.entryRelationship:entryRelationship1.observation.referenceRange.observationRange",
        "path": "Act.entryRelationship.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"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.regionOfInterest",
        "path": "Act.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.regionOfInterest",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observationMedia",
        "path": "Act.entryRelationship.observationMedia",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observationMedia",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.supply",
        "path": "Act.entryRelationship.supply",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.supply",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.procedure",
        "path": "Act.entryRelationship.procedure",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.procedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.encounter",
        "path": "Act.entryRelationship.encounter",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.organizer",
        "path": "Act.entryRelationship.organizer",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.organizer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.act",
        "path": "Act.entryRelationship.act",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication",
        "path": "Act.entryRelationship",
        "sliceName": "indication",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31635) such that it",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.entryRelationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ],
        "constraint": [
          {
            "key": "act-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/Act"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"RSON\" has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31636).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "RSON"
      },
      {
        "id": "Act.entryRelationship:indication.inversionInd",
        "path": "Act.entryRelationship.inversionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.inversionInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.contextConductionInd",
        "path": "Act.entryRelationship.contextConductionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.contextConductionInd",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Act.entryRelationship:indication.sequenceNumber",
        "path": "Act.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.sequenceNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.negationInd",
        "path": "Act.entryRelationship.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.seperatableInd",
        "path": "Act.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.observation",
        "path": "Act.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32634).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.19"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:indication.regionOfInterest",
        "path": "Act.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.regionOfInterest",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.observationMedia",
        "path": "Act.entryRelationship.observationMedia",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observationMedia",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.supply",
        "path": "Act.entryRelationship.supply",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.supply",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.procedure",
        "path": "Act.entryRelationship.procedure",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.procedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.encounter",
        "path": "Act.entryRelationship.encounter",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.organizer",
        "path": "Act.entryRelationship.organizer",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.organizer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:indication.act",
        "path": "Act.entryRelationship.act",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
          }
        ]
      },
      {
        "id": "Act.reference",
        "path": "Act.reference",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.reference",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ]
      },
      {
        "id": "Act.reference.typeCode",
        "path": "Act.reference.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.reference.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "Act.reference.seperatableInd",
        "path": "Act.reference.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.reference.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          }
        ]
      },
      {
        "id": "Act.reference.externalAct",
        "path": "Act.reference.externalAct",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.reference.externalAct",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"
          }
        ]
      },
      {
        "id": "Act.reference.externalObservation",
        "path": "Act.reference.externalObservation",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.reference.externalObservation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"
          }
        ]
      },
      {
        "id": "Act.reference.externalProcedure",
        "path": "Act.reference.externalProcedure",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.reference.externalProcedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"
          }
        ]
      },
      {
        "id": "Act.reference.externalDocument",
        "path": "Act.reference.externalDocument",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.reference.externalDocument",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"
          }
        ]
      },
      {
        "id": "Act.precondition",
        "path": "Act.precondition",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.precondition",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Precondition"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Act",
        "path": "Act"
      },
      {
        "id": "Act.classCode",
        "path": "Act.classCode",
        "requirements": "SHALL contain exactly one [1..1] @classCode=\"PCPR\" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884).",
        "min": 1,
        "max": "1",
        "patternCode": "PCPR"
      },
      {
        "id": "Act.moodCode",
        "path": "Act.moodCode",
        "requirements": "SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885).",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.66"
        }
      },
      {
        "id": "Act.templateId",
        "path": "Act.templateId",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "root"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Act.templateId:primary",
        "path": "Act.templateId",
        "sliceName": "primary",
        "requirements": "SHALL contain exactly one [1..1] templateId (CONF:1098-30886) such that it",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.templateId:primary.root",
        "path": "Act.templateId.root",
        "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.140\" (CONF:1098-30887).",
        "min": 1,
        "max": "1",
        "patternString": "2.16.840.1.113883.10.20.22.4.140"
      },
      {
        "id": "Act.id",
        "path": "Act.id",
        "short": "In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note.",
        "requirements": "SHALL contain at least one [1..*] id (CONF:1098-30888).",
        "min": 1,
        "max": "*"
      },
      {
        "id": "Act.code",
        "path": "Act.code",
        "requirements": "SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889).",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.56"
        }
      },
      {
        "id": "Act.statusCode",
        "path": "Act.statusCode",
        "requirements": "SHALL contain exactly one [1..1] statusCode (CONF:1098-30892).",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.statusCode.code",
        "path": "Act.statusCode.code",
        "requirements": "This statusCode SHALL contain exactly one [1..1] @code=\"active\" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31598).",
        "min": 1,
        "max": "1",
        "patternString": "active"
      },
      {
        "id": "Act.effectiveTime",
        "path": "Act.effectiveTime",
        "short": "The effectiveTime represents the time when the future referral is intended to take place.",
        "requirements": "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893).",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.priorityCode",
        "path": "Act.priorityCode",
        "requirements": "SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623).",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Act.author",
        "path": "Act.author",
        "requirements": "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31612).",
        "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": "Act.participant",
        "path": "Act.participant",
        "requirements": "MAY contain zero or more [0..*] participant (CONF:1098-32635).",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.participant.typeCode",
        "path": "Act.participant.typeCode",
        "requirements": "The participant, if present, SHALL contain exactly one [1..1] @typeCode=\"REFT\" Referred to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32638).",
        "min": 1,
        "max": "1",
        "patternCode": "REFT"
      },
      {
        "id": "Act.participant.participantRole",
        "path": "Act.participant.participantRole",
        "requirements": "The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636).",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.participant.participantRole.code",
        "path": "Act.participant.participantRole.code",
        "requirements": "This participantRole MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-32637).",
        "min": 0,
        "max": "1",
        "binding": {
          "strength": "preferred",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"
        }
      },
      {
        "id": "Act.entryRelationship",
        "path": "Act.entryRelationship",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "observation"
            }
          ],
          "rules": "open"
        },
        "short": "The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure)."
      },
      {
        "id": "Act.entryRelationship:entryRelationship1",
        "path": "Act.entryRelationship",
        "sliceName": "entryRelationship1",
        "short": "The following entryRelationship represents whether the referral is for full or shared care.",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"SUBJ\" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31613).",
        "min": 1,
        "max": "1",
        "patternCode": "SUBJ"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation",
        "path": "Act.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] observation (CONF:1098-31605).",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.classCode",
        "path": "Act.entryRelationship.observation.classCode",
        "requirements": "This observation SHALL contain exactly one [1..1] @classCode=\"OBS\" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606).",
        "min": 1,
        "max": "1",
        "patternCode": "OBS"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.moodCode",
        "path": "Act.entryRelationship.observation.moodCode",
        "requirements": "This observation SHALL contain exactly one [1..1] @moodCode=\"RQO\" request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607).",
        "min": 1,
        "max": "1",
        "patternCode": "RQO"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code",
        "path": "Act.entryRelationship.observation.code",
        "requirements": "This observation SHALL contain exactly one [1..1] code (CONF:1098-31608).",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.code",
        "path": "Act.entryRelationship.observation.code.code",
        "requirements": "This code SHALL contain exactly one [1..1] @code=\"ASSERTION\" assertion (CONF:1098-31619).",
        "min": 1,
        "max": "1",
        "patternString": "ASSERTION"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.code.codeSystem",
        "path": "Act.entryRelationship.observation.code.codeSystem",
        "requirements": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.5.4 \" (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31620).",
        "min": 1,
        "max": "1",
        "patternString": "2.16.840.1.113883.5.4"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.statusCode",
        "path": "Act.entryRelationship.observation.statusCode",
        "requirements": "This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614).",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.statusCode.code",
        "path": "Act.entryRelationship.observation.statusCode.code",
        "requirements": "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31615).",
        "min": 1,
        "max": "1",
        "patternString": "completed"
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.priorityCode",
        "path": "Act.entryRelationship.observation.priorityCode",
        "requirements": "This observation SHOULD contain zero or one [0..1] priorityCode, which SHOULD be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-32443).",
        "min": 0,
        "max": "1",
        "binding": {
          "strength": "preferred",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16866"
        }
      },
      {
        "id": "Act.entryRelationship:entryRelationship1.observation.value",
        "path": "Act.entryRelationship.observation.value",
        "requirements": "This observation SHALL contain exactly one [1..1] value with @xsi:type=\"CD\", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 DYNAMIC (CONF:1098-31611).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ],
        "binding": {
          "strength": "preferred",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.61"
        }
      },
      {
        "id": "Act.entryRelationship:indication",
        "path": "Act.entryRelationship",
        "sliceName": "indication",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31635) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:indication.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"RSON\" has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31636).",
        "min": 1,
        "max": "1",
        "patternCode": "RSON"
      },
      {
        "id": "Act.entryRelationship:indication.observation",
        "path": "Act.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32634).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.19"
            ]
          }
        ]
      }
    ]
  }
}