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FHIR IG Statistics: StructureDefinition/2.16.840.1.113883.10.20.22.4.53

Packagehl7.cda.us.ccdar2dot2
TypeStructureDefinition
Id2.16.840.1.113883.10.20.22.4.53
FHIR VersionR4
Sourcehttp://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.4.53.html
URLhttp://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.53
Version2.2
Statusactive
Date2022-05-13T15:50:12+00:00
NameImmunizationRefusalReason
TitleImmunization Refusal Reason
Realmus
Authorityhl7
DescriptionThe Immunization Refusal Reason documents the rationale for the patient declining an immunization.
TypeObservation
Kindresource

Resources that use this resource

StructureDefinition
2.16.840.1.113883.10.20.22.4.52Immunization Activity

Resources that this resource uses

ValueSet
2.16.840.1.113883.1.11.19717No Immunization Reason

Narrative

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1CDAR2.Observation
... classCode 1..1codeRequired Pattern: OBS
... moodCode 1..1codeRequired Pattern: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.53
... id 1..*II
... code 1..1CDBinding: No Immunization Reason (required)
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: completed

doco Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "2.16.840.1.113883.10.20.22.4.53",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.53",
  "identifier": [
    {
      "value": "urn:oid:2.16.840.1.113883.10.20.22.4.53"
    }
  ],
  "version": "2.2",
  "name": "ImmunizationRefusalReason",
  "title": "Immunization Refusal Reason",
  "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": "The Immunization Refusal Reason documents the rationale for the patient declining an immunization.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Base",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "id": "Observation.classCode",
        "path": "Observation.classCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8991).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.classCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "OBS",
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClassObservation"
        }
      },
      {
        "id": "Observation.moodCode",
        "path": "Observation.moodCode",
        "representation": [
          "xmlAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-8992).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.moodCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "EVN"
      },
      {
        "id": "Observation.negationInd",
        "path": "Observation.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.realmCode",
        "path": "Observation.realmCode",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.realmCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
          }
        ]
      },
      {
        "id": "Observation.typeId",
        "path": "Observation.typeId",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.typeId",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Observation.templateId",
        "path": "Observation.templateId",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "root"
            }
          ],
          "rules": "open"
        },
        "definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.templateId",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Observation.templateId:primary",
        "path": "Observation.templateId",
        "sliceName": "primary",
        "definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "requirements": "SHALL contain exactly one [1..1] templateId (CONF:81-8993) such that it",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.templateId",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Observation.templateId:primary.nullFlavor",
        "path": "Observation.templateId.nullFlavor",
        "representation": [
          "xmlAttr"
        ],
        "label": "Exceptional Value Detail",
        "definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ANY.nullFlavor",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id": "Observation.templateId:primary.assigningAuthorityName",
        "path": "Observation.templateId.assigningAuthorityName",
        "representation": [
          "xmlAttr"
        ],
        "label": "Assigning Authority Name",
        "definition": "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "II.assigningAuthorityName",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.templateId:primary.displayable",
        "path": "Observation.templateId.displayable",
        "representation": [
          "xmlAttr"
        ],
        "label": "Displayable",
        "definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "II.displayable",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Observation.templateId:primary.root",
        "path": "Observation.templateId.root",
        "representation": [
          "xmlAttr"
        ],
        "label": "Root",
        "definition": "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
        "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.53\" (CONF:81-10500).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "II.root",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "2.16.840.1.113883.10.20.22.4.53"
      },
      {
        "id": "Observation.templateId:primary.extension",
        "path": "Observation.templateId.extension",
        "representation": [
          "xmlAttr"
        ],
        "label": "Extension",
        "definition": "A character string as a unique identifier within the scope of the identifier root.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "II.extension",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.id",
        "path": "Observation.id",
        "requirements": "SHALL contain at least one [1..*] id (CONF:81-8994).",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Observation.id",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "representation": [
          "typeAttr"
        ],
        "requirements": "SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet No Immunization Reason urn:oid:2.16.840.1.113883.1.11.19717 DYNAMIC (CONF:81-8995).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.code",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19717"
        }
      },
      {
        "id": "Observation.derivationExpr",
        "path": "Observation.derivationExpr",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.derivationExpr",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ST"
          }
        ]
      },
      {
        "id": "Observation.text",
        "path": "Observation.text",
        "representation": [
          "typeAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Observation.statusCode",
        "path": "Observation.statusCode",
        "requirements": "SHALL contain exactly one [1..1] statusCode (CONF:81-8996).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.statusCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActStatus"
        }
      },
      {
        "id": "Observation.statusCode.nullFlavor",
        "path": "Observation.statusCode.nullFlavor",
        "representation": [
          "xmlAttr"
        ],
        "label": "Exceptional Value Detail",
        "definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ANY.nullFlavor",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id": "Observation.statusCode.code",
        "path": "Observation.statusCode.code",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code",
        "definition": "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
        "requirements": "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:81-19104).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CD.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "completed"
      },
      {
        "id": "Observation.statusCode.codeSystem",
        "path": "Observation.statusCode.codeSystem",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System",
        "definition": "Specifies the code system that defines the code.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.codeSystem",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.statusCode.codeSystemName",
        "path": "Observation.statusCode.codeSystemName",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System Name",
        "definition": "The common name of the coding system.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.codeSystemName",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.statusCode.codeSystemVersion",
        "path": "Observation.statusCode.codeSystemVersion",
        "representation": [
          "xmlAttr"
        ],
        "label": "Code System Version",
        "definition": "If applicable, a version descriptor defined specifically for the given code system.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.codeSystemVersion",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.statusCode.displayName",
        "path": "Observation.statusCode.displayName",
        "representation": [
          "xmlAttr"
        ],
        "label": "Display Name",
        "definition": "A name or title for the code, under which the sending system shows the code value to its users.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.displayName",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.statusCode.sdtcValueSet",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri": "urn:hl7-org:sdtc"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString": "valueSet"
          }
        ],
        "path": "Observation.statusCode.sdtcValueSet",
        "representation": [
          "xmlAttr"
        ],
        "definition": "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.valueSet",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.statusCode.sdtcValueSetVersion",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
            "valueUri": "urn:hl7-org:sdtc"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
            "valueString": "valueSetVersion"
          }
        ],
        "path": "Observation.statusCode.sdtcValueSetVersion",
        "representation": [
          "xmlAttr"
        ],
        "definition": "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CD.sdtcValueSetVersion",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.statusCode.originalText",
        "path": "Observation.statusCode.originalText",
        "label": "Original Text",
        "definition": "The text or phrase used as the basis for the coding.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.originalText",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Observation.statusCode.qualifier",
        "path": "Observation.statusCode.qualifier",
        "label": "Qualifier",
        "definition": "Specifies additional codes that increase the specificity of the the primary code.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.qualifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CR"
          }
        ]
      },
      {
        "id": "Observation.statusCode.translation",
        "path": "Observation.statusCode.translation",
        "representation": [
          "typeAttr"
        ],
        "label": "Translation",
        "definition": "A set of other concept descriptors that translate this concept descriptor into other code systems.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CD.translation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ]
      },
      {
        "id": "Observation.effectiveTime",
        "path": "Observation.effectiveTime",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.effectiveTime",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id": "Observation.priorityCode",
        "path": "Observation.priorityCode",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.priorityCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActPriority"
        }
      },
      {
        "id": "Observation.repeatNumber",
        "path": "Observation.repeatNumber",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.repeatNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-INT"
          }
        ]
      },
      {
        "id": "Observation.languageCode",
        "path": "Observation.languageCode",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.languageCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-HumanLanguage"
        }
      },
      {
        "id": "Observation.value",
        "path": "Observation.value",
        "representation": [
          "typeAttr"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.value",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/ST"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CV"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SC"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/II"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/AD"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/EN"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/REAL"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/PQ"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/MO"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/TS"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS"
          },
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ"
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        ]
      },
      {
        "id": "Observation.interpretationCode",
        "path": "Observation.interpretationCode",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.interpretationCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
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        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"
        }
      },
      {
        "id": "Observation.methodCode",
        "path": "Observation.methodCode",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.methodCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
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        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ObservationMethod"
        }
      },
      {
        "id": "Observation.targetSiteCode",
        "path": "Observation.targetSiteCode",
        "definition": "Drawn from concept domain ActSite",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.targetSiteCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
          }
        ]
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.subject",
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          "max": "1"
        },
        "type": [
          {
            "code": "Element"
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        ]
      },
      {
        "id": "Observation.subject.typeCode",
        "path": "Observation.subject.typeCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.subject.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
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        ],
        "defaultValueCode": "SBJ",
        "fixedCode": "SBJ",
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"
        }
      },
      {
        "id": "Observation.subject.contextControlCode",
        "path": "Observation.subject.contextControlCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.subject.contextControlCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
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        ],
        "defaultValueCode": "OP",
        "fixedCode": "OP",
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl"
        }
      },
      {
        "id": "Observation.subject.awarenessCode",
        "path": "Observation.subject.awarenessCode",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Observation.subject.awarenessCode",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
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        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-TargetAwareness"
        }
      },
      {
        "id": "Observation.subject.relatedSubject",
        "path": "Observation.subject.relatedSubject",
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        "max": "1",
        "base": {
          "path": "Observation.subject.relatedSubject",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"
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        ]
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.specimen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Specimen"
          }
        ]
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.performer",
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          "max": "*"
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        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Performer2"
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        ]
      },
      {
        "id": "Observation.author",
        "path": "Observation.author",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/cda/StructureDefinition/Author"
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        ]
      },
      {
        "id": "Observation.informant",
        "path": "Observation.informant",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.informant",
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          "max": "*"
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        "type": [
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            "code": "Element"
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        ]
      },
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        "id": "Observation.informant.typeCode",
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        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.informant.typeCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
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        ],
        "defaultValueCode": "INF",
        "fixedCode": "INF",
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"
        }
      },
      {
        "id": "Observation.informant.contextControlCode",
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        ],
        "min": 1,
        "max": "1",
        "base": {
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        },
        "type": [
          {
            "code": "code"
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        "defaultValueCode": "OP",
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        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl"
        }
      },
      {
        "id": "Observation.informant.assignedEntity",
        "path": "Observation.informant.assignedEntity",
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        "max": "1",
        "base": {
          "path": "Observation.informant.assignedEntity",
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          "max": "1"
        },
        "type": [
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            "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
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        ]
      },
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        "id": "Observation.informant.relatedEntity",
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          "path": "Observation.informant.relatedEntity",
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        ]
      },
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        "id": "Observation.participant",
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        "type": [
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        ]
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        ],
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          {
            "key": "obs-er-1",
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            "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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        "path": "Observation.reference.externalProcedure",
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        "max": "1",
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        ]
      },
      {
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        "path": "Observation.reference.externalDocument",
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        "max": "1",
        "base": {
          "path": "Observation.reference.externalDocument",
          "min": 0,
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        },
        "type": [
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        ]
      },
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        "id": "Observation.precondition",
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        "max": "*",
        "base": {
          "path": "Observation.precondition",
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          "max": "*"
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        "type": [
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      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "min": 0,
        "max": "*",
        "base": {
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          "max": "*"
        },
        "type": [
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            "code": "Element"
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        "path": "Observation.referenceRange.typeCode",
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        "min": 1,
        "max": "1",
        "base": {
          "path": "Observation.referenceRange.typeCode",
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          "max": "1"
        },
        "type": [
          {
            "code": "code"
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        ],
        "defaultValueCode": "REFV",
        "fixedCode": "REFV",
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActRelationshipPertains"
        }
      },
      {
        "id": "Observation.referenceRange.observationRange",
        "path": "Observation.referenceRange.observationRange",
        "min": 1,
        "max": "1",
        "base": {
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        "type": [
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    ]
  },
  "differential": {
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      {
        "id": "Observation",
        "path": "Observation"
      },
      {
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        "path": "Observation.classCode",
        "requirements": "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8991).",
        "min": 1,
        "max": "1",
        "patternCode": "OBS"
      },
      {
        "id": "Observation.moodCode",
        "path": "Observation.moodCode",
        "requirements": "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-8992).",
        "min": 1,
        "max": "1",
        "patternCode": "EVN"
      },
      {
        "id": "Observation.templateId",
        "path": "Observation.templateId",
        "slicing": {
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              "type": "value",
              "path": "root"
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          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.templateId:primary",
        "path": "Observation.templateId",
        "sliceName": "primary",
        "requirements": "SHALL contain exactly one [1..1] templateId (CONF:81-8993) such that it",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.templateId:primary.root",
        "path": "Observation.templateId.root",
        "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.53\" (CONF:81-10500).",
        "min": 1,
        "max": "1",
        "patternString": "2.16.840.1.113883.10.20.22.4.53"
      },
      {
        "id": "Observation.id",
        "path": "Observation.id",
        "requirements": "SHALL contain at least one [1..*] id (CONF:81-8994).",
        "min": 1,
        "max": "*"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "requirements": "SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet No Immunization Reason urn:oid:2.16.840.1.113883.1.11.19717 DYNAMIC (CONF:81-8995).",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19717"
        }
      },
      {
        "id": "Observation.statusCode",
        "path": "Observation.statusCode",
        "requirements": "SHALL contain exactly one [1..1] statusCode (CONF:81-8996).",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.statusCode.code",
        "path": "Observation.statusCode.code",
        "requirements": "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:81-19104).",
        "min": 1,
        "max": "1",
        "patternString": "completed"
      }
    ]
  }
}