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FHIR IG Statistics: StructureDefinition/2.16.840.1.113883.10.20.22.4.51

Packagehl7.cda.us.ccdar2dot2
TypeStructureDefinition
Id2.16.840.1.113883.10.20.22.4.51
FHIR VersionR4
Sourcehttp://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.4.51.html
URLhttp://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.51
Version2.2
Statusactive
Date2022-05-13T15:50:12+00:00
NamePostprocedureDiagnosis
TitlePostprocedure Diagnosis
Realmus
Authorityhl7
DescriptionThis template represents the diagnosis or diagnoses discovered or confirmed during the procedure. They may be the same as preprocedure diagnoses or indications.
TypeAct
Kindresource

Resources that use this resource

StructureDefinition
2.16.840.1.113883.10.20.22.2.36Postprocedure Diagnosis Section
2.16.840.1.113883.10.20.22.4.132Health Concern Act
2.16.840.1.113883.10.20.22.4.136Risk Concern Act

Resources that this resource uses

StructureDefinition
2.16.840.1.113883.10.20.22.4.4Problem Observation

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..1codeRequired Pattern: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.51
..... extension 1..1stringRequired Pattern: 2015-08-01
... code 1..1CD
.... code 1..1stringRequired Pattern: 59769-0
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.1
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by profile:observation
.... entryRelationship:problemObservation 1..*Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... observation 1..1ProblemObservation

doco Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "2.16.840.1.113883.10.20.22.4.51",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.51",
  "identifier": [
    {
      "value": "urn:hl7ii:2.16.840.1.113883.10.20.22.4.51:2015-08-01"
    }
  ],
  "version": "2.2",
  "name": "PostprocedureDiagnosis",
  "title": "Postprocedure Diagnosis",
  "status": "active",
  "date": "2022-05-13T15:50:12+00:00",
  "publisher": "Health Level Seven",
  "contact": [
    {
      "name": "HL7 International - Structured Documents",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/structure"
        }
      ]
    }
  ],
  "description": "This template represents the diagnosis or diagnoses discovered or confirmed during the procedure. They may be the same as preprocedure diagnoses or indications.",
  "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\" (CONF:1198-8756).",
        "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=\"EVN\" (CONF:1198-8757).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.moodCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "EVN"
      },
      {
        "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:1198-16766) 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=\"2.16.840.1.113883.10.20.22.4.51\" (CONF:1198-16767).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "II.root",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "2.16.840.1.113883.10.20.22.4.51"
      },
      {
        "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:1198-32539).",
        "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",
        "min": 0,
        "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:1198-19151).",
        "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=\"59769-0\" Postprocedure diagnosis (CONF:1198-19152).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CD.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "59769-0"
      },
      {
        "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=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32166).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CD.codeSystem",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "2.16.840.1.113883.6.1"
      },
      {
        "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",
        "min": 0,
        "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.effectiveTime",
        "path": "Act.effectiveTime",
        "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",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Author"
          }
        ]
      },
      {
        "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"
            }
          ],
          "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"
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        ]
      },
      {
        "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"
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        ]
      },
      {
        "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"
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        ]
      },
      {
        "id": "Act.entryRelationship.observationMedia",
        "path": "Act.entryRelationship.observationMedia",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.observationMedia",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.substanceAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.supply",
        "path": "Act.entryRelationship.supply",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.supply",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
          }
        ]
      },
      {
        "id": "Act.entryRelationship.procedure",
        "path": "Act.entryRelationship.procedure",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.procedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
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        ]
      },
      {
        "id": "Act.entryRelationship.encounter",
        "path": "Act.entryRelationship.encounter",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
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        ]
      },
      {
        "id": "Act.entryRelationship.organizer",
        "path": "Act.entryRelationship.organizer",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.organizer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
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        ]
      },
      {
        "id": "Act.entryRelationship.act",
        "path": "Act.entryRelationship.act",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.act",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
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        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation",
        "path": "Act.entryRelationship",
        "sliceName": "problemObservation",
        "requirements": "SHALL contain at least one [1..*] entryRelationship (CONF:1198-8759) 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",
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          }
        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation.typeCode",
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        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"SUBJ\" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8760).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
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        ],
        "patternCode": "SUBJ"
      },
      {
        "id": "Act.entryRelationship:problemObservation.inversionInd",
        "path": "Act.entryRelationship.inversionInd",
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        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.inversionInd",
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          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
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        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation.contextConductionInd",
        "path": "Act.entryRelationship.contextConductionInd",
        "representation": [
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        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.contextConductionInd",
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          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true
      },
      {
        "id": "Act.entryRelationship:problemObservation.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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            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
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        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation.negationInd",
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        "representation": [
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        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
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        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation.seperatableInd",
        "path": "Act.entryRelationship.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.seperatableInd",
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          "max": "1"
        },
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
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        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation.observation",
        "path": "Act.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15583).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.entryRelationship.observation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
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        ],
        "isModifier": false
      },
      {
        "id": "Act.entryRelationship:problemObservation.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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            "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
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      },
      {
        "id": "Act.entryRelationship:problemObservation.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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        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation.substanceAdministration",
        "path": "Act.entryRelationship.substanceAdministration",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.substanceAdministration",
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          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
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        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation.supply",
        "path": "Act.entryRelationship.supply",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.supply",
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          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
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        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation.procedure",
        "path": "Act.entryRelationship.procedure",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.procedure",
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          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
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        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation.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"
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        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation.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"
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        ]
      },
      {
        "id": "Act.entryRelationship:problemObservation.act",
        "path": "Act.entryRelationship.act",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Act.entryRelationship.act",
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          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
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        ]
      },
      {
        "id": "Act.reference",
        "path": "Act.reference",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.reference",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ]
      },
      {
        "id": "Act.reference.typeCode",
        "path": "Act.reference.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.reference.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "Act.reference.seperatableInd",
        "path": "Act.reference.seperatableInd",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.reference.seperatableInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
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        ]
      },
      {
        "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"
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        ]
      },
      {
        "id": "Act.reference.externalObservation",
        "path": "Act.reference.externalObservation",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.reference.externalObservation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"
          }
        ]
      },
      {
        "id": "Act.reference.externalProcedure",
        "path": "Act.reference.externalProcedure",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.reference.externalProcedure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"
          }
        ]
      },
      {
        "id": "Act.reference.externalDocument",
        "path": "Act.reference.externalDocument",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.reference.externalDocument",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"
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        ]
      },
      {
        "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"
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        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Act",
        "path": "Act"
      },
      {
        "id": "Act.classCode",
        "path": "Act.classCode",
        "requirements": "SHALL contain exactly one [1..1] @classCode=\"ACT\" (CONF:1198-8756).",
        "min": 1,
        "max": "1",
        "patternCode": "ACT"
      },
      {
        "id": "Act.moodCode",
        "path": "Act.moodCode",
        "requirements": "SHALL contain exactly one [1..1] @moodCode=\"EVN\" (CONF:1198-8757).",
        "min": 1,
        "max": "1",
        "patternCode": "EVN"
      },
      {
        "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:1198-16766) such that it",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.templateId:primary.root",
        "path": "Act.templateId.root",
        "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.51\" (CONF:1198-16767).",
        "min": 1,
        "max": "1",
        "patternString": "2.16.840.1.113883.10.20.22.4.51"
      },
      {
        "id": "Act.templateId:primary.extension",
        "path": "Act.templateId.extension",
        "requirements": "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32539).",
        "min": 1,
        "max": "1",
        "patternString": "2015-08-01"
      },
      {
        "id": "Act.code",
        "path": "Act.code",
        "requirements": "SHALL contain exactly one [1..1] code (CONF:1198-19151).",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.code.code",
        "path": "Act.code.code",
        "requirements": "This code SHALL contain exactly one [1..1] @code=\"59769-0\" Postprocedure diagnosis (CONF:1198-19152).",
        "min": 1,
        "max": "1",
        "patternString": "59769-0"
      },
      {
        "id": "Act.code.codeSystem",
        "path": "Act.code.codeSystem",
        "requirements": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32166).",
        "min": 1,
        "max": "1",
        "patternString": "2.16.840.1.113883.6.1"
      },
      {
        "id": "Act.entryRelationship",
        "path": "Act.entryRelationship",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "observation"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Act.entryRelationship:problemObservation",
        "path": "Act.entryRelationship",
        "sliceName": "problemObservation",
        "requirements": "SHALL contain at least one [1..*] entryRelationship (CONF:1198-8759) such that it",
        "min": 1,
        "max": "*"
      },
      {
        "id": "Act.entryRelationship:problemObservation.typeCode",
        "path": "Act.entryRelationship.typeCode",
        "requirements": "SHALL contain exactly one [1..1] @typeCode=\"SUBJ\" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8760).",
        "min": 1,
        "max": "1",
        "patternCode": "SUBJ"
      },
      {
        "id": "Act.entryRelationship:problemObservation.observation",
        "path": "Act.entryRelationship.observation",
        "requirements": "SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15583).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
            "profile": [
              "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.4"
            ]
          }
        ]
      }
    ]
  }
}