HL7.CDA.US.CCDA\Advance Directive Observation - TTL Representation

This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions
Resource Profile: AdvanceDirectiveObservation - TTL Profile

Active as of 2023-01-16
TTL representation of the 2.16.840.1.113883.10.20.22.4.48 resource profile.
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:StructureDefinition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "2.16.840.1.113883.10.20.22.4.48"]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"http://build.fhir.org/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-Observation.html\">CDAR2.Observation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.classCode\">classCode</a><a name=\"Observation.classCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">OBS</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.moodCode\">moodCode</a><a name=\"Observation.moodCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">EVN</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.templateId\">Slices for templateId</a><a name=\"Observation.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:root, value:extension</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.templateId:primary\" title=\"Slice primary\">templateId:primary</a><a name=\"Observation.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.templateId:primary.root\">root</a><a name=\"Observation.templateId.root\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.10.20.22.4.48</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.templateId:primary.extension\">extension</a><a name=\"Observation.templateId.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2015-08-01</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.id\">id</a><a name=\"Observation.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.20.2/expansion\">Advance Directive Type Code</a> (<a href=\"http://build.fhir.org/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.code.translation\">Slices for translation</a><a name=\"Observation.code.translation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:code, value:codeSystem</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.code.translation:advanceDirective\" title=\"Slice advanceDirective\">translation:advanceDirective</a><a name=\"Observation.code.translation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.code.translation:advanceDirective.code\">code</a><a name=\"Observation.code.translation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">75320-2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.code.translation:advanceDirective.codeSystem\">codeSystem</a><a name=\"Observation.code.translation.codeSystem\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.6.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.statusCode\">statusCode</a><a name=\"Observation.statusCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CS.html\">CS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">Completed</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.statusCode.code\">code</a><a name=\"Observation.statusCode.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">completed</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.effectiveTime\">effectiveTime</a><a name=\"Observation.effectiveTime\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-IVL-TS.html\">IVL_TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.effectiveTime.low\">low</a><a name=\"Observation.effectiveTime.low\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-TS.html\">TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.effectiveTime.high\">high</a><a name=\"Observation.effectiveTime.high\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (1198-32449)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-TS.html\">TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">1198-32449: </span>If the Advance Directive does not have a specified ending time, the &lt;high&gt; element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449).</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.value\">Slices for value</a><a name=\"Observation.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-BL.html\">BL</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-ED.html\">ED</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-ST.html\">ED</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CD.html\">CD</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CV.html\">CV</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CE.html\">CE</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-SC.html\">SC</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-II.html\">II</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-TEL.html\">TEL</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-AD.html\">AD</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-EN.html\">EN</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-INT.html\">INT</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-REAL.html\">REAL</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-PQ.html\">PQ</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-MO.html\">MO</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-TS.html\">TS</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-IVL-PQ.html\">IVL_PQ</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-IVL-TS.html\">IVL_TS</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-PIVL-TS.html\">PIVL_TS</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-EIVL-TS.html\">EIVL_TS</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-SXPR-TS.html\">SXPR_TS</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-RTO-PQ-PQ.html\">RTO_PQ_PQ</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by </span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.value:value1\" title=\"Slice value1\">value:value1</a><a name=\"Observation.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (1198-32493)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-BL.html\">BL</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-ED.html\">ED</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-ST.html\">ED</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CD.html\">CD</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CV.html\">CV</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CE.html\">CE</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-SC.html\">SC</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-II.html\">II</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-TEL.html\">TEL</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-AD.html\">AD</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-EN.html\">EN</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-INT.html\">INT</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-REAL.html\">REAL</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-PQ.html\">PQ</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-MO.html\">MO</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-TS.html\">TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-IVL-PQ.html\">IVL_PQ</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-IVL-TS.html\">IVL_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-PIVL-TS.html\">PIVL_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-EIVL-TS.html\">EIVL_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-SXPR-TS.html\">SXPR_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-RTO-PQ-PQ.html\">RTO_PQ_PQ</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">1198-32493: </span>If type CD, then value will be SNOMED-CT 2.16.840.1.113883.6.96 (CONF:1198-32493).</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.author\">author</a><a name=\"Observation.author\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.119.html\" title=\"http://hl7.org/fhir/cda/StructureDefinition/Author\">AuthorParticipation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant\">Slices for participant</a><a name=\"Observation.participant\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-Participant2.html\">Participant2</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\">This custodian (CST) participant identifies a legal representative for the patient's advance directive. Examples of such  individuals are called health care agents, substitute decision makers and/or health care proxies.  If there is more than one  legal representative, a qualifier may be used to designate the  legal representative as primary or secondary.</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:participantRole, value:typeCode</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant1\" title=\"Slice participant1\">participant:participant1</a><a name=\"Observation.participant\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-Participant2.html\">Participant2</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The participant &quot;VRF&quot; represents the clinician(s) who verified the patient advance directive observation.<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant1.typeCode\">typeCode</a><a name=\"Observation.participant.typeCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">VRF</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1353.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant1.templateId\">Slices for templateId</a><a name=\"Observation.participant.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:root</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13525.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant1.templateId:primary\" title=\"Slice primary\">templateId:primary</a><a name=\"Observation.participant.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant1.templateId:primary.root\">root</a><a name=\"Observation.participant.templateId.root\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.10.20.1.58</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant1.time\">time</a><a name=\"Observation.participant.time\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (1198-8666)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-IVL-TS.html\">IVL_TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">1198-8666: </span>The data type of Observation/participant/time in a verification **SHALL** be *TS* (time stamp) (CONF:1198-8666).</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1341.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant1.participantRole\">participantRole</a><a name=\"Observation.participant.participantRole\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-ParticipantRole.html\">ParticipantRole</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant1.participantRole.code\">code</a><a name=\"Observation.participant.participantRole.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.1066/expansion\">Healthcare Provider Taxonomy</a> (<a href=\"http://build.fhir.org/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant1.participantRole.addr\">addr</a><a name=\"Observation.participant.participantRole.addr\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.5.2.html\" title=\"http://hl7.org/fhir/cda/StructureDefinition/AD\">USRealmAddressADUSFIELDED</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13401.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant1.participantRole.playingEntity\">playingEntity</a><a name=\"Observation.participant.participantRole.playingEntity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-PlayingEntity.html\">PlayingEntity</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant1.participantRole.playingEntity.name\">name</a><a name=\"Observation.participant.participantRole.playingEntity.name\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.5.1.1.html\" title=\"http://hl7.org/fhir/cda/StructureDefinition/PN\">USRealmPersonNamePNUSFIELDED</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant2\" title=\"Slice participant2\">participant:participant2</a><a name=\"Observation.participant\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-Participant2.html\">Participant2</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant2.typeCode\">typeCode</a><a name=\"Observation.participant.typeCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">CST</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1241.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant2.participantRole\">participantRole</a><a name=\"Observation.participant.participantRole\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-ParticipantRole.html\">ParticipantRole</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant2.participantRole.classCode\">classCode</a><a name=\"Observation.participant.participantRole.classCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">AGNT</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant2.participantRole.code\">code</a><a name=\"Observation.participant.participantRole.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion\">Personal And Legal Relationship Role Type</a> (<a href=\"http://build.fhir.org/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant2.participantRole.addr\">addr</a><a name=\"Observation.participant.participantRole.addr\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.5.2.html\" title=\"http://hl7.org/fhir/cda/StructureDefinition/AD\">USRealmAddressADUSFIELDED</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Base for all types and resources</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant2.participantRole.telecom\">telecom</a><a name=\"Observation.participant.participantRole.telecom\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-TEL.html\">TEL</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12401.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant2.participantRole.playingEntity\">playingEntity</a><a name=\"Observation.participant.participantRole.playingEntity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-PlayingEntity.html\">PlayingEntity</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant2.participantRole.playingEntity.code\">code</a><a name=\"Observation.participant.participantRole.playingEntity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.51/expansion\">Healthcare Agent Qualifier</a> (<a href=\"http://build.fhir.org/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.participant:participant2.participantRole.playingEntity.name\">name</a><a name=\"Observation.participant.participantRole.playingEntity.name\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-EN.html\">EN</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Record the name of the agent who can provide a copy of the Advance Directive in the name element.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.reference\">Slices for reference</a><a name=\"Observation.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/types.html#Element\">Element</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:externalDocument, value:typeCode</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.reference:reference1\" title=\"Slice reference1\">reference:reference1</a><a name=\"Observation.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/types.html#Element\">Element</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.reference:reference1.typeCode\">typeCode</a><a name=\"Observation.reference.typeCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">REFR</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0241.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.reference:reference1.externalDocument\">externalDocument</a><a name=\"Observation.reference.externalDocument\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-ExternalDocument.html\">ExternalDocument</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.reference:reference1.externalDocument.id\">id</a><a name=\"Observation.reference.externalDocument.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02401.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.reference:reference1.externalDocument.text\">text</a><a name=\"Observation.reference.externalDocument.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-ED.html\">ED</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.4.48-definitions.html#Observation.reference:reference1.externalDocument.text.reference\">reference</a><a name=\"Observation.reference.externalDocument.text.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/5.0.0-snapshot3/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (1198-8698, 1198-8699)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/cda/stds/core/draft1/StructureDefinition-TEL.html\">TEL</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">1198-8698: </span>The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698).<br/><span style=\"font-weight:bold\">1198-8699: </span>If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699).</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"http://build.fhir.org/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  ]; # 
  fhir:StructureDefinition.url [ fhir:value "http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.48"]; # 
  fhir:StructureDefinition.identifier [
     fhir:index 0;
     fhir:Identifier.value [ fhir:value "urn:hl7ii:2.16.840.1.113883.10.20.22.4.48:2015-08-01" ]
  ]; # 
  fhir:StructureDefinition.version [ fhir:value "2.1.0-draft1"]; # 
  fhir:StructureDefinition.name [ fhir:value "AdvanceDirectiveObservation"]; # 
  fhir:StructureDefinition.title [ fhir:value "Advance Directive Observation"]; # 
  fhir:StructureDefinition.status [ fhir:value "active"]; # 
  fhir:StructureDefinition.date [ fhir:value "2023-01-16T21:46:29+11:00"^^xsd:dateTime]; # 
  fhir:StructureDefinition.publisher [ fhir:value "Health Level Seven"]; # 
  fhir:StructureDefinition.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "HL7 International - Structured Documents" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/structure" ]     ]
  ]; # 
  fhir:StructureDefinition.description [ fhir:value "This clinical statement represents Advance Directive Observation findings (e.g., \"resuscitation status is Full Code\") rather than orders. It should not be considered a legal document or a substitute for the actual Advance Directive document. The related legal documents are referenced using the reference/externalReference element.\n\nThe Advance Directive Observation describes the patient's directives, including but not limited to:\n*  Medications\n*  Transfer of Care to Hospital\n*  Treatment\n*  Procedures\n*  Intubation and Ventilation\n*  Diagnostic Tests\n*  Tests\n\nThe observation/value element contains the detailed patient directive which may be coded or text. For example, a category directive may be antibiotics, and the details would be intravenous antibiotics only.\n"]; # 
  fhir:StructureDefinition.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ]; # 
  fhir:StructureDefinition.fhirVersion [ fhir:value "5.0.0-snapshot3"]; # 
  fhir:StructureDefinition.mapping [
     fhir:index 0;
     fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ];
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ];
     fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ]
  ]; # 
  fhir:StructureDefinition.kind [ fhir:value "resource"]; # 
  fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean]; # 
  fhir:StructureDefinition.type [ fhir:value "Observation"]; # 
  fhir:StructureDefinition.baseDefinition [
     fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Observation";
     fhir:link <http://hl7.org/fhir/cda/StructureDefinition/Observation>
  ]; # 
  fhir:StructureDefinition.derivation [ fhir:value "constraint"]; # 
  fhir:StructureDefinition.snapshot [
     fhir:StructureDefinition.snapshot.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "Observation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation" ];
       fhir:ElementDefinition.short [ fhir:value "Base for all types and resources" ];
       fhir:ElementDefinition.definition [ fhir:value "Base definition for all types defined in FHIR type system." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Base" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "Observation.classCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.classCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8648)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.classCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.patternCode [ fhir:value "OBS" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ActClassObservation";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ActClassObservation>         ]       ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "Observation.moodCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.moodCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8649)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.moodCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.patternCode [ fhir:value "EVN" ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "Observation.negationInd" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.negationInd" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.negationInd" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ]     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "Observation.realmCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.realmCode" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.realmCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CS" ]       ]     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "Observation.typeId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.typeId" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.typeId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "Observation.templateId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.templateId" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "root" ]         ], [
           fhir:index 1;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "extension" ]         ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.definition [ fhir:value "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" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.templateId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "Observation.templateId:primary" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.templateId" ];
       fhir:ElementDefinition.sliceName [ fhir:value "primary" ];
       fhir:ElementDefinition.definition [ fhir:value "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" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] templateId (CONF:1198-8655) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.templateId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "Observation.templateId:primary.nullFlavor" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.templateId.nullFlavor" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Exceptional Value Detail" ];
       fhir:ElementDefinition.definition [ fhir:value "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ANY.nullFlavor" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-NullFlavor";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-NullFlavor>         ]       ]     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "Observation.templateId:primary.assigningAuthorityName" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.templateId.assigningAuthorityName" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Assigning Authority Name" ];
       fhir:ElementDefinition.definition [ fhir:value "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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "II.assigningAuthorityName" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 10;
       fhir:Element.id [ fhir:value "Observation.templateId:primary.displayable" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.templateId.displayable" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Displayable" ];
       fhir:ElementDefinition.definition [ fhir:value "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "II.displayable" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ]     ], [
       fhir:index 11;
       fhir:Element.id [ fhir:value "Observation.templateId:primary.root" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.templateId.root" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Root" ];
       fhir:ElementDefinition.definition [ fhir:value "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier." ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.48\" (CONF:1198-10485)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "II.root" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.patternString [ fhir:value "2.16.840.1.113883.10.20.22.4.48" ]     ], [
       fhir:index 12;
       fhir:Element.id [ fhir:value "Observation.templateId:primary.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.templateId.extension" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Extension" ];
       fhir:ElementDefinition.definition [ fhir:value "A character string as a unique identifier within the scope of the identifier root." ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32496)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "II.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.patternString [ fhir:value "2015-08-01" ]     ], [
       fhir:index 13;
       fhir:Element.id [ fhir:value "Observation.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.id" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain at least one [1..*] id (CONF:1198-8654)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 14;
       fhir:Element.id [ fhir:value "Observation.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code" ];
       fhir:ElementDefinition.representation [
         fhir:value "typeAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Advance Directive Type Code urn:oid:2.16.840.1.113883.1.11.20.2 DYNAMIC (CONF:1198-8651)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.code" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CD" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.2";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.2>         ]       ]     ], [
       fhir:index 15;
       fhir:Element.id [ fhir:value "Observation.code.nullFlavor" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.nullFlavor" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Exceptional Value Detail" ];
       fhir:ElementDefinition.definition [ fhir:value "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ANY.nullFlavor" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-NullFlavor";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-NullFlavor>         ]       ]     ], [
       fhir:index 16;
       fhir:Element.id [ fhir:value "Observation.code.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.code" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code" ];
       fhir:ElementDefinition.definition [ fhir:value "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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.code" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 17;
       fhir:Element.id [ fhir:value "Observation.code.codeSystem" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.codeSystem" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code System" ];
       fhir:ElementDefinition.definition [ fhir:value "Specifies the code system that defines the code." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.codeSystem" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 18;
       fhir:Element.id [ fhir:value "Observation.code.codeSystemName" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.codeSystemName" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code System Name" ];
       fhir:ElementDefinition.definition [ fhir:value "The common name of the coding system." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.codeSystemName" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 19;
       fhir:Element.id [ fhir:value "Observation.code.codeSystemVersion" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.codeSystemVersion" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code System Version" ];
       fhir:ElementDefinition.definition [ fhir:value "If applicable, a version descriptor defined specifically for the given code system." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.codeSystemVersion" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 20;
       fhir:Element.id [ fhir:value "Observation.code.displayName" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.displayName" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Display Name" ];
       fhir:ElementDefinition.definition [ fhir:value "A name or title for the code, under which the sending system shows the code value to its users." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.displayName" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 21;
       fhir:Element.id [ fhir:value "Observation.code.sdtcValueSet" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace" ];
         fhir:Extension.valueUri [ fhir:value "urn:hl7-org:sdtc" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name" ];
         fhir:Extension.valueString [ fhir:value "valueSet" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.sdtcValueSet" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.definition [ fhir:value "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.valueSet" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 22;
       fhir:Element.id [ fhir:value "Observation.code.sdtcValueSetVersion" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace" ];
         fhir:Extension.valueUri [ fhir:value "urn:hl7-org:sdtc" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name" ];
         fhir:Extension.valueString [ fhir:value "valueSetVersion" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.sdtcValueSetVersion" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.definition [ fhir:value "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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.sdtcValueSetVersion" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 23;
       fhir:Element.id [ fhir:value "Observation.code.originalText" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.originalText" ];
       fhir:ElementDefinition.label [ fhir:value "Original Text" ];
       fhir:ElementDefinition.definition [ fhir:value "The text or phrase used as the basis for the coding." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.originalText" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ED" ]       ]     ], [
       fhir:index 24;
       fhir:Element.id [ fhir:value "Observation.code.qualifier" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.qualifier" ];
       fhir:ElementDefinition.label [ fhir:value "Qualifier" ];
       fhir:ElementDefinition.definition [ fhir:value "Specifies additional codes that increase the specificity of the the primary code." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.qualifier" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CR" ]       ]     ], [
       fhir:index 25;
       fhir:Element.id [ fhir:value "Observation.code.translation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation" ];
       fhir:ElementDefinition.representation [
         fhir:value "typeAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Translation" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "code" ]         ], [
           fhir:index 1;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "codeSystem" ]         ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.definition [ fhir:value "A set of other concept descriptors that translate this concept descriptor into other code systems." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.translation" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CD" ]       ]     ], [
       fhir:index 26;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation" ];
       fhir:ElementDefinition.representation [
         fhir:value "typeAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.sliceName [ fhir:value "advanceDirective" ];
       fhir:ElementDefinition.label [ fhir:value "Translation" ];
       fhir:ElementDefinition.definition [ fhir:value "A set of other concept descriptors that translate this concept descriptor into other code systems." ];
       fhir:ElementDefinition.requirements [ fhir:value "This code SHALL contain exactly one [1..1] translation (CONF:1198-32842) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.translation" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CD" ]       ]     ], [
       fhir:index 27;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.nullFlavor" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.nullFlavor" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Exceptional Value Detail" ];
       fhir:ElementDefinition.definition [ fhir:value "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ANY.nullFlavor" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-NullFlavor";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-NullFlavor>         ]       ]     ], [
       fhir:index 28;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.code" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code" ];
       fhir:ElementDefinition.definition [ fhir:value "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." ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @code=\"75320-2\" Advance directive (CONF:1198-32843)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.code" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.patternString [ fhir:value "75320-2" ]     ], [
       fhir:index 29;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.codeSystem" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.codeSystem" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code System" ];
       fhir:ElementDefinition.definition [ fhir:value "Specifies the code system that defines the code." ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32844)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.codeSystem" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.patternString [ fhir:value "2.16.840.1.113883.6.1" ]     ], [
       fhir:index 30;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.codeSystemName" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.codeSystemName" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code System Name" ];
       fhir:ElementDefinition.definition [ fhir:value "The common name of the coding system." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.codeSystemName" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 31;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.codeSystemVersion" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.codeSystemVersion" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code System Version" ];
       fhir:ElementDefinition.definition [ fhir:value "If applicable, a version descriptor defined specifically for the given code system." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.codeSystemVersion" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 32;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.displayName" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.displayName" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Display Name" ];
       fhir:ElementDefinition.definition [ fhir:value "A name or title for the code, under which the sending system shows the code value to its users." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.displayName" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 33;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.sdtcValueSet" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace" ];
         fhir:Extension.valueUri [ fhir:value "urn:hl7-org:sdtc" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name" ];
         fhir:Extension.valueString [ fhir:value "valueSet" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.sdtcValueSet" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.definition [ fhir:value "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.valueSet" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 34;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.sdtcValueSetVersion" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace" ];
         fhir:Extension.valueUri [ fhir:value "urn:hl7-org:sdtc" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name" ];
         fhir:Extension.valueString [ fhir:value "valueSetVersion" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.sdtcValueSetVersion" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.definition [ fhir:value "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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.sdtcValueSetVersion" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 35;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.originalText" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.originalText" ];
       fhir:ElementDefinition.label [ fhir:value "Original Text" ];
       fhir:ElementDefinition.definition [ fhir:value "The text or phrase used as the basis for the coding." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.originalText" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ED" ]       ]     ], [
       fhir:index 36;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.qualifier" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.qualifier" ];
       fhir:ElementDefinition.label [ fhir:value "Qualifier" ];
       fhir:ElementDefinition.definition [ fhir:value "Specifies additional codes that increase the specificity of the the primary code." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.qualifier" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CR" ]       ]     ], [
       fhir:index 37;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.translation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.translation" ];
       fhir:ElementDefinition.representation [
         fhir:value "typeAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Translation" ];
       fhir:ElementDefinition.definition [ fhir:value "A set of other concept descriptors that translate this concept descriptor into other code systems." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.translation" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CD" ]       ]     ], [
       fhir:index 38;
       fhir:Element.id [ fhir:value "Observation.derivationExpr" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.derivationExpr" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.derivationExpr" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ST" ]       ]     ], [
       fhir:index 39;
       fhir:Element.id [ fhir:value "Observation.text" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.text" ];
       fhir:ElementDefinition.representation [
         fhir:value "typeAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.text" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ED" ]       ]     ], [
       fhir:index 40;
       fhir:Element.id [ fhir:value "Observation.statusCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] statusCode (CONF:1198-8652)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.statusCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CS" ]       ];
       fhir:ElementDefinition.patternString [ fhir:value "Completed" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ActStatus";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ActStatus>         ]       ]     ], [
       fhir:index 41;
       fhir:Element.id [ fhir:value "Observation.statusCode.nullFlavor" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.nullFlavor" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Exceptional Value Detail" ];
       fhir:ElementDefinition.definition [ fhir:value "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ANY.nullFlavor" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-NullFlavor";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-NullFlavor>         ]       ]     ], [
       fhir:index 42;
       fhir:Element.id [ fhir:value "Observation.statusCode.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.code" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code" ];
       fhir:ElementDefinition.definition [ fhir:value "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." ];
       fhir:ElementDefinition.requirements [ fhir:value "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19082)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.code" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.patternString [ fhir:value "completed" ]     ], [
       fhir:index 43;
       fhir:Element.id [ fhir:value "Observation.statusCode.codeSystem" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.codeSystem" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code System" ];
       fhir:ElementDefinition.definition [ fhir:value "Specifies the code system that defines the code." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.codeSystem" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 44;
       fhir:Element.id [ fhir:value "Observation.statusCode.codeSystemName" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.codeSystemName" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code System Name" ];
       fhir:ElementDefinition.definition [ fhir:value "The common name of the coding system." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.codeSystemName" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 45;
       fhir:Element.id [ fhir:value "Observation.statusCode.codeSystemVersion" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.codeSystemVersion" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Code System Version" ];
       fhir:ElementDefinition.definition [ fhir:value "If applicable, a version descriptor defined specifically for the given code system." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.codeSystemVersion" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 46;
       fhir:Element.id [ fhir:value "Observation.statusCode.displayName" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.displayName" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Display Name" ];
       fhir:ElementDefinition.definition [ fhir:value "A name or title for the code, under which the sending system shows the code value to its users." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.displayName" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 47;
       fhir:Element.id [ fhir:value "Observation.statusCode.sdtcValueSet" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace" ];
         fhir:Extension.valueUri [ fhir:value "urn:hl7-org:sdtc" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name" ];
         fhir:Extension.valueString [ fhir:value "valueSet" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.sdtcValueSet" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.definition [ fhir:value "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.valueSet" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 48;
       fhir:Element.id [ fhir:value "Observation.statusCode.sdtcValueSetVersion" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace" ];
         fhir:Extension.valueUri [ fhir:value "urn:hl7-org:sdtc" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name" ];
         fhir:Extension.valueString [ fhir:value "valueSetVersion" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.sdtcValueSetVersion" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.definition [ fhir:value "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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.sdtcValueSetVersion" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 49;
       fhir:Element.id [ fhir:value "Observation.statusCode.originalText" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.originalText" ];
       fhir:ElementDefinition.label [ fhir:value "Original Text" ];
       fhir:ElementDefinition.definition [ fhir:value "The text or phrase used as the basis for the coding." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.originalText" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ED" ]       ]     ], [
       fhir:index 50;
       fhir:Element.id [ fhir:value "Observation.statusCode.qualifier" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.qualifier" ];
       fhir:ElementDefinition.label [ fhir:value "Qualifier" ];
       fhir:ElementDefinition.definition [ fhir:value "Specifies additional codes that increase the specificity of the the primary code." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.qualifier" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CR" ]       ]     ], [
       fhir:index 51;
       fhir:Element.id [ fhir:value "Observation.statusCode.translation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.translation" ];
       fhir:ElementDefinition.representation [
         fhir:value "typeAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Translation" ];
       fhir:ElementDefinition.definition [ fhir:value "A set of other concept descriptors that translate this concept descriptor into other code systems." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CD.translation" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CD" ]       ]     ], [
       fhir:index 52;
       fhir:Element.id [ fhir:value "Observation.effectiveTime" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8656)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.effectiveTime" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" ]       ]     ], [
       fhir:index 53;
       fhir:Element.id [ fhir:value "Observation.effectiveTime.nullFlavor" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime.nullFlavor" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Exceptional Value Detail" ];
       fhir:ElementDefinition.definition [ fhir:value "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ANY.nullFlavor" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-NullFlavor";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-NullFlavor>         ]       ]     ], [
       fhir:index 54;
       fhir:Element.id [ fhir:value "Observation.effectiveTime.value" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format" ];
         fhir:Extension.valueCode [ fhir:value "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime.value" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.definition [ fhir:value "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "TS.value" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ]     ], [
       fhir:index 55;
       fhir:Element.id [ fhir:value "Observation.effectiveTime.inclusive" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime.inclusive" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.definition [ fhir:value "Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "TS.inclusive" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ]     ], [
       fhir:index 56;
       fhir:Element.id [ fhir:value "Observation.effectiveTime.operator" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime.operator" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.definition [ fhir:value "A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "SXCM_TS.operator" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ]     ], [
       fhir:index 57;
       fhir:Element.id [ fhir:value "Observation.effectiveTime.low" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime.low" ];
       fhir:ElementDefinition.label [ fhir:value "Low Boundary" ];
       fhir:ElementDefinition.definition [ fhir:value "This is the low limit of the interval." ];
       fhir:ElementDefinition.requirements [ fhir:value "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-28719)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "IVL_TS.low" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/TS" ]       ]     ], [
       fhir:index 58;
       fhir:Element.id [ fhir:value "Observation.effectiveTime.high" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime.high" ];
       fhir:ElementDefinition.label [ fhir:value "High Boundary" ];
       fhir:ElementDefinition.definition [ fhir:value "This is the high limit of the interval." ];
       fhir:ElementDefinition.requirements [ fhir:value "This effectiveTime SHALL contain exactly one [1..1] high (CONF:1198-15521)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "IVL_TS.high" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/TS" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "1198-32449" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If the Advance Directive does not have a specified ending time, the <high> element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449)." ]       ]     ], [
       fhir:index 59;
       fhir:Element.id [ fhir:value "Observation.effectiveTime.width" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime.width" ];
       fhir:ElementDefinition.label [ fhir:value "Width" ];
       fhir:ElementDefinition.definition [ fhir:value "The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "IVL_TS.width" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/PQ" ]       ]     ], [
       fhir:index 60;
       fhir:Element.id [ fhir:value "Observation.effectiveTime.center" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime.center" ];
       fhir:ElementDefinition.label [ fhir:value "Central Value" ];
       fhir:ElementDefinition.definition [ fhir:value "The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "IVL_TS.center" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/TS" ]       ]     ], [
       fhir:index 61;
       fhir:Element.id [ fhir:value "Observation.priorityCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.priorityCode" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.priorityCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ActPriority";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ActPriority>         ]       ]     ], [
       fhir:index 62;
       fhir:Element.id [ fhir:value "Observation.repeatNumber" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.repeatNumber" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.repeatNumber" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/IVL-INT" ]       ]     ], [
       fhir:index 63;
       fhir:Element.id [ fhir:value "Observation.languageCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.languageCode" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.languageCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CS" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-HumanLanguage";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-HumanLanguage>         ]       ]     ], [
       fhir:index 64;
       fhir:Element.id [ fhir:value "Observation.value" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.value" ];
       fhir:ElementDefinition.representation [
         fhir:value "typeAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.value" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/BL" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ED" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ST" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CD" ]       ], [
         fhir:index 4;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CV" ]       ], [
         fhir:index 5;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ], [
         fhir:index 6;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/SC" ]       ], [
         fhir:index 7;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ], [
         fhir:index 8;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/TEL" ]       ], [
         fhir:index 9;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/AD" ]       ], [
         fhir:index 10;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/EN" ]       ], [
         fhir:index 11;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/INT" ]       ], [
         fhir:index 12;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/REAL" ]       ], [
         fhir:index 13;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/PQ" ]       ], [
         fhir:index 14;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/MO" ]       ], [
         fhir:index 15;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/TS" ]       ], [
         fhir:index 16;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ" ]       ], [
         fhir:index 17;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" ]       ], [
         fhir:index 18;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS" ]       ], [
         fhir:index 19;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS" ]       ], [
         fhir:index 20;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS" ]       ], [
         fhir:index 21;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ" ]       ]     ], [
       fhir:index 65;
       fhir:Element.id [ fhir:value "Observation.value:value1" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.value" ];
       fhir:ElementDefinition.representation [
         fhir:value "typeAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.sliceName [ fhir:value "value1" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] value (CONF:1198-30804)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.value" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/BL" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ED" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ST" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CD" ]       ], [
         fhir:index 4;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CV" ]       ], [
         fhir:index 5;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ], [
         fhir:index 6;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/SC" ]       ], [
         fhir:index 7;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ], [
         fhir:index 8;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/TEL" ]       ], [
         fhir:index 9;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/AD" ]       ], [
         fhir:index 10;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/EN" ]       ], [
         fhir:index 11;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/INT" ]       ], [
         fhir:index 12;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/REAL" ]       ], [
         fhir:index 13;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/PQ" ]       ], [
         fhir:index 14;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/MO" ]       ], [
         fhir:index 15;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/TS" ]       ], [
         fhir:index 16;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ" ]       ], [
         fhir:index 17;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" ]       ], [
         fhir:index 18;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS" ]       ], [
         fhir:index 19;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS" ]       ], [
         fhir:index 20;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS" ]       ], [
         fhir:index 21;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "1198-32493" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If type CD, then value will be SNOMED-CT 2.16.840.1.113883.6.96 (CONF:1198-32493)." ]       ]     ], [
       fhir:index 66;
       fhir:Element.id [ fhir:value "Observation.interpretationCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.interpretationCode" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.interpretationCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation>         ]       ]     ], [
       fhir:index 67;
       fhir:Element.id [ fhir:value "Observation.methodCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.methodCode" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.methodCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ObservationMethod";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ObservationMethod>         ]       ]     ], [
       fhir:index 68;
       fhir:Element.id [ fhir:value "Observation.targetSiteCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.targetSiteCode" ];
       fhir:ElementDefinition.definition [ fhir:value "Drawn from concept domain ActSite" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.targetSiteCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CD" ]       ]     ], [
       fhir:index 69;
       fhir:Element.id [ fhir:value "Observation.subject" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.subject" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.subject" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Element" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ]     ], [
       fhir:index 70;
       fhir:Element.id [ fhir:value "Observation.subject.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.subject.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.valueUrl [ fhir:value "string" ]         ];
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 71;
       fhir:Element.id [ fhir:value "Observation.subject.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.subject.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 72;
       fhir:Element.id [ fhir:value "Observation.subject.typeCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.subject.typeCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.subject.typeCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "SBJ" ];
       fhir:ElementDefinition.fixedCode [ fhir:value "SBJ" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject>         ]       ]     ], [
       fhir:index 73;
       fhir:Element.id [ fhir:value "Observation.subject.contextControlCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.subject.contextControlCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.subject.contextControlCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "OP" ];
       fhir:ElementDefinition.fixedCode [ fhir:value "OP" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ContextControl";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ContextControl>         ]       ]     ], [
       fhir:index 74;
       fhir:Element.id [ fhir:value "Observation.subject.awarenessCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.subject.awarenessCode" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.subject.awarenessCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-TargetAwareness";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-TargetAwareness>         ]       ]     ], [
       fhir:index 75;
       fhir:Element.id [ fhir:value "Observation.subject.relatedSubject" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.subject.relatedSubject" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.subject.relatedSubject" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject" ]       ]     ], [
       fhir:index 76;
       fhir:Element.id [ fhir:value "Observation.specimen" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.specimen" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.specimen" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Specimen" ]       ]     ], [
       fhir:index 77;
       fhir:Element.id [ fhir:value "Observation.performer" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.performer" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.performer" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Performer2" ]       ]     ], [
       fhir:index 78;
       fhir:Element.id [ fhir:value "Observation.author" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.author" ];
       fhir:ElementDefinition.short [ fhir:value "Base for all types and resources" ];
       fhir:ElementDefinition.definition [ fhir:value "Base definition for all types defined in FHIR type system." ];
       fhir:ElementDefinition.requirements [ fhir:value "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-32406)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.author" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Author" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119";
           fhir:index 0;
           fhir:link <http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119>         ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 79;
       fhir:Element.id [ fhir:value "Observation.informant" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.informant" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.informant" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Element" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ]     ], [
       fhir:index 80;
       fhir:Element.id [ fhir:value "Observation.informant.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.informant.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.valueUrl [ fhir:value "string" ]         ];
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 81;
       fhir:Element.id [ fhir:value "Observation.informant.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.informant.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 82;
       fhir:Element.id [ fhir:value "Observation.informant.typeCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.informant.typeCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.informant.typeCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "INF" ];
       fhir:ElementDefinition.fixedCode [ fhir:value "INF" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator>         ]       ]     ], [
       fhir:index 83;
       fhir:Element.id [ fhir:value "Observation.informant.contextControlCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.informant.contextControlCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.informant.contextControlCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "OP" ];
       fhir:ElementDefinition.fixedCode [ fhir:value "OP" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ContextControl";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ContextControl>         ]       ]     ], [
       fhir:index 84;
       fhir:Element.id [ fhir:value "Observation.informant.assignedEntity" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.informant.assignedEntity" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.informant.assignedEntity" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" ]       ]     ], [
       fhir:index 85;
       fhir:Element.id [ fhir:value "Observation.informant.relatedEntity" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.informant.relatedEntity" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.informant.relatedEntity" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity" ]       ]     ], [
       fhir:index 86;
       fhir:Element.id [ fhir:value "Observation.participant" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "participantRole" ]         ], [
           fhir:index 1;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "typeCode" ]         ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "This custodian (CST) participant identifies a legal representative for the patient's advance directive. Examples of such  individuals are called health care agents, substitute decision makers and/or health care proxies.  If there is more than one  legal representative, a qualifier may be used to designate the  legal representative as primary or secondary." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.participant" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Participant2" ]       ]     ], [
       fhir:index 87;
       fhir:Element.id [ fhir:value "Observation.participant:participant1" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant" ];
       fhir:ElementDefinition.sliceName [ fhir:value "participant1" ];
       fhir:ElementDefinition.short [ fhir:value "The participant \"VRF\" represents the clinician(s) who verified the patient advance directive observation." ];
       fhir:ElementDefinition.requirements [ fhir:value "SHOULD contain zero or more [0..*] participant (CONF:1198-8662) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.participant" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Participant2" ]       ]     ], [
       fhir:index 88;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.nullFlavor" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.nullFlavor" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Exceptional Value Detail" ];
       fhir:ElementDefinition.definition [ fhir:value "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.nullFlavor" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-NullFlavor";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-NullFlavor>         ]       ]     ], [
       fhir:index 89;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.typeCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.typeCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @typeCode=\"VRF\" Verifier (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8663)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.typeCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.patternCode [ fhir:value "VRF" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ParticipationType";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ParticipationType>         ]       ]     ], [
       fhir:index 90;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.contextControlCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.contextControlCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.contextControlCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.fixedCode [ fhir:value "OP" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ContextControl";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ContextControl>         ]       ]     ], [
       fhir:index 91;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.realmCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.realmCode" ];
       fhir:ElementDefinition.definition [ fhir:value "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.realmCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CS" ]       ]     ], [
       fhir:index 92;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.typeId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.typeId" ];
       fhir:ElementDefinition.definition [ fhir:value "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.typeId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 93;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.templateId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.templateId" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "root" ]         ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.definition [ fhir:value "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" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.templateId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 94;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.templateId:primary" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.templateId" ];
       fhir:ElementDefinition.sliceName [ fhir:value "primary" ];
       fhir:ElementDefinition.definition [ fhir:value "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" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] templateId (CONF:1198-8664) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.templateId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 95;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.templateId:primary.nullFlavor" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.templateId.nullFlavor" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Exceptional Value Detail" ];
       fhir:ElementDefinition.definition [ fhir:value "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ANY.nullFlavor" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-NullFlavor";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-NullFlavor>         ]       ]     ], [
       fhir:index 96;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.templateId:primary.assigningAuthorityName" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.templateId.assigningAuthorityName" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Assigning Authority Name" ];
       fhir:ElementDefinition.definition [ fhir:value "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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "II.assigningAuthorityName" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 97;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.templateId:primary.displayable" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.templateId.displayable" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Displayable" ];
       fhir:ElementDefinition.definition [ fhir:value "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "II.displayable" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ]     ], [
       fhir:index 98;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.templateId:primary.root" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.templateId.root" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Root" ];
       fhir:ElementDefinition.definition [ fhir:value "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier." ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.1.58\" (CONF:1198-10486)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "II.root" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.patternString [ fhir:value "2.16.840.1.113883.10.20.1.58" ]     ], [
       fhir:index 99;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.templateId:primary.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.templateId.extension" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Extension" ];
       fhir:ElementDefinition.definition [ fhir:value "A character string as a unique identifier within the scope of the identifier root." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "II.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ]     ], [
       fhir:index 100;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.sdtcFunctionCode" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace" ];
         fhir:Extension.valueUri [ fhir:value "urn:hl7-org:sdtc" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name" ];
         fhir:Extension.valueString [ fhir:value "functionCode" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.sdtcFunctionCode" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.sdtcFunctionCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ]     ], [
       fhir:index 101;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.time" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.time" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHOULD contain zero or one [0..1] time (CONF:1198-8665)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.time" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "1198-8666" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "The data type of Observation/participant/time in a verification **SHALL** be *TS* (time stamp) (CONF:1198-8666)." ]       ]     ], [
       fhir:index 102;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.awarenessCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.awarenessCode" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.awarenessCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ]     ], [
       fhir:index 103;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] participantRole (CONF:1198-8825)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.participantRole" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole" ]       ]     ], [
       fhir:index 104;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.classCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.classCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.classCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "ROL" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-RoleClassRoot";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-RoleClassRoot>         ]       ]     ], [
       fhir:index 105;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.templateId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.templateId" ];
       fhir:ElementDefinition.definition [ fhir:value "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" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.templateId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 106;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.id" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 107;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.sdtcIdentifiedBy" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace" ];
         fhir:Extension.valueUri [ fhir:value "urn:hl7-org:sdtc" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name" ];
         fhir:Extension.valueString [ fhir:value "identifiedBy" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.sdtcIdentifiedBy" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.sdtcIdentifiedBy" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" ]       ]     ], [
       fhir:index 108;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.code" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-28446)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.code" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066>         ]       ]     ], [
       fhir:index 109;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.addr" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.addr" ];
       fhir:ElementDefinition.short [ fhir:value "Base for all types and resources" ];
       fhir:ElementDefinition.definition [ fhir:value "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc." ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole MAY contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-28451)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.addr" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/AD" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2";
           fhir:index 0;
           fhir:link <http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2>         ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "81-7296" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "**SHALL NOT** have mixed content except for white space (CONF:81-7296)." ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Observation";
           fhir:link <http://hl7.org/fhir/cda/StructureDefinition/Observation>         ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 110;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.telecom" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.telecom" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.telecom" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/TEL" ]       ]     ], [
       fhir:index 111;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.playingDevice" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingDevice" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.playingDevice" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Device" ]       ]     ], [
       fhir:index 112;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.playingEntity" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole MAY contain zero or one [0..1] playingEntity (CONF:1198-28428)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.playingEntity" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/PlayingEntity" ]       ]     ], [
       fhir:index 113;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.playingEntity.classCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.classCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.classCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "ENT" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-EntityClassRoot";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-EntityClassRoot>         ]       ]     ], [
       fhir:index 114;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.playingEntity.determinerCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.determinerCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.determinerCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "INSTANCE" ];
       fhir:ElementDefinition.fixedCode [ fhir:value "INSTANCE" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-EntityDeterminer>         ]       ]     ], [
       fhir:index 115;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.playingEntity.templateId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.templateId" ];
       fhir:ElementDefinition.definition [ fhir:value "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" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.templateId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 116;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.playingEntity.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.code" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.code" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-EntityCode";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-EntityCode>         ]       ]     ], [
       fhir:index 117;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.playingEntity.quantity" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.quantity" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.quantity" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/PQ" ]       ]     ], [
       fhir:index 118;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.playingEntity.name" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.name" ];
       fhir:ElementDefinition.short [ fhir:value "Base for all types and resources" ];
       fhir:ElementDefinition.definition [ fhir:value "A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are \"Jim Bob Walton, Jr.\", \"Adam Everyman\", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, \"Jim\", \"Bob\", \"Walton\", and \"Jr.\". PN differs from EN because the qualifier type cannot include LS (Legal Status)." ];
       fhir:ElementDefinition.requirements [ fhir:value "The playingEntity, if present, MAY contain zero or more [0..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-28454)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.name" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/PN" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1";
           fhir:index 0;
           fhir:link <http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1>         ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "81-9371" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371)." ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Observation";
           fhir:link <http://hl7.org/fhir/cda/StructureDefinition/Observation>         ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.constraint.key [ fhir:value "81-9372" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "The string **SHALL NOT** contain name parts (CONF:81-9372)." ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Observation";
           fhir:link <http://hl7.org/fhir/cda/StructureDefinition/Observation>         ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 119;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.playingEntity.desc" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.desc" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.desc" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ED" ]       ]     ], [
       fhir:index 120;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.scopingEntity" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.scopingEntity" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.scopingEntity" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Entity" ]       ]     ], [
       fhir:index 121;
       fhir:Element.id [ fhir:value "Observation.participant:participant2" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant" ];
       fhir:ElementDefinition.sliceName [ fhir:value "participant2" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHOULD contain zero or more [0..*] participant (CONF:1198-8667) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.participant" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Participant2" ]       ]     ], [
       fhir:index 122;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.nullFlavor" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.nullFlavor" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Exceptional Value Detail" ];
       fhir:ElementDefinition.definition [ fhir:value "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.nullFlavor" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-NullFlavor";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-NullFlavor>         ]       ]     ], [
       fhir:index 123;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.typeCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.typeCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @typeCode=\"CST\" Custodian (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8668)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.typeCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.patternCode [ fhir:value "CST" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ParticipationType";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ParticipationType>         ]       ]     ], [
       fhir:index 124;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.contextControlCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.contextControlCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.contextControlCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.fixedCode [ fhir:value "OP" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ContextControl";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ContextControl>         ]       ]     ], [
       fhir:index 125;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.realmCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.realmCode" ];
       fhir:ElementDefinition.definition [ fhir:value "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.realmCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CS" ]       ]     ], [
       fhir:index 126;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.typeId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.typeId" ];
       fhir:ElementDefinition.definition [ fhir:value "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.typeId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 127;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.templateId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.templateId" ];
       fhir:ElementDefinition.definition [ fhir:value "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" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.templateId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 128;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.sdtcFunctionCode" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace" ];
         fhir:Extension.valueUri [ fhir:value "urn:hl7-org:sdtc" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name" ];
         fhir:Extension.valueString [ fhir:value "functionCode" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.sdtcFunctionCode" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.sdtcFunctionCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ]     ], [
       fhir:index 129;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.time" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.time" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.time" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" ]       ]     ], [
       fhir:index 130;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.awarenessCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.awarenessCode" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.awarenessCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ]     ], [
       fhir:index 131;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] participantRole (CONF:1198-8669)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Participant2.participantRole" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole" ]       ]     ], [
       fhir:index 132;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.classCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.classCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHALL contain exactly one [1..1] @classCode=\"AGNT\" Agent (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1198-8670)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.classCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "ROL" ];
       fhir:ElementDefinition.patternCode [ fhir:value "AGNT" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-RoleClassRoot";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-RoleClassRoot>         ]       ]     ], [
       fhir:index 133;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.templateId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.templateId" ];
       fhir:ElementDefinition.definition [ fhir:value "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" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.templateId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 134;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.id" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 135;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.sdtcIdentifiedBy" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace" ];
         fhir:Extension.valueUri [ fhir:value "urn:hl7-org:sdtc" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name" ];
         fhir:Extension.valueString [ fhir:value "identifiedBy" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.sdtcIdentifiedBy" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.sdtcIdentifiedBy" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" ]       ]     ], [
       fhir:index 136;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.code" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28440)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.code" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1>         ]       ]     ], [
       fhir:index 137;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.addr" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.addr" ];
       fhir:ElementDefinition.short [ fhir:value "Base for all types and resources" ];
       fhir:ElementDefinition.definition [ fhir:value "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc." ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8671)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.addr" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/AD" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2";
           fhir:index 0;
           fhir:link <http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2>         ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "81-7296" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "**SHALL NOT** have mixed content except for white space (CONF:81-7296)." ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Observation";
           fhir:link <http://hl7.org/fhir/cda/StructureDefinition/Observation>         ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 138;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.telecom" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.telecom" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHOULD contain zero or more [0..*] telecom (CONF:1198-8672)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.telecom" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/TEL" ]       ]     ], [
       fhir:index 139;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingDevice" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingDevice" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.playingDevice" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Device" ]       ]     ], [
       fhir:index 140;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingEntity" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-8824)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.playingEntity" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/PlayingEntity" ]       ]     ], [
       fhir:index 141;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingEntity.classCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.classCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.classCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "ENT" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-EntityClassRoot";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-EntityClassRoot>         ]       ]     ], [
       fhir:index 142;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingEntity.determinerCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.determinerCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.determinerCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "INSTANCE" ];
       fhir:ElementDefinition.fixedCode [ fhir:value "INSTANCE" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-EntityDeterminer>         ]       ]     ], [
       fhir:index 143;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingEntity.templateId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.templateId" ];
       fhir:ElementDefinition.definition [ fhir:value "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" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.templateId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 144;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingEntity.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.code" ];
       fhir:ElementDefinition.requirements [ fhir:value "This playingEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Agent Qualifier urn:oid:2.16.840.1.113883.11.20.9.51 DYNAMIC (CONF:1198-28444)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.code" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CE" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.51";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.51>         ]       ]     ], [
       fhir:index 145;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingEntity.quantity" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.quantity" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.quantity" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/PQ" ]       ]     ], [
       fhir:index 146;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingEntity.name" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.name" ];
       fhir:ElementDefinition.short [ fhir:value "Record the name of the agent who can provide a copy of the Advance Directive in the name element." ];
       fhir:ElementDefinition.requirements [ fhir:value "This playingEntity SHALL contain exactly one [1..1] name (CONF:1198-8673)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.name" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/EN" ]       ]     ], [
       fhir:index 147;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingEntity.desc" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.desc" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "PlayingEntity.desc" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ED" ]       ]     ], [
       fhir:index 148;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.scopingEntity" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.scopingEntity" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ParticipantRole.scopingEntity" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Entity" ]       ]     ], [
       fhir:index 149;
       fhir:Element.id [ fhir:value "Observation.entryRelationship" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Element" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "obs-er-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Observation";
           fhir:link <http://hl7.org/fhir/cda/StructureDefinition/Observation>         ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ]     ], [
       fhir:index 150;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.valueUrl [ fhir:value "string" ]         ];
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 151;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 152;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.typeCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.typeCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.typeCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ]     ], [
       fhir:index 153;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.inversionInd" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.inversionInd" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.inversionInd" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ]     ], [
       fhir:index 154;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.contextConductionInd" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.contextConductionInd" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.contextConductionInd" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ];
       fhir:ElementDefinition.defaultValueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 155;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.sequenceNumber" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.sequenceNumber" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.sequenceNumber" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/INT" ]       ]     ], [
       fhir:index 156;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.negationInd" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.negationInd" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.negationInd" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ]     ], [
       fhir:index 157;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.seperatableInd" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.seperatableInd" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.seperatableInd" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/BL" ]       ]     ], [
       fhir:index 158;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.observation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.observation" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.observation" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Observation" ]       ]     ], [
       fhir:index 159;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.regionOfInterest" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.regionOfInterest" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.regionOfInterest" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest" ]       ]     ], [
       fhir:index 160;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.observationMedia" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.observationMedia" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.observationMedia" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia" ]       ]     ], [
       fhir:index 161;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.substanceAdministration" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.substanceAdministration" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.substanceAdministration" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration" ]       ]     ], [
       fhir:index 162;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.supply" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.supply" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.supply" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Supply" ]       ]     ], [
       fhir:index 163;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.procedure" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.procedure" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.procedure" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Procedure" ]       ]     ], [
       fhir:index 164;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.encounter" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.encounter" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.encounter" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Encounter" ]       ]     ], [
       fhir:index 165;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.organizer" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.organizer" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.organizer" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Organizer" ]       ]     ], [
       fhir:index 166;
       fhir:Element.id [ fhir:value "Observation.entryRelationship.act" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.entryRelationship.act" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.entryRelationship.act" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Act" ]       ]     ], [
       fhir:index 167;
       fhir:Element.id [ fhir:value "Observation.reference" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "externalDocument" ]         ], [
           fhir:index 1;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "typeCode" ]         ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Element" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ]     ], [
       fhir:index 168;
       fhir:Element.id [ fhir:value "Observation.reference.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.valueUrl [ fhir:value "string" ]         ];
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 169;
       fhir:Element.id [ fhir:value "Observation.reference.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 170;
       fhir:Element.id [ fhir:value "Observation.reference.typeCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.typeCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.typeCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ]     ], [
       fhir:index 171;
       fhir:Element.id [ fhir:value "Observation.reference.seperatableInd" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.seperatableInd" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.seperatableInd" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/BL" ]       ]     ], [
       fhir:index 172;
       fhir:Element.id [ fhir:value "Observation.reference.externalAct" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalAct" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.externalAct" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ExternalAct" ]       ]     ], [
       fhir:index 173;
       fhir:Element.id [ fhir:value "Observation.reference.externalObservation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalObservation" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.externalObservation" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation" ]       ]     ], [
       fhir:index 174;
       fhir:Element.id [ fhir:value "Observation.reference.externalProcedure" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalProcedure" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.externalProcedure" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure" ]       ]     ], [
       fhir:index 175;
       fhir:Element.id [ fhir:value "Observation.reference.externalDocument" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.externalDocument" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument" ]       ]     ], [
       fhir:index 176;
       fhir:Element.id [ fhir:value "Observation.reference:reference1" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference" ];
       fhir:ElementDefinition.sliceName [ fhir:value "reference1" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHOULD contain at least one [1..*] reference (CONF:1198-8692) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Element" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ]     ], [
       fhir:index 177;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.valueUrl [ fhir:value "string" ]         ];
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 178;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 179;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.typeCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.typeCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8694)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.typeCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.patternCode [ fhir:value "REFR" ]     ], [
       fhir:index 180;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.seperatableInd" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.seperatableInd" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.seperatableInd" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/BL" ]       ]     ], [
       fhir:index 181;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalAct" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalAct" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.externalAct" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ExternalAct" ]       ]     ], [
       fhir:index 182;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalObservation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalObservation" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.externalObservation" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation" ]       ]     ], [
       fhir:index 183;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalProcedure" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalProcedure" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.externalProcedure" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure" ]       ]     ], [
       fhir:index 184;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] externalDocument (CONF:1198-8693)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.reference.externalDocument" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument" ]       ]     ], [
       fhir:index 185;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.classCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.classCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ExternalDocument.classCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "DOC" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ActClassDocument";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ActClassDocument>         ]       ]     ], [
       fhir:index 186;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.moodCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.moodCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ExternalDocument.moodCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "EVN" ];
       fhir:ElementDefinition.fixedCode [ fhir:value "EVN" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ActMood";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ActMood>         ]       ]     ], [
       fhir:index 187;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.templateId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.templateId" ];
       fhir:ElementDefinition.definition [ fhir:value "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" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ExternalDocument.templateId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 188;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.id" ];
       fhir:ElementDefinition.requirements [ fhir:value "This externalDocument SHALL contain at least one [1..*] id (CONF:1198-8695)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ExternalDocument.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 189;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.code" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ExternalDocument.code" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/CD" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/doc-typecodes";
           fhir:link <http://hl7.org/fhir/ValueSet/doc-typecodes>         ]       ]     ], [
       fhir:index 190;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text" ];
       fhir:ElementDefinition.requirements [ fhir:value "This externalDocument MAY contain zero or one [0..1] text (CONF:1198-8696)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ExternalDocument.text" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ED" ]       ]     ], [
       fhir:index 191;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.nullFlavor" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.nullFlavor" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Exceptional Value Detail" ];
       fhir:ElementDefinition.definition [ fhir:value "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ANY.nullFlavor" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-NullFlavor";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-NullFlavor>         ]       ]     ], [
       fhir:index 192;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.charset" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.charset" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Charset" ];
       fhir:ElementDefinition.definition [ fhir:value "For character-based encoding types, this property specifies the character set and character encoding used. The charset shall be identified by an Internet Assigned Numbers Authority (IANA) Charset Registration [] in accordance with RFC 2978 []." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ED.charset" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ]     ], [
       fhir:index 193;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.compression" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.compression" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Compression" ];
       fhir:ElementDefinition.definition [ fhir:value "Indicates whether the raw byte data is compressed, and what compression algorithm was used." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ED.compression" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-CompressionAlgorithm";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-CompressionAlgorithm>         ]       ]     ], [
       fhir:index 194;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.integrityCheck" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.integrityCheck" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Integrity Check" ];
       fhir:ElementDefinition.definition [ fhir:value "The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ED.integrityCheck" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "base64Binary" ]       ]     ], [
       fhir:index 195;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.integrityCheckAlgorithm" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.integrityCheckAlgorithm" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Integrity Check Algorithm" ];
       fhir:ElementDefinition.definition [ fhir:value "Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ED.integrityCheckAlgorithm" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm>         ]       ]     ], [
       fhir:index 196;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.language" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.language" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Language" ];
       fhir:ElementDefinition.definition [ fhir:value "For character based information the language property specifies the human language of the text." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ED.language" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ]     ], [
       fhir:index 197;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.mediaType" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.mediaType" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.label [ fhir:value "Media Type" ];
       fhir:ElementDefinition.definition [ fhir:value "Identifies the type of the encapsulated data and identifies a method to interpret or render the data." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ED.mediaType" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ]     ], [
       fhir:index 198;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.representation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.representation" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ED.representation" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ]     ], [
       fhir:index 199;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.data[x]" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.data[x]" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlText";
         fhir:index 0       ];
       fhir:ElementDefinition.definition [ fhir:value "Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ED.data[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "base64Binary" ]       ]     ], [
       fhir:index 200;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.reference" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.reference" ];
       fhir:ElementDefinition.label [ fhir:value "Reference" ];
       fhir:ElementDefinition.definition [ fhir:value "A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data." ];
       fhir:ElementDefinition.requirements [ fhir:value "The text, if present, MAY contain zero or one [0..1] reference (CONF:1198-8697)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ED.reference" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/TEL" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "1198-8698" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698)." ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "1198-8699" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699)." ]       ]     ], [
       fhir:index 201;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.thumbnail" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.thumbnail" ];
       fhir:ElementDefinition.label [ fhir:value "Thumbnail" ];
       fhir:ElementDefinition.definition [ fhir:value "An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ED.thumbnail" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ED" ]       ]     ], [
       fhir:index 202;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.setId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.setId" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ExternalDocument.setId" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/II" ]       ]     ], [
       fhir:index 203;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.versionNumber" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.versionNumber" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ExternalDocument.versionNumber" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/INT" ]       ]     ], [
       fhir:index 204;
       fhir:Element.id [ fhir:value "Observation.precondition" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.precondition" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.precondition" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Precondition" ]       ]     ], [
       fhir:index 205;
       fhir:Element.id [ fhir:value "Observation.referenceRange" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Element" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ]     ], [
       fhir:index 206;
       fhir:Element.id [ fhir:value "Observation.referenceRange.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.valueUrl [ fhir:value "string" ]         ];
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 207;
       fhir:Element.id [ fhir:value "Observation.referenceRange.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 208;
       fhir:Element.id [ fhir:value "Observation.referenceRange.typeCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.typeCode" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.typeCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.defaultValueCode [ fhir:value "REFV" ];
       fhir:ElementDefinition.fixedCode [ fhir:value "REFV" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v3-ActRelationshipPertains";
           fhir:link <http://terminology.hl7.org/ValueSet/v3-ActRelationshipPertains>         ]       ]     ], [
       fhir:index 209;
       fhir:Element.id [ fhir:value "Observation.referenceRange.observationRange" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.observationRange" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.observationRange" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/ObservationRange" ]       ]     ]
  ]; # 
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "Observation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation" ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "Observation.classCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.classCode" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @classCode=\"OBS\" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8648)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternCode [ fhir:value "OBS" ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "Observation.moodCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.moodCode" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8649)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternCode [ fhir:value "EVN" ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "Observation.templateId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.templateId" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "root" ]         ], [
           fhir:index 1;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "extension" ]         ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ]     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "Observation.templateId:primary" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.templateId" ];
       fhir:ElementDefinition.sliceName [ fhir:value "primary" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] templateId (CONF:1198-8655) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "Observation.templateId:primary.root" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.templateId.root" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.48\" (CONF:1198-10485)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternString [ fhir:value "2.16.840.1.113883.10.20.22.4.48" ]     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "Observation.templateId:primary.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.templateId.extension" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32496)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternString [ fhir:value "2015-08-01" ]     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "Observation.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.id" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain at least one [1..*] id (CONF:1198-8654)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ]     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "Observation.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Advance Directive Type Code urn:oid:2.16.840.1.113883.1.11.20.2 DYNAMIC (CONF:1198-8651)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.2";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.2>         ]       ]     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "Observation.code.translation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "code" ]         ], [
           fhir:index 1;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "codeSystem" ]         ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ]     ], [
       fhir:index 10;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation" ];
       fhir:ElementDefinition.sliceName [ fhir:value "advanceDirective" ];
       fhir:ElementDefinition.requirements [ fhir:value "This code SHALL contain exactly one [1..1] translation (CONF:1198-32842) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 11;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.code" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @code=\"75320-2\" Advance directive (CONF:1198-32843)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternString [ fhir:value "75320-2" ]     ], [
       fhir:index 12;
       fhir:Element.id [ fhir:value "Observation.code.translation:advanceDirective.codeSystem" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.translation.codeSystem" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32844)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternString [ fhir:value "2.16.840.1.113883.6.1" ]     ], [
       fhir:index 13;
       fhir:Element.id [ fhir:value "Observation.statusCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] statusCode (CONF:1198-8652)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternString [ fhir:value "Completed" ]     ], [
       fhir:index 14;
       fhir:Element.id [ fhir:value "Observation.statusCode.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.statusCode.code" ];
       fhir:ElementDefinition.requirements [ fhir:value "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19082)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternString [ fhir:value "completed" ]     ], [
       fhir:index 15;
       fhir:Element.id [ fhir:value "Observation.effectiveTime" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8656)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 16;
       fhir:Element.id [ fhir:value "Observation.effectiveTime.low" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime.low" ];
       fhir:ElementDefinition.requirements [ fhir:value "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-28719)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 17;
       fhir:Element.id [ fhir:value "Observation.effectiveTime.high" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effectiveTime.high" ];
       fhir:ElementDefinition.requirements [ fhir:value "This effectiveTime SHALL contain exactly one [1..1] high (CONF:1198-15521)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "1198-32449" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If the Advance Directive does not have a specified ending time, the <high> element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449)." ]       ]     ], [
       fhir:index 18;
       fhir:Element.id [ fhir:value "Observation.value" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.value" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ]     ], [
       fhir:index 19;
       fhir:Element.id [ fhir:value "Observation.value:value1" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.value" ];
       fhir:ElementDefinition.sliceName [ fhir:value "value1" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] value (CONF:1198-30804)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "1198-32493" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If type CD, then value will be SNOMED-CT 2.16.840.1.113883.6.96 (CONF:1198-32493)." ]       ]     ], [
       fhir:index 20;
       fhir:Element.id [ fhir:value "Observation.author" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.author" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-32406)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/Author" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119";
           fhir:index 0;
           fhir:link <http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119>         ]       ]     ], [
       fhir:index 21;
       fhir:Element.id [ fhir:value "Observation.participant" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "participantRole" ]         ], [
           fhir:index 1;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "typeCode" ]         ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "This custodian (CST) participant identifies a legal representative for the patient's advance directive. Examples of such  individuals are called health care agents, substitute decision makers and/or health care proxies.  If there is more than one  legal representative, a qualifier may be used to designate the  legal representative as primary or secondary." ]     ], [
       fhir:index 22;
       fhir:Element.id [ fhir:value "Observation.participant:participant1" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant" ];
       fhir:ElementDefinition.sliceName [ fhir:value "participant1" ];
       fhir:ElementDefinition.short [ fhir:value "The participant \"VRF\" represents the clinician(s) who verified the patient advance directive observation." ];
       fhir:ElementDefinition.requirements [ fhir:value "SHOULD contain zero or more [0..*] participant (CONF:1198-8662) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ]     ], [
       fhir:index 23;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.typeCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.typeCode" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @typeCode=\"VRF\" Verifier (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8663)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternCode [ fhir:value "VRF" ]     ], [
       fhir:index 24;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.templateId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.templateId" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "root" ]         ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ]     ], [
       fhir:index 25;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.templateId:primary" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.templateId" ];
       fhir:ElementDefinition.sliceName [ fhir:value "primary" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] templateId (CONF:1198-8664) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 26;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.templateId:primary.root" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.templateId.root" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.1.58\" (CONF:1198-10486)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternString [ fhir:value "2.16.840.1.113883.10.20.1.58" ]     ], [
       fhir:index 27;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.time" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.time" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHOULD contain zero or one [0..1] time (CONF:1198-8665)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "1198-8666" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "The data type of Observation/participant/time in a verification **SHALL** be *TS* (time stamp) (CONF:1198-8666)." ]       ]     ], [
       fhir:index 28;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] participantRole (CONF:1198-8825)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 29;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.code" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-28446)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066>         ]       ]     ], [
       fhir:index 30;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.addr" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.addr" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole MAY contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-28451)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/AD" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2";
           fhir:index 0;
           fhir:link <http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2>         ]       ]     ], [
       fhir:index 31;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.playingEntity" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole MAY contain zero or one [0..1] playingEntity (CONF:1198-28428)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 32;
       fhir:Element.id [ fhir:value "Observation.participant:participant1.participantRole.playingEntity.name" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.name" ];
       fhir:ElementDefinition.requirements [ fhir:value "The playingEntity, if present, MAY contain zero or more [0..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-28454)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/PN" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1";
           fhir:index 0;
           fhir:link <http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1>         ]       ]     ], [
       fhir:index 33;
       fhir:Element.id [ fhir:value "Observation.participant:participant2" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant" ];
       fhir:ElementDefinition.sliceName [ fhir:value "participant2" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHOULD contain zero or more [0..*] participant (CONF:1198-8667) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ]     ], [
       fhir:index 34;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.typeCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.typeCode" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @typeCode=\"CST\" Custodian (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8668)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternCode [ fhir:value "CST" ]     ], [
       fhir:index 35;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] participantRole (CONF:1198-8669)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 36;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.classCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.classCode" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHALL contain exactly one [1..1] @classCode=\"AGNT\" Agent (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1198-8670)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternCode [ fhir:value "AGNT" ]     ], [
       fhir:index 37;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.code" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28440)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1>         ]       ]     ], [
       fhir:index 38;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.addr" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.addr" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8671)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/cda/StructureDefinition/AD" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2";
           fhir:index 0;
           fhir:link <http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2>         ]       ]     ], [
       fhir:index 39;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.telecom" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.telecom" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHOULD contain zero or more [0..*] telecom (CONF:1198-8672)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ]     ], [
       fhir:index 40;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingEntity" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity" ];
       fhir:ElementDefinition.requirements [ fhir:value "This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-8824)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 41;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingEntity.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.code" ];
       fhir:ElementDefinition.requirements [ fhir:value "This playingEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Agent Qualifier urn:oid:2.16.840.1.113883.11.20.9.51 DYNAMIC (CONF:1198-28444)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.51";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.51>         ]       ]     ], [
       fhir:index 42;
       fhir:Element.id [ fhir:value "Observation.participant:participant2.participantRole.playingEntity.name" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.participant.participantRole.playingEntity.name" ];
       fhir:ElementDefinition.short [ fhir:value "Record the name of the agent who can provide a copy of the Advance Directive in the name element." ];
       fhir:ElementDefinition.requirements [ fhir:value "This playingEntity SHALL contain exactly one [1..1] name (CONF:1198-8673)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 43;
       fhir:Element.id [ fhir:value "Observation.reference" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "externalDocument" ]         ], [
           fhir:index 1;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "typeCode" ]         ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ]     ], [
       fhir:index 44;
       fhir:Element.id [ fhir:value "Observation.reference:reference1" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference" ];
       fhir:ElementDefinition.sliceName [ fhir:value "reference1" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHOULD contain at least one [1..*] reference (CONF:1198-8692) such that it" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ]     ], [
       fhir:index 45;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.typeCode" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.typeCode" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8694)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.patternCode [ fhir:value "REFR" ]     ], [
       fhir:index 46;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument" ];
       fhir:ElementDefinition.requirements [ fhir:value "SHALL contain exactly one [1..1] externalDocument (CONF:1198-8693)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 47;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.id" ];
       fhir:ElementDefinition.requirements [ fhir:value "This externalDocument SHALL contain at least one [1..*] id (CONF:1198-8695)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ]     ], [
       fhir:index 48;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text" ];
       fhir:ElementDefinition.requirements [ fhir:value "This externalDocument MAY contain zero or one [0..1] text (CONF:1198-8696)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
       fhir:index 49;
       fhir:Element.id [ fhir:value "Observation.reference:reference1.externalDocument.text.reference" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.reference.externalDocument.text.reference" ];
       fhir:ElementDefinition.requirements [ fhir:value "The text, if present, MAY contain zero or one [0..1] reference (CONF:1198-8697)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "1198-8698" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698)." ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "1198-8699" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699)." ]       ]     ]
  ]. # 

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.