STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Guidanceresponse.profile.xml

Raw XML (canonical form)

StructureDefinition for guidanceresponse

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="GuidanceResponse"/>
  <meta>
    <lastUpdated value="2016-03-31T08:01:25.570+11:00"/>
  </meta>
  <text>
    <status value="generated"/>
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          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
          </th>
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/>
              </a>
            </span>
          </th>
        </tr>
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/> 
            <span title="GuidanceResponse : A guidance response is the formal response to a guidance request, including
             any output parameters returned by the evaluation, as well as the description of any proposed
             actions to be taken.">GuidanceResponse</span>
            <a name="GuidanceResponse"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">The formal response to a guidance request</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.requestId : The id of the request associated with this response. If an
             id was given as part of the request, it will be reproduced here to enable the requester
             to more easily identify the response in a multi-request scenario.">requestId</span>
            <a name="GuidanceResponse.requestId"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">The id of the request associated with this response, if any</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.module : A reference to the knowledge module that was invoked.">module</span>
            <a name="GuidanceResponse.module"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is a modifier element">?! </span>
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="decisionsupportservicemodule.html">DecisionSupportServiceModule</a> | 
            <a href="decisionsupportrule.html">DecisionSupportRule</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">A reference to a knowledge module</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.status : The status of the response. If the evaluation is completed successfully,
             the status will indicate success. However, in order to complete the evaluation, the engine
             may require more information. In this case, the status will be data-required, and the
             response will contain a description of the additional required information. If the evaluation
             completed successfully, but the engine determines that a potentially more accurate response
             could be provided if more data was available, the status will be data-requested, and the
             response will contain a description of the additional requested information.">status</span>
            <a name="GuidanceResponse.status"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is a modifier element">?! </span>
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">success | data-requested | data-required | in-progress | failure
            <br/>
            <a href="valueset-guidance-response-status.html" title="The status of a guidance response">GuidanceResponseStatus</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="GuidanceResponse.evaluationMessage : Messages resulting from the evaluation of the artifact
             or artifacts. As part of evaluating the request, the engine may produce informational
             or warning messages. These messages will be provided by this element.">evaluationMessage</span>
            <a name="GuidanceResponse.evaluationMessage"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="operationoutcome.html">OperationOutcome</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Messages resulting from the evaluation of the artifact or artifacts</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.outputParameters : The output parameters of the evaluation, if any. Many
             modules will result in the return of specific resources such as procedure or communication
             requests that are returned as part of the operation result. However, modules may define
             specific outputs that would be returned as the result of the evaluation, and these would
             be returned in this element.">outputParameters</span>
            <a name="GuidanceResponse.outputParameters"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="parameters.html">Parameters</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">The output parameters of the evaluation, if any</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.action : The actions, if any, produced by the evaluation of the artifact.">action</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Proposed actions, if any</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="GuidanceResponse.action.actionIdentifier : A unique identifier for the action. The identifier
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Unique identifier</td>
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        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.action.label : A user-visible label for the action.">label</span>
            <a name="GuidanceResponse.action.label"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">User-visible label for the action (e.g. 1. or A.)</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.action.title : The title of the action displayed to a user.">title</span>
            <a name="GuidanceResponse.action.title"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">User-visible title</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.action.description : A short description of the action used to provide
             a summary to display to the user.">description</span>
            <a name="GuidanceResponse.action.description"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Short description of the action</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="GuidanceResponse.action.textEquivalent : A text equivalent of the action to be performed.
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          </td>
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        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="GuidanceResponse.action.concept : The concept represented by this action or its sub-actions.">concept</span>
            <a name="GuidanceResponse.action.concept"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">The meaning of the action or its sub-actions</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="GuidanceResponse.action.supportingEvidence : The evidence grade and the sources of evidence
             for this action.">supportingEvidence</span>
            <a name="GuidanceResponse.action.supportingEvidence"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Attachment">Attachment</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Evidence that supports taking the action</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.action.relatedAction : A relationship to another action such as &quot;before&quot;
             or &quot;30-60 minutes after start of&quot;.">relatedAction</span>
            <a name="GuidanceResponse.action.relatedAction"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Relationship to another action</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.action.relatedAction.actionIdentifier : The unique identifier of the
             related action.">actionIdentifier</span>
            <a name="GuidanceResponse.action.relatedAction.actionIdentifier"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Identifier of the related action</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="GuidanceResponse.action.relatedAction.relationship : The relationship of this action to
             the related action.">relationship</span>
            <a name="GuidanceResponse.action.relatedAction.relationship"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">before | after
            <br/>
            <a href="valueset-action-relationship-type.html" title="Defines the types of relationships between actions">ActionRelationshipType</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Time offset for the relationship</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Duration">Duration</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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            <span title="A set of ordered Quantities defined by a low and high limit.">offsetRange</span>
          </td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Range">Range</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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            <span title="GuidanceResponse.action.relatedAction.anchor : An optional indicator for how the relationship
             is anchored to the related action. For example &quot;before the start&quot; or &quot;before
             the end&quot; of the related action.">anchor</span>
            <a name="GuidanceResponse.action.relatedAction.anchor"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">start | end
            <br/>
            <a href="valueset-action-relationship-anchor.html" title="Defines possible anchors for the relationship between actions">ActionRelationshipAnchor</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

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            <span title="GuidanceResponse.action.documentation : Didactic or other informational resources associated
             with the action that can be provided to the CDS recipient. Information resources can include
             inline text commentary and links to web resources.">documentation</span>
            <a name="GuidanceResponse.action.documentation"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Attachment">Attachment</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Supporting documentation for the intended performer of the action</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.action.participant : The participant in the action.">participant</span>
            <a name="GuidanceResponse.action.participant"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="patient.html">Patient</a> | 
            <a href="person.html">Person</a> | 
            <a href="practitioner.html">Practitioner</a> | 
            <a href="relatedperson.html">RelatedPerson</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Participant</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="GuidanceResponse.action.type : The type of action to perform (create, update, remove).">type</span>
            <a name="GuidanceResponse.action.type"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">create | update | remove | fire-event
            <br/>
            <a href="valueset-action-type.html" title="The type of action to be performed">ActionType</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="GuidanceResponse.action.behavior : A behavior associated with the action. Behaviors define
             how the action is to be presented and/or executed within the receiving environment.">behavior</span>
            <a name="GuidanceResponse.action.behavior"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Defines behaviors such as selection and grouping</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="GuidanceResponse.action.behavior.type : The type of the behavior to be described, such
             as grouping, visual, or selection behaviors.">type</span>
            <a name="GuidanceResponse.action.behavior.type"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">The type of behavior (grouping, precheck, selection, cardinality, etc)
            <br/>
            <a href="valueset-action-behavior-type.html" title="The type of behavior to be defined">ActionBehaviorType</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

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             determined by the type of behavior being described. For example, the grouping behavior
             uses the grouping-behavior-type valueset.">value</span>
            <a name="GuidanceResponse.action.behavior.value"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Specific behavior (e.g. required, at-most-one, single, etc)</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.action.resource : The resource that is the target of the action (e.g.
             CommunicationRequest).">resource</span>
            <a name="GuidanceResponse.action.resource"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="resourcelist.html">Any</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">The target of the action</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="GuidanceResponse.action.action : Sub actions.">action</span>
            <a name="GuidanceResponse.action.action"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">see 
            <a href="#GuidanceResponse.action" title="GuidanceResponse.action">action</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Sub action</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="GuidanceResponse.dataRequirement : If the evaluation could not be completed due to lack
             of information, or additional information would potentially result in a more accurate
             response, this element will a description of the data required in order to proceed with
             the evaluation. A subsequent request to the service should include this data.">dataRequirement</span>
            <a name="GuidanceResponse.dataRequirement"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datarequirement.html#DataRequirement">DataRequirement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Additional required data</td>
        </tr>

        <tr>
          <td class="hierarchy" colspan="5">
            <br/>
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format
            </a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/GuidanceResponse"/>
  <name value="GuidanceResponse"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Clinical Decision Support)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org/Special/committees/dss/index.cfm"/>
    </telecom>
  </contact>
  <date value="2016-03-31T08:01:25+11:00"/>
  <description value="Base StructureDefinition for GuidanceResponse Resource"/>
  <fhirVersion value="1.4.0"/>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <baseType value="DomainResource"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <derivation value="specialization"/>
  <snapshot>
    <element>
      <path value="GuidanceResponse"/>
      <short value="The formal response to a guidance request"/>
      <definition value="A guidance response is the formal response to a guidance request, including any output
       parameters returned by the evaluation, as well as the description of any proposed actions
       to be taken."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.general"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation. Bundles always have an id, though it is usually a generated
       UUID."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="GuidanceResponse.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="GuidanceResponse.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content."/>
      <comments value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="GuidanceResponse.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource  Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="GuidanceResponse.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope."/>
      <comments value="This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order to make the use of extensions safe and manageable, there is
       a strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       Usually modifier elements provide negation or qualification. In order to make the use
       of extensions safe and manageable, there is a strict set of governance applied to the
       definition and use of extensions. Though any implementer is allowed to define an extension,
       there is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.requestId"/>
      <short value="The id of the request associated with this response, if any"/>
      <definition value="The id of the request associated with this response. If an id was given as part of the
       request, it will be reproduced here to enable the requester to more easily identify the
       response in a multi-request scenario."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.module"/>
      <short value="A reference to a knowledge module"/>
      <definition value="A reference to the knowledge module that was invoked."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/DecisionSupportServiceModule"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/DecisionSupportRule"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="GuidanceResponse.status"/>
      <short value="success | data-requested | data-required | in-progress | failure"/>
      <definition value="The status of the response. If the evaluation is completed successfully, the status will
       indicate success. However, in order to complete the evaluation, the engine may require
       more information. In this case, the status will be data-required, and the response will
       contain a description of the additional required information. If the evaluation completed
       successfully, but the engine determines that a potentially more accurate response could
       be provided if more data was available, the status will be data-requested, and the response
       will contain a description of the additional requested information."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The status of a guidance response"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/guidance-response-status"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="GuidanceResponse.evaluationMessage"/>
      <short value="Messages resulting from the evaluation of the artifact or artifacts"/>
      <definition value="Messages resulting from the evaluation of the artifact or artifacts. As part of evaluating
       the request, the engine may produce informational or warning messages. These messages
       will be provided by this element."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/OperationOutcome"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.outputParameters"/>
      <short value="The output parameters of the evaluation, if any"/>
      <definition value="The output parameters of the evaluation, if any. Many modules will result in the return
       of specific resources such as procedure or communication requests that are returned as
       part of the operation result. However, modules may define specific outputs that would
       be returned as the result of the evaluation, and these would be returned in this element."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Parameters"/>
      </type>
    </element>
    <element id="action">
      <path value="GuidanceResponse.action"/>
      <short value="Proposed actions, if any"/>
      <definition value="The actions, if any, produced by the evaluation of the artifact."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.action.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.action.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.action.actionIdentifier"/>
      <short value="Unique identifier"/>
      <definition value="A unique identifier for the action. The identifier SHALL be unique within the container
       in which it appears, and MAY be universally unique."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.label"/>
      <short value="User-visible label for the action (e.g. 1. or A.)"/>
      <definition value="A user-visible label for the action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.title"/>
      <short value="User-visible title"/>
      <definition value="The title of the action displayed to a user."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.description"/>
      <short value="Short description of the action"/>
      <definition value="A short description of the action used to provide a summary to display to the user."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.textEquivalent"/>
      <short value="Static text equivalent of the action, used if the dynamic aspects cannot be interpreted
       by the receiving system"/>
      <definition value="A text equivalent of the action to be performed. This provides a human-interpretable description
       of the action when the definition is consumed by a system that may not be capable of interpreting
       it dynamically."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.concept"/>
      <short value="The meaning of the action or its sub-actions"/>
      <definition value="The concept represented by this action or its sub-actions."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.supportingEvidence"/>
      <short value="Evidence that supports taking the action"/>
      <definition value="The evidence grade and the sources of evidence for this action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Attachment"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction"/>
      <short value="Relationship to another action"/>
      <definition value="A relationship to another action such as &quot;before&quot; or &quot;30-60 minutes after
       start of&quot;."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction.actionIdentifier"/>
      <short value="Identifier of the related action"/>
      <definition value="The unique identifier of the related action."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction.relationship"/>
      <short value="before | after"/>
      <definition value="The relationship of this action to the related action."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="Defines the types of relationships between actions"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/action-relationship-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction.offset[x]"/>
      <short value="Time offset for the relationship"/>
      <definition value="A duration or range of durations to apply to the relationship. For example, 30-60 minutes
       before."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Duration"/>
      </type>
      <type>
        <code value="Range"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction.anchor"/>
      <short value="start | end"/>
      <definition value="An optional indicator for how the relationship is anchored to the related action. For
       example &quot;before the start&quot; or &quot;before the end&quot; of the related action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="Defines possible anchors for the relationship between actions"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/action-relationship-anchor"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="GuidanceResponse.action.documentation"/>
      <short value="Supporting documentation for the intended performer of the action"/>
      <definition value="Didactic or other informational resources associated with the action that can be provided
       to the CDS recipient. Information resources can include inline text commentary and links
       to web resources."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Attachment"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.participant"/>
      <short value="Participant"/>
      <definition value="The participant in the action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Person"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.type"/>
      <short value="create | update | remove | fire-event"/>
      <definition value="The type of action to perform (create, update, remove)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The type of action to be performed"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/action-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="GuidanceResponse.action.behavior"/>
      <short value="Defines behaviors such as selection and grouping"/>
      <definition value="A behavior associated with the action. Behaviors define how the action is to be presented
       and/or executed within the receiving environment."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.behavior.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.action.behavior.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.action.behavior.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.action.behavior.type"/>
      <short value="The type of behavior (grouping, precheck, selection, cardinality, etc)"/>
      <definition value="The type of the behavior to be described, such as grouping, visual, or selection behaviors."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The type of behavior to be defined"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/action-behavior-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="GuidanceResponse.action.behavior.value"/>
      <short value="Specific behavior (e.g. required, at-most-one, single, etc)"/>
      <definition value="The specific behavior. The code used here is determined by the type of behavior being
       described. For example, the grouping behavior uses the grouping-behavior-type valueset."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.resource"/>
      <short value="The target of the action"/>
      <definition value="The resource that is the target of the action (e.g. CommunicationRequest)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.action"/>
      <short value="Sub action"/>
      <definition value="Sub actions."/>
      <min value="0"/>
      <max value="*"/>
      <contentReference value="#action"/>
    </element>
    <element>
      <path value="GuidanceResponse.dataRequirement"/>
      <short value="Additional required data"/>
      <definition value="If the evaluation could not be completed due to lack of information, or additional information
       would potentially result in a more accurate response, this element will a description
       of the data required in order to proceed with the evaluation. A subsequent request to
       the service should include this data."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DataRequirement"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="GuidanceResponse"/>
      <short value="The formal response to a guidance request"/>
      <definition value="A guidance response is the formal response to a guidance request, including any output
       parameters returned by the evaluation, as well as the description of any proposed actions
       to be taken."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.general"/>
      </mapping>
    </element>
    <element>
      <path value="GuidanceResponse.requestId"/>
      <short value="The id of the request associated with this response, if any"/>
      <definition value="The id of the request associated with this response. If an id was given as part of the
       request, it will be reproduced here to enable the requester to more easily identify the
       response in a multi-request scenario."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.module"/>
      <short value="A reference to a knowledge module"/>
      <definition value="A reference to the knowledge module that was invoked."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/DecisionSupportServiceModule"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/DecisionSupportRule"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="GuidanceResponse.status"/>
      <short value="success | data-requested | data-required | in-progress | failure"/>
      <definition value="The status of the response. If the evaluation is completed successfully, the status will
       indicate success. However, in order to complete the evaluation, the engine may require
       more information. In this case, the status will be data-required, and the response will
       contain a description of the additional required information. If the evaluation completed
       successfully, but the engine determines that a potentially more accurate response could
       be provided if more data was available, the status will be data-requested, and the response
       will contain a description of the additional requested information."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The status of a guidance response"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/guidance-response-status"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="GuidanceResponse.evaluationMessage"/>
      <short value="Messages resulting from the evaluation of the artifact or artifacts"/>
      <definition value="Messages resulting from the evaluation of the artifact or artifacts. As part of evaluating
       the request, the engine may produce informational or warning messages. These messages
       will be provided by this element."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/OperationOutcome"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.outputParameters"/>
      <short value="The output parameters of the evaluation, if any"/>
      <definition value="The output parameters of the evaluation, if any. Many modules will result in the return
       of specific resources such as procedure or communication requests that are returned as
       part of the operation result. However, modules may define specific outputs that would
       be returned as the result of the evaluation, and these would be returned in this element."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Parameters"/>
      </type>
    </element>
    <element id="action">
      <path value="GuidanceResponse.action"/>
      <short value="Proposed actions, if any"/>
      <definition value="The actions, if any, produced by the evaluation of the artifact."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.actionIdentifier"/>
      <short value="Unique identifier"/>
      <definition value="A unique identifier for the action. The identifier SHALL be unique within the container
       in which it appears, and MAY be universally unique."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.label"/>
      <short value="User-visible label for the action (e.g. 1. or A.)"/>
      <definition value="A user-visible label for the action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.title"/>
      <short value="User-visible title"/>
      <definition value="The title of the action displayed to a user."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.description"/>
      <short value="Short description of the action"/>
      <definition value="A short description of the action used to provide a summary to display to the user."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.textEquivalent"/>
      <short value="Static text equivalent of the action, used if the dynamic aspects cannot be interpreted
       by the receiving system"/>
      <definition value="A text equivalent of the action to be performed. This provides a human-interpretable description
       of the action when the definition is consumed by a system that may not be capable of interpreting
       it dynamically."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.concept"/>
      <short value="The meaning of the action or its sub-actions"/>
      <definition value="The concept represented by this action or its sub-actions."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.supportingEvidence"/>
      <short value="Evidence that supports taking the action"/>
      <definition value="The evidence grade and the sources of evidence for this action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Attachment"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction"/>
      <short value="Relationship to another action"/>
      <definition value="A relationship to another action such as &quot;before&quot; or &quot;30-60 minutes after
       start of&quot;."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction.actionIdentifier"/>
      <short value="Identifier of the related action"/>
      <definition value="The unique identifier of the related action."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction.relationship"/>
      <short value="before | after"/>
      <definition value="The relationship of this action to the related action."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="Defines the types of relationships between actions"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/action-relationship-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction.offset[x]"/>
      <short value="Time offset for the relationship"/>
      <definition value="A duration or range of durations to apply to the relationship. For example, 30-60 minutes
       before."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Duration"/>
      </type>
      <type>
        <code value="Range"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.relatedAction.anchor"/>
      <short value="start | end"/>
      <definition value="An optional indicator for how the relationship is anchored to the related action. For
       example &quot;before the start&quot; or &quot;before the end&quot; of the related action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="Defines possible anchors for the relationship between actions"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/action-relationship-anchor"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="GuidanceResponse.action.documentation"/>
      <short value="Supporting documentation for the intended performer of the action"/>
      <definition value="Didactic or other informational resources associated with the action that can be provided
       to the CDS recipient. Information resources can include inline text commentary and links
       to web resources."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Attachment"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.participant"/>
      <short value="Participant"/>
      <definition value="The participant in the action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Person"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.type"/>
      <short value="create | update | remove | fire-event"/>
      <definition value="The type of action to perform (create, update, remove)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The type of action to be performed"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/action-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="GuidanceResponse.action.behavior"/>
      <short value="Defines behaviors such as selection and grouping"/>
      <definition value="A behavior associated with the action. Behaviors define how the action is to be presented
       and/or executed within the receiving environment."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.behavior.type"/>
      <short value="The type of behavior (grouping, precheck, selection, cardinality, etc)"/>
      <definition value="The type of the behavior to be described, such as grouping, visual, or selection behaviors."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The type of behavior to be defined"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/action-behavior-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="GuidanceResponse.action.behavior.value"/>
      <short value="Specific behavior (e.g. required, at-most-one, single, etc)"/>
      <definition value="The specific behavior. The code used here is determined by the type of behavior being
       described. For example, the grouping behavior uses the grouping-behavior-type valueset."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.resource"/>
      <short value="The target of the action"/>
      <definition value="The resource that is the target of the action (e.g. CommunicationRequest)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
    </element>
    <element>
      <path value="GuidanceResponse.action.action"/>
      <short value="Sub action"/>
      <definition value="Sub actions."/>
      <min value="0"/>
      <max value="*"/>
      <contentReference value="#action"/>
    </element>
    <element>
      <path value="GuidanceResponse.dataRequirement"/>
      <short value="Additional required data"/>
      <definition value="If the evaluation could not be completed due to lack of information, or additional information
       would potentially result in a more accurate response, this element will a description
       of the data required in order to proceed with the evaluation. A subsequent request to
       the service should include this data."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DataRequirement"/>
      </type>
    </element>
  </differential>
</StructureDefinition>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.