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FHIR IG Statistics: StructureDefinition/2.16.840.1.113883.10.20.22.4.146

Packagehl7.cda.us.ccdar2dot2
TypeStructureDefinition
Id2.16.840.1.113883.10.20.22.4.146
FHIR VersionR4
Sourcehttp://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.4.146.html
URLhttp://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.146
Version2.2
Statusactive
Date2022-05-13T15:50:12+00:00
NamePlannedInterventionAct
TitlePlanned Intervention Act
Realmus
Authorityhl7
DescriptionThis template represents a Planned Intervention Act. It is a wrapper for planned intervention-type activities considered to be parts of the same intervention. For example, an activity such as "elevate head of bed" combined with "provide humidified O2 per nasal cannula" may be the interventions planned for a health concern of "respiratory insufficiency" in order to attempt to achieve a goal of "pulse oximetry greater than 92%". These intervention activities may be newly described or derived from a variety of sources within an EHR. Interventions are actions taken to increase the likelihood of achieving the patient's or providers' goals. An Intervention Act should contain a reference to a Goal Observation representing the reason for the intervention. Planned Intervention Acts can be related to each other or to Intervention Acts. (E.g., a Planned Intervention Act with moodCode of INT could be related to a series of Intervention Acts with moodCode of EVN, each having an effectiveTime containing the time of the intervention.) All interventions referenced in a Planned Intervention Act must have moodCodes indicating that that are planned (have not yet occurred).
TypeAct
Kindresource

Resources that use this resource

StructureDefinition
2.16.840.1.113883.10.20.21.2.3Interventions Section
2.16.840.1.113883.10.20.22.4.131Intervention Act

Resources that this resource uses

StructureDefinition
2.16.840.1.113883.10.20.22.4.115External Document Reference
2.16.840.1.113883.10.20.22.4.119Author Participation
2.16.840.1.113883.10.20.22.4.12Procedure Activity Act
2.16.840.1.113883.10.20.22.4.120Planned Immunization Activity
2.16.840.1.113883.10.20.22.4.122Entry Reference
2.16.840.1.113883.10.20.22.4.13Procedure Activity Observation
2.16.840.1.113883.10.20.22.4.130Nutrition Recommendation
2.16.840.1.113883.10.20.22.4.131Intervention Act
2.16.840.1.113883.10.20.22.4.14Procedure Activity Procedure
2.16.840.1.113883.10.20.22.4.141Handoff Communication Participants
2.16.840.1.113883.10.20.22.4.16Medication Activity
2.16.840.1.113883.10.20.22.4.20Instruction
2.16.840.1.113883.10.20.22.4.39Planned Act
2.16.840.1.113883.10.20.22.4.40Planned Encounter
2.16.840.1.113883.10.20.22.4.41Planned Procedure
2.16.840.1.113883.10.20.22.4.42Planned Medication Activity
2.16.840.1.113883.10.20.22.4.43Planned Supply
2.16.840.1.113883.10.20.22.4.44Planned Observation
2.16.840.1.113883.10.20.22.4.48Advance Directive Observation
2.16.840.1.113883.10.20.22.4.49Encounter Activity
2.16.840.1.113883.10.20.22.4.50Non-Medicinal Supply Activity
2.16.840.1.113883.10.20.22.4.52Immunization Activity
ValueSet
2.16.840.1.113883.11.20.9.54Planned Intervention moodCode

Narrative

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.Act
... classCode 1..1codeRequired Pattern: ACT
... moodCode 1..1codeBinding: Planned Intervention moodCode (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.146
..... extension 1..1stringRequired Pattern: 2015-08-01
... id 1..*II
... code 1..1CD
.... code 1..1stringRequired Pattern: 362956003
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.96
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: active
... effectiveTime 0..1IVL_TS
... author 0..*AuthorParticipation
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
.... entryRelationship:advanceDirectiveObservation 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1AdvanceDirectiveObservation
.... entryRelationship:immunizationActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... substanceAdministration 1..1ImmunizationActivity
.... entryRelationship:medicationActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... substanceAdministration 1..1MedicationActivity
.... entryRelationship:procedureActivityAct 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1ProcedureActivityAct
.... entryRelationship:interventionAct 0..*ElementThe following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1InterventionAct
.... entryRelationship:procedureActivityObservation 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1ProcedureActivityObservation
.... entryRelationship:procedureActivityProcedure 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... procedure 1..1ProcedureActivityProcedure
.... entryRelationship:encounterActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... encounter 1..1EncounterActivity
.... entryRelationship:instruction 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1Instruction
.... entryRelationship:entryRelationship10 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... supply 1..1NonMedicinalSupplyActivity
.... entryRelationship:plannedAct 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1PlannedAct
.... entryRelationship:plannedEncounter 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... encounter 1..1PlannedEncounter
.... entryRelationship:plannedObservation 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1PlannedObservation
.... entryRelationship:plannedProcedure 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... procedure 1..1PlannedProcedure
.... entryRelationship:plannedMedicationActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... substanceAdministration 1..1PlannedMedicationActivity
.... entryRelationship:entryRelationship16 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... supply 1..1PlannedSupply
.... entryRelationship:nutritionRecommendation 0..*Element
..... act 1..1NutritionRecommendation
.... entryRelationship:entryReference 0..*ElementWhere an Intervention needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1EntryReference
.... entryRelationship:entryReference I1..*ElementAn Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation.
1198-32722: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32722).
..... typeCode 1..1codeRequired Pattern: RSON
..... act 1..1EntryReference
.... entryRelationship:handoffCommunicationParticipants 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1HandoffCommunicationParticipants
.... entryRelationship:plannedImmunizationActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... substanceAdministration 1..1PlannedImmunizationActivity
... reference 0..*Element
.... typeCode 1..1codeRequired Pattern: REFR
.... externalDocument 1..1ExternalDocumentReference

doco Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "2.16.840.1.113883.10.20.22.4.146",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.146",
  "identifier": [
    {
      "value": "urn:hl7ii:2.16.840.1.113883.10.20.22.4.146:2015-08-01"
    }
  ],
  "version": "2.2",
  "name": "PlannedInterventionAct",
  "title": "Planned Intervention 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 a Planned Intervention Act. It is a wrapper for planned intervention-type activities considered to be parts of the same intervention. For example, an activity such as \"elevate head of bed\" combined with \"provide humidified O2 per nasal cannula\" may be the interventions planned for a health concern of \"respiratory insufficiency\" in order to attempt to achieve a goal of \"pulse oximetry greater than 92%\". These intervention activities may be newly described or derived from a variety of sources within an EHR.\n\nInterventions are actions taken to increase the likelihood of achieving the patient's or providers' goals. An Intervention Act should contain a reference to a Goal Observation representing the reason for the intervention.\n\nPlanned Intervention Acts can be related to each other or to Intervention Acts. (E.g., a Planned Intervention Act with moodCode of INT could be related to a series of Intervention Acts with moodCode of EVN, each having an effectiveTime containing the time of the intervention.) \n\nAll interventions referenced in a Planned Intervention Act must have moodCodes indicating that that are planned (have not yet occurred).",
  "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=\"ACT\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32678).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.classCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "ACT"
      },
      {
        "id": "Act.moodCode",
        "path": "Act.moodCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned Intervention moodCode urn:oid:2.16.840.1.113883.11.20.9.54 DYNAMIC (CONF:1198-32679).",
        "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/2.16.840.1.113883.11.20.9.54"
        }
      },
      {
        "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"
            },
            {
              "type": "value",
              "path": "extension"
            }
          ],
          "rules": "open"
        },
        "definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min": 0,
        "max": "*",
        "base": {
          "path": "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:1198-32653) 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=\"2.16.840.1.113883.10.20.22.4.146\" (CONF:1198-32680).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "II.root",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "2.16.840.1.113883.10.20.22.4.146"
      },
      {
        "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.",
        "requirements": "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32912).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "II.extension",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "2015-08-01"
      },
      {
        "id": "Act.id",
        "path": "Act.id",
        "requirements": "SHALL contain at least one [1..*] id (CONF:1198-32681).",
        "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 (CONF:1198-32654).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.code",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode"
        }
      },
      {
        "id": "Act.code.nullFlavor",
        "path": "Act.code.nullFlavor",
        "representation": [
          "xmlAttr"
        ],
        "label": "Exceptional Value Detail",
        "definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ANY.nullFlavor",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id": "Act.code.code",
        "path": "Act.code.code",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code",
        "definition": "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
        "requirements": "This code SHALL contain exactly one [1..1] @code=\"362956003\" procedure / intervention (navigational concept) (CONF:1198-32682).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CD.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "362956003"
      },
      {
        "id": "Act.code.codeSystem",
        "path": "Act.code.codeSystem",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System",
        "definition": "Specifies the code system that defines the code.",
        "requirements": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.96\" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1198-32683).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CD.codeSystem",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "2.16.840.1.113883.6.96"
      },
      {
        "id": "Act.code.codeSystemName",
        "path": "Act.code.codeSystemName",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System Name",
        "definition": "The common name of the coding system.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.codeSystemName",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.code.codeSystemVersion",
        "path": "Act.code.codeSystemVersion",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System Version",
        "definition": "If applicable, a version descriptor defined specifically for the given code system.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.codeSystemVersion",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.code.displayName",
        "path": "Act.code.displayName",
        "representation": [
          "xmlAttr"
        ],
        "label": "Display Name",
        "definition": "A name or title for the code, under which the sending system shows the code value to its users.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.displayName",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Act.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.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.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.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.code.originalText",
        "path": "Act.code.originalText",
        "label": "Original Text",
        "definition": "The text or phrase used as the basis for the coding.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.originalText",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Act.code.qualifier",
        "path": "Act.code.qualifier",
        "label": "Qualifier",
        "definition": "Specifies additional codes that increase the specificity of the the primary code.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "CD.qualifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CR"
          }
        ]
      },
      {
        "id": "Act.code.translation",
        "path": "Act.code.translation",
        "representation": [
          "typeAttr"
        ],
        "label": "Translation",
        "definition": "A set of other concept descriptors that translate this concept descriptor into other code systems.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "CD.translation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ]
      },
      {
        "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:1198-32655).",
        "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 STATIC) (CONF:1198-32684).",
        "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",
        "requirements": "SHOULD contain zero or one [0..1] effectiveTime (CONF:1198-32723).",
        "min": 0,
        "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",
        "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:1198-32719).",
        "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",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.participant",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Participant2"
          }
        ]
      },
      {
        "id": "Act.entryRelationship",
        "path": "Act.entryRelationship",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "observation"
            },
            {
              "type": "profile",
              "path": "substanceAdministration"
            },
            {
              "type": "profile",
              "path": "act"
            },
            {
              "type": "profile",
              "path": "procedure"
            },
            {
              "type": "profile",
              "path": "encounter"
            },
            {
              "type": "profile",
              "path": "supply"
            }
          ],
          "rules": "open"
        },
        "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",
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        "constraint": [
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            "key": "1098-30800",
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          "path": "Act.entryRelationship.seperatableInd",
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          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
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        ]
      },
      {
        "id": "Act.entryRelationship:instruction.observation",
        "path": "Act.entryRelationship.observation",
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        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observation",
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        },
        "type": [
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        ]
      },
      {
        "id": "Act.entryRelationship:instruction.regionOfInterest",
        "path": "Act.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.regionOfInterest",
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          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:instruction.observationMedia",
        "path": "Act.entryRelationship.observationMedia",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observationMedia",
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          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
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        ]
      },
      {
        "id": "Act.entryRelationship:instruction.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.substanceAdministration",
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          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
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        ]
      },
      {
        "id": "Act.entryRelationship:instruction.supply",
        "path": "Act.entryRelationship.supply",
        "min": 0,
        "max": "0",
        "base": {
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        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
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        ]
      },
      {
        "id": "Act.entryRelationship:instruction.procedure",
        "path": "Act.entryRelationship.procedure",
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        "max": "0",
        "base": {
          "path": "Act.entryRelationship.procedure",
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        ]
      },
      {
        "id": "Act.entryRelationship:instruction.encounter",
        "path": "Act.entryRelationship.encounter",
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        "max": "0",
        "base": {
          "path": "Act.entryRelationship.encounter",
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          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
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        ]
      },
      {
        "id": "Act.entryRelationship:instruction.organizer",
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          }
        ]
      },
      {
        "id": "Act.entryRelationship:instruction.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1198-32701).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.act",
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        },
        "type": [
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          }
        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:entryRelationship10",
        "path": "Act.entryRelationship",
        "sliceName": "entryRelationship10",
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        "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",
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          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship10.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "representation": [
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        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32702).",
        "min": 1,
        "max": "1",
        "base": {
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        },
        "type": [
          {
            "code": "code"
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        ],
        "patternCode": "REFR"
      },
      {
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        "path": "Act.entryRelationship.inversionInd",
        "representation": [
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        ],
        "min": 0,
        "max": "1",
        "base": {
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          "max": "1"
        },
        "type": [
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship10.contextConductionInd",
        "path": "Act.entryRelationship.contextConductionInd",
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        ],
        "min": 1,
        "max": "1",
        "base": {
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        "type": [
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            "code": "boolean"
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        ],
        "defaultValueBoolean": true
      },
      {
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        "path": "Act.entryRelationship.sequenceNumber",
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        "base": {
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship10.negationInd",
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        "representation": [
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        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "boolean"
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship10.seperatableInd",
        "path": "Act.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
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        ]
      },
      {
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      },
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        ]
      },
      {
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        "max": "0",
        "base": {
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        ]
      },
      {
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        "path": "Act.entryRelationship.substanceAdministration",
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        "max": "0",
        "base": {
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        "type": [
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          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship10.supply",
        "path": "Act.entryRelationship.supply",
        "requirements": "SHALL contain exactly one [1..1] Non-Medicinal Supply Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.50:2014-06-09) (CONF:1198-32703).",
        "min": 1,
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        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:entryRelationship10.procedure",
        "path": "Act.entryRelationship.procedure",
        "min": 0,
        "max": "0",
        "base": {
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship10.encounter",
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        "min": 0,
        "max": "0",
        "base": {
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship10.organizer",
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        "max": "0",
        "base": {
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        "type": [
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        ]
      },
      {
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        ]
      },
      {
        "id": "Act.entryRelationship:plannedAct",
        "path": "Act.entryRelationship",
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        "max": "*",
        "base": {
          "path": "Act.entryRelationship",
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        },
        "type": [
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            "code": "Element"
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        ],
        "constraint": [
          {
            "key": "act-er-1",
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            "human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
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      },
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        ],
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        "max": "1",
        "base": {
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        ],
        "patternCode": "REFR"
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        "min": 0,
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        "base": {
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        ]
      },
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        "base": {
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        ]
      },
      {
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      {
        "id": "Act.entryRelationship:plannedAct.substanceAdministration",
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        "max": "0",
        "base": {
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      {
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        "base": {
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        ]
      },
      {
        "id": "Act.entryRelationship:plannedAct.procedure",
        "path": "Act.entryRelationship.procedure",
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        "max": "0",
        "base": {
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      },
      {
        "id": "Act.entryRelationship:plannedAct.encounter",
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        "max": "0",
        "base": {
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        "type": [
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        ]
      },
      {
        "id": "Act.entryRelationship:plannedAct.organizer",
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        "base": {
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        ]
      },
      {
        "id": "Act.entryRelationship:plannedAct.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Planned Act (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.39:2014-06-09) (CONF:1198-32705).",
        "min": 1,
        "max": "1",
        "base": {
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        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:plannedEncounter",
        "path": "Act.entryRelationship",
        "sliceName": "plannedEncounter",
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        "max": "*",
        "base": {
          "path": "Act.entryRelationship",
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          "max": "*"
        },
        "type": [
          {
            "code": "Element"
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        ],
        "constraint": [
          {
            "key": "act-er-1",
            "severity": "error",
            "human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
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        ]
      },
      {
        "id": "Act.entryRelationship:plannedEncounter.typeCode",
        "path": "Act.entryRelationship.typeCode",
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        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32706).",
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        "max": "1",
        "base": {
          "path": "Act.entryRelationship.typeCode",
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          "max": "1"
        },
        "type": [
          {
            "code": "code"
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        ],
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:plannedEncounter.inversionInd",
        "path": "Act.entryRelationship.inversionInd",
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        ],
        "min": 0,
        "max": "1",
        "base": {
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          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
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        ]
      },
      {
        "id": "Act.entryRelationship:plannedEncounter.contextConductionInd",
        "path": "Act.entryRelationship.contextConductionInd",
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        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.contextConductionInd",
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          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
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        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Act.entryRelationship:plannedEncounter.sequenceNumber",
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        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.sequenceNumber",
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          "max": "1"
        },
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        "id": "Act.entryRelationship:plannedMedicationActivity.contextConductionInd",
        "path": "Act.entryRelationship.contextConductionInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.contextConductionInd",
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          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Act.entryRelationship:plannedMedicationActivity.sequenceNumber",
        "path": "Act.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.sequenceNumber",
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          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:plannedMedicationActivity.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:plannedMedicationActivity.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:plannedMedicationActivity.observation",
        "path": "Act.entryRelationship.observation",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observation",
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          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:plannedMedicationActivity.regionOfInterest",
        "path": "Act.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.regionOfInterest",
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          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
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        ]
      },
      {
        "id": "Act.entryRelationship:plannedMedicationActivity.observationMedia",
        "path": "Act.entryRelationship.observationMedia",
        "min": 0,
        "max": "0",
        "base": {
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        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:plannedMedicationActivity.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "requirements": "SHALL contain exactly one [1..1] Planned Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.42:2014-06-09) (CONF:1198-32713).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.42"
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          }
        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:plannedMedicationActivity.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:plannedMedicationActivity.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:plannedMedicationActivity.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:plannedMedicationActivity.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:plannedMedicationActivity.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:entryRelationship16",
        "path": "Act.entryRelationship",
        "sliceName": "entryRelationship16",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32670) 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:entryRelationship16.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32714).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.inversionInd",
        "path": "Act.entryRelationship.inversionInd",
        "representation": [
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        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.inversionInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.contextConductionInd",
        "path": "Act.entryRelationship.contextConductionInd",
        "representation": [
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        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.contextConductionInd",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.sequenceNumber",
        "path": "Act.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.sequenceNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.negationInd",
        "path": "Act.entryRelationship.negationInd",
        "representation": [
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        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.seperatableInd",
        "path": "Act.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.observation",
        "path": "Act.entryRelationship.observation",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observation",
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          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.regionOfInterest",
        "path": "Act.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.regionOfInterest",
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          "max": "1"
        },
        "type": [
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.observationMedia",
        "path": "Act.entryRelationship.observationMedia",
        "min": 0,
        "max": "0",
        "base": {
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
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        "base": {
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        "type": [
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          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.supply",
        "path": "Act.entryRelationship.supply",
        "requirements": "SHALL contain exactly one [1..1] Planned Supply (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.43:2014-06-09) (CONF:1198-32715).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.supply",
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          "max": "1"
        },
        "type": [
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          }
        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.procedure",
        "path": "Act.entryRelationship.procedure",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.procedure",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.encounter",
        "path": "Act.entryRelationship.encounter",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.encounter",
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        },
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.organizer",
        "path": "Act.entryRelationship.organizer",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.organizer",
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          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
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        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.act",
        "path": "Act.entryRelationship.act",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.act",
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        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation",
        "path": "Act.entryRelationship",
        "sliceName": "nutritionRecommendation",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32671) 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:nutritionRecommendation.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "representation": [
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        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.typeCode",
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          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation.inversionInd",
        "path": "Act.entryRelationship.inversionInd",
        "representation": [
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        ],
        "min": 0,
        "max": "1",
        "base": {
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          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "boolean"
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        ]
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation.contextConductionInd",
        "path": "Act.entryRelationship.contextConductionInd",
        "representation": [
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        ],
        "min": 1,
        "max": "1",
        "base": {
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          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
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        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation.sequenceNumber",
        "path": "Act.entryRelationship.sequenceNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.sequenceNumber",
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          "max": "1"
        },
        "type": [
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        ]
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation.negationInd",
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        "min": 0,
        "max": "1",
        "base": {
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          "max": "1"
        },
        "type": [
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            "code": "boolean"
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        ]
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation.seperatableInd",
        "path": "Act.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.seperatableInd",
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          "max": "1"
        },
        "type": [
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        ]
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation.observation",
        "path": "Act.entryRelationship.observation",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observation",
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        },
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        ]
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation.regionOfInterest",
        "path": "Act.entryRelationship.regionOfInterest",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.regionOfInterest",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
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        ]
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation.observationMedia",
        "path": "Act.entryRelationship.observationMedia",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observationMedia",
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          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
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        ]
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation.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:nutritionRecommendation.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:nutritionRecommendation.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"
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        ]
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation.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:nutritionRecommendation.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:nutritionRecommendation.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Nutrition Recommendation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.130) (CONF:1198-32716).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.130"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:entryReference",
        "path": "Act.entryRelationship",
        "sliceName": "entryReference",
        "short": "Where an Intervention needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32672) 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:entryReference.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32717).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.observation",
        "path": "Act.entryRelationship.observation",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-32718).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:entryReference",
        "path": "Act.entryRelationship",
        "sliceName": "entryReference",
        "short": "An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation.",
        "requirements": "SHALL contain at least one [1..*] entryRelationship (CONF:1198-32673) such that it",
        "min": 1,
        "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"
          },
          {
            "key": "1198-32722",
            "severity": "error",
            "human": "This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32722)."
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryReference.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:1198-32720).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "RSON"
      },
      {
        "id": "Act.entryRelationship:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.observation",
        "path": "Act.entryRelationship.observation",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-32721).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:handoffCommunicationParticipants",
        "path": "Act.entryRelationship",
        "sliceName": "handoffCommunicationParticipants",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32675) 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:handoffCommunicationParticipants.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32726).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:handoffCommunicationParticipants.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:handoffCommunicationParticipants.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:handoffCommunicationParticipants.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:handoffCommunicationParticipants.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:handoffCommunicationParticipants.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:handoffCommunicationParticipants.observation",
        "path": "Act.entryRelationship.observation",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:handoffCommunicationParticipants.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:handoffCommunicationParticipants.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:handoffCommunicationParticipants.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:handoffCommunicationParticipants.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:handoffCommunicationParticipants.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:handoffCommunicationParticipants.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:handoffCommunicationParticipants.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:handoffCommunicationParticipants.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Handoff Communication Participants (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.141) (CONF:1198-32727).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.141"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:plannedImmunizationActivity",
        "path": "Act.entryRelationship",
        "sliceName": "plannedImmunizationActivity",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32676) 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:plannedImmunizationActivity.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32728).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:plannedImmunizationActivity.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:plannedImmunizationActivity.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:plannedImmunizationActivity.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:plannedImmunizationActivity.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:plannedImmunizationActivity.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:plannedImmunizationActivity.observation",
        "path": "Act.entryRelationship.observation",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Act.entryRelationship:plannedImmunizationActivity.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:plannedImmunizationActivity.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:plannedImmunizationActivity.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "requirements": "SHALL contain exactly one [1..1] Planned Immunization Activity (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.120) (CONF:1198-32729).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.120"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:plannedImmunizationActivity.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:plannedImmunizationActivity.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:plannedImmunizationActivity.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:plannedImmunizationActivity.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:plannedImmunizationActivity.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",
        "requirements": "MAY contain zero or more [0..*] reference (CONF:1198-32766).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.reference",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ]
      },
      {
        "id": "Act.reference.typeCode",
        "path": "Act.reference.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "The reference, if present, SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32767).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.reference.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "REFR"
      },
      {
        "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",
        "requirements": "The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1198-32768).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.reference.externalDocument",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.115"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "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=\"ACT\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32678).",
        "min": 1,
        "max": "1",
        "patternCode": "ACT"
      },
      {
        "id": "Act.moodCode",
        "path": "Act.moodCode",
        "requirements": "SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned Intervention moodCode urn:oid:2.16.840.1.113883.11.20.9.54 DYNAMIC (CONF:1198-32679).",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.54"
        }
      },
      {
        "id": "Act.templateId",
        "path": "Act.templateId",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "root"
            },
            {
              "type": "value",
              "path": "extension"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Act.templateId:primary",
        "path": "Act.templateId",
        "sliceName": "primary",
        "requirements": "SHALL contain exactly one [1..1] templateId (CONF:1198-32653) such that it",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.templateId:primary.root",
        "path": "Act.templateId.root",
        "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.146\" (CONF:1198-32680).",
        "min": 1,
        "max": "1",
        "patternString": "2.16.840.1.113883.10.20.22.4.146"
      },
      {
        "id": "Act.templateId:primary.extension",
        "path": "Act.templateId.extension",
        "requirements": "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32912).",
        "min": 1,
        "max": "1",
        "patternString": "2015-08-01"
      },
      {
        "id": "Act.id",
        "path": "Act.id",
        "requirements": "SHALL contain at least one [1..*] id (CONF:1198-32681).",
        "min": 1,
        "max": "*"
      },
      {
        "id": "Act.code",
        "path": "Act.code",
        "requirements": "SHALL contain exactly one [1..1] code (CONF:1198-32654).",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.code.code",
        "path": "Act.code.code",
        "requirements": "This code SHALL contain exactly one [1..1] @code=\"362956003\" procedure / intervention (navigational concept) (CONF:1198-32682).",
        "min": 1,
        "max": "1",
        "patternString": "362956003"
      },
      {
        "id": "Act.code.codeSystem",
        "path": "Act.code.codeSystem",
        "requirements": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.96\" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1198-32683).",
        "min": 1,
        "max": "1",
        "patternString": "2.16.840.1.113883.6.96"
      },
      {
        "id": "Act.statusCode",
        "path": "Act.statusCode",
        "requirements": "SHALL contain exactly one [1..1] statusCode (CONF:1198-32655).",
        "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 STATIC) (CONF:1198-32684).",
        "min": 1,
        "max": "1",
        "patternString": "active"
      },
      {
        "id": "Act.effectiveTime",
        "path": "Act.effectiveTime",
        "requirements": "SHOULD contain zero or one [0..1] effectiveTime (CONF:1198-32723).",
        "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:1198-32719).",
        "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.entryRelationship",
        "path": "Act.entryRelationship",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "observation"
            },
            {
              "type": "profile",
              "path": "substanceAdministration"
            },
            {
              "type": "profile",
              "path": "act"
            },
            {
              "type": "profile",
              "path": "procedure"
            },
            {
              "type": "profile",
              "path": "encounter"
            },
            {
              "type": "profile",
              "path": "supply"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Act.entryRelationship:advanceDirectiveObservation",
        "path": "Act.entryRelationship",
        "sliceName": "advanceDirectiveObservation",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32652) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:advanceDirectiveObservation.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32685).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:advanceDirectiveObservation.observation",
        "path": "Act.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] Advance Directive Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.48:2015-08-01) (CONF:1198-32677).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.48"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:immunizationActivity",
        "path": "Act.entryRelationship",
        "sliceName": "immunizationActivity",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32656) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:immunizationActivity.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32686).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:immunizationActivity.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "requirements": "SHALL contain exactly one [1..1] Immunization Activity (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.52:2015-08-01) (CONF:1198-32687).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.52"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:medicationActivity",
        "path": "Act.entryRelationship",
        "sliceName": "medicationActivity",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32657) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:medicationActivity.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32688).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:medicationActivity.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "requirements": "SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1198-32689).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.16"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:procedureActivityAct",
        "path": "Act.entryRelationship",
        "sliceName": "procedureActivityAct",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32658) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:procedureActivityAct.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32690).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:procedureActivityAct.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Procedure Activity Act (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.12:2014-06-09) (CONF:1198-32691).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.12"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:interventionAct",
        "path": "Act.entryRelationship",
        "sliceName": "interventionAct",
        "short": "The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32659) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:interventionAct.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32692).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:interventionAct.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Intervention Act (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.131:2015-08-01) (CONF:1198-32693).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.131"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:procedureActivityObservation",
        "path": "Act.entryRelationship",
        "sliceName": "procedureActivityObservation",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32660) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:procedureActivityObservation.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32694).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:procedureActivityObservation.observation",
        "path": "Act.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] Procedure Activity Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.13:2014-06-09) (CONF:1198-32695).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.13"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:procedureActivityProcedure",
        "path": "Act.entryRelationship",
        "sliceName": "procedureActivityProcedure",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32661) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:procedureActivityProcedure.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32696).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:procedureActivityProcedure.procedure",
        "path": "Act.entryRelationship.procedure",
        "requirements": "SHALL contain exactly one [1..1] Procedure Activity Procedure (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.14:2014-06-09) (CONF:1198-32697).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.14"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:encounterActivity",
        "path": "Act.entryRelationship",
        "sliceName": "encounterActivity",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32662) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:encounterActivity.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32698).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:encounterActivity.encounter",
        "path": "Act.entryRelationship.encounter",
        "requirements": "SHALL contain exactly one [1..1] Encounter Activity (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:1198-32699).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.49"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:instruction",
        "path": "Act.entryRelationship",
        "sliceName": "instruction",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32663) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:instruction.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32957).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:instruction.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1198-32701).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.20"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship10",
        "path": "Act.entryRelationship",
        "sliceName": "entryRelationship10",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32664) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:entryRelationship10.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32702).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:entryRelationship10.supply",
        "path": "Act.entryRelationship.supply",
        "requirements": "SHALL contain exactly one [1..1] Non-Medicinal Supply Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.50:2014-06-09) (CONF:1198-32703).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.50"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:plannedAct",
        "path": "Act.entryRelationship",
        "sliceName": "plannedAct",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32665) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:plannedAct.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32704).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:plannedAct.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Planned Act (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.39:2014-06-09) (CONF:1198-32705).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.39"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:plannedEncounter",
        "path": "Act.entryRelationship",
        "sliceName": "plannedEncounter",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32666) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:plannedEncounter.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32706).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:plannedEncounter.encounter",
        "path": "Act.entryRelationship.encounter",
        "requirements": "SHALL contain exactly one [1..1] Planned Encounter (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.40:2014-06-09) (CONF:1198-32707).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.40"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:plannedObservation",
        "path": "Act.entryRelationship",
        "sliceName": "plannedObservation",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32667) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:plannedObservation.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32708).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:plannedObservation.observation",
        "path": "Act.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] Planned Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.44:2014-06-09) (CONF:1198-32709).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.44"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:plannedProcedure",
        "path": "Act.entryRelationship",
        "sliceName": "plannedProcedure",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32668) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:plannedProcedure.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32710).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:plannedProcedure.procedure",
        "path": "Act.entryRelationship.procedure",
        "requirements": "SHALL contain exactly one [1..1] Planned Procedure (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.41:2014-06-09) (CONF:1198-32711).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.41"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:plannedMedicationActivity",
        "path": "Act.entryRelationship",
        "sliceName": "plannedMedicationActivity",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32669) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:plannedMedicationActivity.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32712).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:plannedMedicationActivity.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "requirements": "SHALL contain exactly one [1..1] Planned Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.42:2014-06-09) (CONF:1198-32713).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.42"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryRelationship16",
        "path": "Act.entryRelationship",
        "sliceName": "entryRelationship16",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32670) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32714).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:entryRelationship16.supply",
        "path": "Act.entryRelationship.supply",
        "requirements": "SHALL contain exactly one [1..1] Planned Supply (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.43:2014-06-09) (CONF:1198-32715).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.43"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation",
        "path": "Act.entryRelationship",
        "sliceName": "nutritionRecommendation",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32671) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:nutritionRecommendation.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Nutrition Recommendation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.130) (CONF:1198-32716).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.130"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryReference",
        "path": "Act.entryRelationship",
        "sliceName": "entryReference",
        "short": "Where an Intervention needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32672) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:entryReference.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32717).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:entryReference.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-32718).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryReference",
        "path": "Act.entryRelationship",
        "sliceName": "entryReference",
        "short": "An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation.",
        "requirements": "SHALL contain at least one [1..*] entryRelationship (CONF:1198-32673) such that it",
        "min": 1,
        "max": "*",
        "constraint": [
          {
            "key": "1198-32722",
            "severity": "error",
            "human": "This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32722)."
          }
        ]
      },
      {
        "id": "Act.entryRelationship:entryReference.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:1198-32720).",
        "min": 1,
        "max": "1",
        "patternCode": "RSON"
      },
      {
        "id": "Act.entryRelationship:entryReference.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-32721).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:handoffCommunicationParticipants",
        "path": "Act.entryRelationship",
        "sliceName": "handoffCommunicationParticipants",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32675) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:handoffCommunicationParticipants.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32726).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:handoffCommunicationParticipants.act",
        "path": "Act.entryRelationship.act",
        "requirements": "SHALL contain exactly one [1..1] Handoff Communication Participants (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.141) (CONF:1198-32727).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.141"
            ]
          }
        ]
      },
      {
        "id": "Act.entryRelationship:plannedImmunizationActivity",
        "path": "Act.entryRelationship",
        "sliceName": "plannedImmunizationActivity",
        "requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-32676) such that it",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:plannedImmunizationActivity.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32728).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.entryRelationship:plannedImmunizationActivity.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "requirements": "SHALL contain exactly one [1..1] Planned Immunization Activity (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.120) (CONF:1198-32729).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.120"
            ]
          }
        ]
      },
      {
        "id": "Act.reference",
        "path": "Act.reference",
        "requirements": "MAY contain zero or more [0..*] reference (CONF:1198-32766).",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Act.reference.typeCode",
        "path": "Act.reference.typeCode",
        "requirements": "The reference, if present, SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32767).",
        "min": 1,
        "max": "1",
        "patternCode": "REFR"
      },
      {
        "id": "Act.reference.externalDocument",
        "path": "Act.reference.externalDocument",
        "requirements": "The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1198-32768).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.115"
            ]
          }
        ]
      }
    ]
  }
}