Consolidated CDA (C-CDA)
3.0.0 - STU3 United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

Logical Model: USRealmHeaderforPatientGeneratedDocument - XML Profile

Active as of 2024-05-18

XML representation of the USRealmHeaderforPatientGeneratedDocument logical model.

Raw xml | Download



<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="USRealmHeaderforPatientGeneratedDocument"/>
  <text>
    <status value="extensions"/>
    <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="data:image/png;base64,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" 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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument">ClinicalDocument</a><a name="ClinicalDocument"> </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="StructureDefinition-USRealmHeader.html">USRealmHeader</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">XML Namespace: </span>urn:hl7-org:v3<br/>Elements defined in Ancestors:<a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ANY.html" title="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.">@nullFlavor</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">@classCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">@moodCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html" title="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question">realmCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html" title="ClinicalDocument.typeId is a technology-neutral explicit reference to this CDA, Release Two specification, and must be valued as follows: ClinicalDocument.typeId.root = &quot;2.16.840.1.113883.1.3&quot; (which is the OID for HL7 Registered models); ClinicalDocument.typeId.extension = &quot;POCD_HD000040&quot; (which is the unique identifier for the CDA, Release Two Hierarchical Description).">typeId</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html" title="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">templateId</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">id</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">code</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">title</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html" title="The statusCode extension attribute allows the implementer to identify a ClinicalDocument that is in other than the completed state. It was created to support the Structured Form Definition IG to identify that the document itself is an unfinished product currently being completed for a patient.">sdtcStatusCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">effectiveTime</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">confidentialityCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">languageCode</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">setId</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">versionNumber</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">copyTime</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">recordTarget</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">author</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">dataEnterer</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">informant</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">custodian</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">informationRecipient</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">legalAuthenticator</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">authenticator</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">participant</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">inFulfillmentOf</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">documentationOf</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">relatedDocument</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">authorization</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">componentOf</a>, <a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">component</a>, <a href="StructureDefinition-USRealmHeader.html">realmCode</a>, <a href="StructureDefinition-USRealmHeader.html">typeId</a>, <a href="StructureDefinition-USRealmHeader.html">templateId</a>, <a href="StructureDefinition-USRealmHeader.html">templateId</a>, <a href="StructureDefinition-USRealmHeader.html">id</a>, <a href="StructureDefinition-USRealmHeader.html">code</a>, <a href="StructureDefinition-USRealmHeader.html">title</a>, <a href="StructureDefinition-USRealmHeader.html">effectiveTime</a>, <a href="StructureDefinition-USRealmHeader.html">languageCode</a>, <a href="StructureDefinition-USRealmHeader.html">setId</a>, <a href="StructureDefinition-USRealmHeader.html">versionNumber</a>, <a href="StructureDefinition-USRealmHeader.html">recordTarget</a>, <a href="StructureDefinition-USRealmHeader.html">author</a>, <a href="StructureDefinition-USRealmHeader.html">dataEnterer</a>, <a href="StructureDefinition-USRealmHeader.html">informant</a>, <a href="StructureDefinition-USRealmHeader.html">informant</a>, <a href="StructureDefinition-USRealmHeader.html">informant</a>, <a href="StructureDefinition-USRealmHeader.html">custodian</a>, <a href="StructureDefinition-USRealmHeader.html">informationRecipient</a>, <a href="StructureDefinition-USRealmHeader.html">legalAuthenticator</a>, <a href="StructureDefinition-USRealmHeader.html">authenticator</a>, <a href="StructureDefinition-USRealmHeader.html">participant</a>, <a href="StructureDefinition-USRealmHeader.html">inFulfillmentOf</a>, <a href="StructureDefinition-USRealmHeader.html">documentationOf</a>, <a href="StructureDefinition-USRealmHeader.html">authorization</a>, <a href="StructureDefinition-USRealmHeader.html">componentOf</a><br/><span style="opacity: 0.5">Base for all types and resources</span><br/><span style="font-weight:bold">Instance of this type are validated by templateId</span><br/><span style="font-weight:bold" title="The root class that contains instances of this class">Logical Container: </span><a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html">ClinicalDocument (CDA Class)</a></td></tr>
<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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.templateId">templateId</a><a name="ClinicalDocument.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">2..<span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/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>
<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"/> Slices for templateId<a name="ClinicalDocument.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"/><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">Content/Rules for all slices</td></tr>
<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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.templateId:us-patient-gen-doc" title="Slice us-patient-gen-doc">templateId:us-patient-gen-doc</a><a name="ClinicalDocument.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/2.0.0-sd/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>
<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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.templateId:us-patient-gen-doc.root">@root</a><a name="ClinicalDocument.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..<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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-oid.html" title="string">oid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-uuid.html" title="string">uuid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ruid.html" title="string">ruid</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">2.16.840.1.113883.10.20.29.1</span></td></tr>
<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_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: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.templateId:us-patient-gen-doc.extension">@extension</a><a name="ClinicalDocument.templateId.extension"> </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..<span style="opacity: 0.5">1</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-st-simple.html" title="string">st</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">2024-05-01</span></td></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_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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget">recordTarget</a><a name="ClinicalDocument.recordTarget"> </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>..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/2.0.0-sd/StructureDefinition-RecordTarget.html">RecordTarget</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 recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. 

If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA.

HL7 Vocabulary simply describes guardian as a relationship to a ward.  This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role.  In this case, the guardian/code element would encode the personal relationship of &quot;mother&quot; for the child's mom or &quot;father&quot; for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of &quot;daughter&quot; or &quot;son&quot;, or if a legal relationship existed, the relationship of &quot;legal guardian&quot; could be encoded.</td></tr>
<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_bck101.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole">patientRole</a><a name="ClinicalDocument.recordTarget.patientRole"> </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="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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-PatientRole.html">PatientRole</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>
<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_bck1010.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.id">id</a><a name="ClinicalDocument.recordTarget.patientRole.id"> </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">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/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>
<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_bck1011.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient">patient</a><a name="ClinicalDocument.recordTarget.patientRole.patient"> </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/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-languageCommunication)">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"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Patient.html">Patient</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">should-languageCommunication: </span>SHOULD contain languageCommunication</td></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_bck10111.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_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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.guardian">guardian</a><a name="ClinicalDocument.recordTarget.patientRole.patient.guardian"> </a></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="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-id, should-code)">C</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">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Guardian.html">Guardian</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">should-id: </span>SHOULD contain id<br/><span style="font-weight:bold">should-code: </span>SHOULD contain code</td></tr>
<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_bck101110.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_vline.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: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.guardian.id">id</a><a name="ClinicalDocument.recordTarget.patientRole.patient.guardian.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"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/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>
<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_bck101100.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_vline.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.guardian.code">code</a><a name="ClinicalDocument.recordTarget.patientRole.patient.guardian.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"><span style="opacity: 0.5">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</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>
<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_bck10101.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_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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.languageCommunication">languageCommunication</a><a name="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication"> </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="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-LanguageCommunication.html">LanguageCommunication</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="opacity: 0.5">(USCDI) Preferred Language</span></td></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_bck101010.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_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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode">languageCode</a><a name="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode"> </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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CS.html">CS</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="http://hl7.org/fhir/R5/valueset-all-languages.html" title="http://hl7.org/fhir/ValueSet/all-languages">AllLanguages</a> (<a href="http://hl7.org/fhir/R5/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr>
<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_bck101000.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_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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd">preferenceInd</a><a name="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd"> </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="opacity: 0.5">0</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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-BL.html">BL</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language.

If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.</td></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_bck1000.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.providerOrganization">providerOrganization</a><a name="ClinicalDocument.recordTarget.patientRole.providerOrganization"> </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">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Organization.html">Organization</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If present, this organization represents the provider organization where the person is claiming to be a patient.</td></tr>
<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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.author">author</a><a name="ClinicalDocument.author"> </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="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Author.html">Author</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The author element represents the creator of the clinical document.  The author may be a device, or a person. The person is the patient or the patient's advocate.</td></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_bck101.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.author.assignedAuthor">assignedAuthor</a><a name="ClinicalDocument.author.assignedAuthor"> </a></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="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-code)">C</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">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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-AssignedAuthor.html">AssignedAuthor</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">should-code: </span>SHOULD contain code</td></tr>
<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_bck1010.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.author.assignedAuthor.id">id</a><a name="ClinicalDocument.author.assignedAuthor.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"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/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>
<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_bck1001.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.author.assignedAuthor.code">code</a><a name="ClinicalDocument.author.assignedAuthor.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"><span style="opacity: 0.5">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient.</td></tr>
<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_bck10000.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: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.author.assignedAuthor.code.code">@code</a><a name="ClinicalDocument.author.assignedAuthor.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"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; 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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">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">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1">Personal And Legal Relationship Role Type <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/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>
<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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.dataEnterer">dataEnterer</a><a name="ClinicalDocument.dataEnterer"> </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">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-DataEnterer.html">DataEnterer</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 dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.</td></tr>
<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_bck101.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.dataEnterer.assignedEntity">assignedEntity</a><a name="ClinicalDocument.dataEnterer.assignedEntity"> </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="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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-AssignedEntity.html">AssignedEntity</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>
<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_bck1000.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.dataEnterer.assignedEntity.code">code</a><a name="ClinicalDocument.dataEnterer.assignedEntity.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"><span style="opacity: 0.5">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</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/2.16.840.1.113883.11.20.12.1/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1">Personal And Legal Relationship Role Type <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/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>
<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"/> Slices for informant<a name="ClinicalDocument.informant"> </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"/><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">Content/Rules for all slices</td></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_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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informant:non-provider" title="Slice non-provider">informant:non-provider</a><a name="ClinicalDocument.informant"> </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">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Informant.html">Informant</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">The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.</span></td></tr>
<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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informant:non-provider.relatedEntity">relatedEntity</a><a name="ClinicalDocument.informant.relatedEntity"> </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="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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-RelatedEntity.html">RelatedEntity</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>
<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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informant:non-provider.relatedEntity.code">code</a><a name="ClinicalDocument.informant.relatedEntity.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"><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/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-us-code-attr)">C</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">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</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">should-us-code-attr: </span>SHOULD contain @code</td></tr>
<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_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: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informant:non-provider.relatedEntity.code.code">@code</a><a name="ClinicalDocument.informant.relatedEntity.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"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">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">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1">Personal And Legal Relationship Role Type <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/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>
<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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.custodian">custodian</a><a name="ClinicalDocument.custodian"> </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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Custodian.html">Custodian</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 custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.</td></tr>
<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_bck101.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.custodian.assignedCustodian">assignedCustodian</a><a name="ClinicalDocument.custodian.assignedCustodian"> </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="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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-AssignedCustodian.html">AssignedCustodian</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>
<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_bck1001.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization">representedCustodianOrganization</a><a name="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization"> </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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CustodianOrganization.html">CustodianOrganization</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 representedCustodianOrganization may be the person when the document is not maintained by an organization.</td></tr>
<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_bck10000.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: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id">id</a><a name="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/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">The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.</td></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_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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informationRecipient">informationRecipient</a><a name="ClinicalDocument.informationRecipient"> </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">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-InformationRecipient.html">InformationRecipient</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 informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.</td></tr>
<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_bck101.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informationRecipient.intendedRecipient">intendedRecipient</a><a name="ClinicalDocument.informationRecipient.intendedRecipient"> </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/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-id)">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"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-IntendedRecipient.html">IntendedRecipient</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">should-id: </span>SHOULD contain id</td></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_bck1001.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informationRecipient.intendedRecipient.id">id</a><a name="ClinicalDocument.informationRecipient.intendedRecipient.id"> </a></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="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-root)">C</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">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/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">The combined @root and @extension  attributes to record the information recipient's identity in a secure, trusted, and unique way.<br/><span style="font-weight:bold">should-root: </span>SHOULD contain @root</td></tr>
<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_bck10000.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: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informationRecipient.intendedRecipient.id.root">@root</a><a name="ClinicalDocument.informationRecipient.intendedRecipient.id.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"><span style="opacity: 0.5">0</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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-oid.html" title="string">oid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-uuid.html" title="string">uuid</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ruid.html" title="string">ruid</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">For a provider, the id/@root =&quot;2.16.840.1.113883.4.6&quot; indicates the National Provider Identifier where id/@extension is the NPI number for the provider.

The ids MAY reference the id of a person or organization entity specified elsewhere in the document.</td></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_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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.legalAuthenticator">legalAuthenticator</a><a name="ClinicalDocument.legalAuthenticator"> </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">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-LegalAuthenticator.html">LegalAuthenticator</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) 

Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored document that does not contain this element has not been legally authenticated.

The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. All patient documents have the potential for legal authentication, given the appropriate legal authority.

Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system.

Note that the legal authenticator, if present, must be a person.</td></tr>
<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_bck101.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.legalAuthenticator.assignedEntity">assignedEntity</a><a name="ClinicalDocument.legalAuthenticator.assignedEntity"> </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="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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-AssignedEntity.html">AssignedEntity</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>
<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_bck1010.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.legalAuthenticator.assignedEntity.id">id</a><a name="ClinicalDocument.legalAuthenticator.assignedEntity.id"> </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">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/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">The combined @root and @extension  attributes to record the information recipient's identity in a secure, trusted, and unique way.</td></tr>
<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_bck1001.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.legalAuthenticator.assignedEntity.code">code</a><a name="ClinicalDocument.legalAuthenticator.assignedEntity.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"><span style="opacity: 0.5">0</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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/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"/></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_bck10000.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.legalAuthenticator.assignedEntity.code.code">@code</a><a name="ClinicalDocument.legalAuthenticator.assignedEntity.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"/><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">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">cs</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/2.16.840.1.113883.11.20.12.1/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1">Personal And Legal Relationship Role Type <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/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>
<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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.authenticator">authenticator</a><a name="ClinicalDocument.authenticator"> </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="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Authenticator.html">Authenticator</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="opacity: 0.5">The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.</span></td></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_bck101.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.authenticator.assignedEntity">assignedEntity</a><a name="ClinicalDocument.authenticator.assignedEntity"> </a></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="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-code)">C</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">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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-AssignedEntity.html">AssignedEntity</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">should-code: </span>SHOULD contain code</td></tr>
<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_bck1010.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.authenticator.assignedEntity.id">id</a><a name="ClinicalDocument.authenticator.assignedEntity.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"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/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">The combined @root and @extension  attributes to record the authenticator's identity in a secure, trusted, and unique way.</td></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_bck1000.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.authenticator.assignedEntity.code">code</a><a name="ClinicalDocument.authenticator.assignedEntity.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"><span style="opacity: 0.5">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</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/2.16.840.1.113883.11.20.12.1/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1">Personal And Legal Relationship Role Type <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/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>
<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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.participant">participant</a><a name="ClinicalDocument.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="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Participant1.html">Participant1</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. 

A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin)</td></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_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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.participant.typeCode">@typeCode</a><a name="ClinicalDocument.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"><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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">cs</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30</td></tr>
<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_bck101.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.participant.associatedEntity">associatedEntity</a><a name="ClinicalDocument.participant.associatedEntity"> </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/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-code)">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"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-AssociatedEntity.html">AssociatedEntity</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">should-code: </span>SHOULD contain code</td></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_bck1000.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.participant.associatedEntity.code">code</a><a name="ClinicalDocument.participant.associatedEntity.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"><span style="opacity: 0.5">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</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/2.16.840.1.113883.11.20.12.1/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1">Personal And Legal Relationship Role Type <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/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>
<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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.inFulfillmentOf">inFulfillmentOf</a><a name="ClinicalDocument.inFulfillmentOf"> </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="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-InFulfillmentOf.html">InFulfillmentOf</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="opacity: 0.5">The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.</span></td></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_bck101.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.inFulfillmentOf.order">order</a><a name="ClinicalDocument.inFulfillmentOf.order"> </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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Order.html">Order</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>
<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_bck1000.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.inFulfillmentOf.order.id">id</a><a name="ClinicalDocument.inFulfillmentOf.order.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"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/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">A scheduled appointment or service event in a practice management system may be represented using this id element.</td></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_bck01.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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf">documentationOf</a><a name="ClinicalDocument.documentationOf"> </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">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-DocumentationOf.html">DocumentationOf</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>
<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_bck001.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent">serviceEvent</a><a name="ClinicalDocument.documentationOf.serviceEvent"> </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/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints (should-code, should-performer)">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"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ServiceEvent.html">ServiceEvent</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="opacity: 0.5">A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template.</span><br/><span style="font-weight:bold">should-code: </span>SHOULD contain code<br/><span style="font-weight:bold">should-performer: </span>SHOULD contain performer</td></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_bck0010.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.code">code</a><a name="ClinicalDocument.documentationOf.serviceEvent.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"><span style="opacity: 0.5">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</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 code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.</td></tr>
<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_bck0001.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer">performer</a><a name="ClinicalDocument.documentationOf.serviceEvent.performer"> </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="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Performer1.html">Performer1</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="opacity: 0.5">The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.</span></td></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_bck00011.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: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer.functionCode">functionCode</a><a name="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode"> </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">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">When indicating the performer was the primary care physician, implementers should indicate &quot;PCP&quot; as the functionCode</td></tr>
<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_bck000100.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_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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code">@code</a><a name="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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"><span style="opacity: 0.5">0</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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-cs-simple.html" title="code">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">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.10267/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10267">ParticipationFunction <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></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_bck00001.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity">assignedEntity</a><a name="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity"> </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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-AssignedEntity.html">AssignedEntity</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>
<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_bck000010.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.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-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id">id</a><a name="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.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"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</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" href="http://hl7.org/cda/stds/core/2.0.0-sd/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">The combined @root and @extension  attributes record the performer's identity in a secure, trusted, and unique way.</td></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_bck000000.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: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code">code</a><a name="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.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"><span style="opacity: 0.5">0</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 style="opacity: 0.5" href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-CE.html">CE</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set<br/><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" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1">Personal And Legal Relationship Role Type <img src="external.png" alt="."/></a> (<a href="http://hl7.org/fhir/R5/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>
<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="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-target">
    <valueBoolean>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
        <valueCode value="not-applicable"/>
      </extension>
    </valueBoolean>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
    <valueUri value="urn:hl7-org:v3"/>
  </extension>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
    <valueString value="ClinicalDocument"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/type-profile-style">
    <valueUri value="cda"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-container">
    <valueUri
              value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
  </extension>
  <url
       value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:hl7ii:2.16.840.1.113883.10.20.29.1:2024-05-01"/>
  </identifier>
  <version value="3.0.0"/>
  <name value="USRealmHeaderforPatientGeneratedDocument"/>
  <title value="US Realm Header for Patient Generated Document"/>
  <status value="active"/>
  <date value="2024-05-18T00:42:57-05:00"/>
  <publisher value="Health Level Seven"/>
  <contact>
    <name value="HL7 International - Structured Documents"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structure"/>
    </telecom>
  </contact>
  <description
               value="This template focuses on the patient or related person in the roles of author and other participants and is designed to be used in conjunction with the US Realm Header. It includes additional conformances which further constrain the US Realm Header. 
The Patient Generated Document Header template is not a separate document type. The document body may contain any structured or unstructured content from C-CDA."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="5.0.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
  <baseDefinition
                  value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="ClinicalDocument">
      <path value="ClinicalDocument"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="4537-6380"/>
        <severity value="error"/>
        <human
               value="If setId is present versionNumber **SHALL** be present (CONF:4537-6380)."/>
        <expression value="setId.exists() implies versionNumber.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="4537-6387"/>
        <severity value="error"/>
        <human
               value="If versionNumber is present setId **SHALL** be present (CONF:4537-6387)."/>
        <expression value="versionNumber.exists() implies setId.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-legalAuthenticator"/>
        <severity value="warning"/>
        <human value="SHOULD contain legalAuthenticator"/>
        <expression value="legalAuthenticator.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-relatedParticipant"/>
        <severity value="warning"/>
        <human value="Documents SHOULD contain a RelatedPerson participant"/>
        <expression
                    value="participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.nullFlavor">
      <path value="ClinicalDocument.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.classCode">
      <path value="ClinicalDocument.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DOCCLIN"/>
      <binding>
        <strength value="example"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.moodCode">
      <path value="ClinicalDocument.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.moodCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActMood"/>
      </binding>
    </element>
    <element id="ClinicalDocument.realmCode">
      <path value="ClinicalDocument.realmCode"/>
      <definition
                  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"/>
      <comment
               value="SHALL contain exactly one [1..1] realmCode=&quot;US&quot; (CONF:4537-16791)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.realmCode.nullFlavor">
      <path value="ClinicalDocument.realmCode.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.realmCode.code">
      <path value="ClinicalDocument.realmCode.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <patternCode value="US"/>
    </element>
    <element id="ClinicalDocument.realmCode.codeSystem">
      <path value="ClinicalDocument.realmCode.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element id="ClinicalDocument.realmCode.codeSystemName">
      <path value="ClinicalDocument.realmCode.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.realmCode.codeSystemVersion">
      <path value="ClinicalDocument.realmCode.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.realmCode.displayName">
      <path value="ClinicalDocument.realmCode.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.realmCode.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path value="ClinicalDocument.realmCode.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element id="ClinicalDocument.realmCode.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path value="ClinicalDocument.realmCode.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.realmCode.originalText">
      <path value="ClinicalDocument.realmCode.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="ClinicalDocument.realmCode.qualifier">
      <path value="ClinicalDocument.realmCode.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="ClinicalDocument.realmCode.translation">
      <path value="ClinicalDocument.realmCode.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId">
      <path value="ClinicalDocument.typeId"/>
      <definition
                  value="ClinicalDocument.typeId is a technology-neutral explicit reference to this CDA, Release Two specification, and must be valued as follows: ClinicalDocument.typeId.root = &quot;2.16.840.1.113883.1.3&quot; (which is the OID for HL7 Registered models); ClinicalDocument.typeId.extension = &quot;POCD_HD000040&quot; (which is the unique identifier for the CDA, Release Two Hierarchical Description)."/>
      <comment
               value="SHALL contain exactly one [1..1] typeId (CONF:4537-5361)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId.nullFlavor">
      <path value="ClinicalDocument.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.typeId.assigningAuthorityName">
      <path value="ClinicalDocument.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId.displayable">
      <path value="ClinicalDocument.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId.root">
      <path value="ClinicalDocument.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <comment
               value="This typeId SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.1.3&quot; (CONF:4537-5250)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.typeId.extension">
      <path value="ClinicalDocument.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <comment
               value="This typeId SHALL contain exactly one [1..1] @extension=&quot;POCD_HD000040&quot; (CONF:4537-5251)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
      <fixedString value="POCD_HD000040"/>
    </element>
    <element id="ClinicalDocument.templateId">
      <path value="ClinicalDocument.templateId"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="root"/>
        </discriminator>
        <discriminator>
          <type value="value"/>
          <path value="extension"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <definition
                  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"/>
      <min value="2"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:us-realm">
      <path value="ClinicalDocument.templateId"/>
      <sliceName value="us-realm"/>
      <definition
                  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"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:us-realm.nullFlavor">
      <path value="ClinicalDocument.templateId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.templateId:us-realm.assigningAuthorityName">
      <path value="ClinicalDocument.templateId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:us-realm.displayable">
      <path value="ClinicalDocument.templateId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:us-realm.root">
      <path value="ClinicalDocument.templateId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition
                  value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <patternString value="2.16.840.1.113883.10.20.22.1.1"/>
    </element>
    <element id="ClinicalDocument.templateId:us-realm.extension">
      <path value="ClinicalDocument.templateId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
      <patternString value="2024-05-01"/>
    </element>
    <element id="ClinicalDocument.templateId:us-patient-gen-doc">
      <path value="ClinicalDocument.templateId"/>
      <sliceName value="us-patient-gen-doc"/>
      <definition
                  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"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:us-patient-gen-doc.nullFlavor">
      <path value="ClinicalDocument.templateId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.templateId:us-patient-gen-doc.assigningAuthorityName">
      <path value="ClinicalDocument.templateId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:us-patient-gen-doc.displayable">
      <path value="ClinicalDocument.templateId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:us-patient-gen-doc.root">
      <path value="ClinicalDocument.templateId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition
                  value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <patternString value="2.16.840.1.113883.10.20.29.1"/>
    </element>
    <element id="ClinicalDocument.templateId:us-patient-gen-doc.extension">
      <path value="ClinicalDocument.templateId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
      <patternString value="2024-05-01"/>
    </element>
    <element id="ClinicalDocument.id">
      <path value="ClinicalDocument.id"/>
      <short
             value="**SHALL** be a globally unique identifier for the document (CONF:4537-9991)."/>
      <comment value="SHALL contain exactly one [1..1] id (CONF:4537-5363)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.code">
      <path value="ClinicalDocument.code"/>
      <short
             value="**SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992)."/>
      <comment
               value="SHALL contain exactly one [1..1] code (CONF:4537-5253)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/doc-typecodes"/>
      </binding>
    </element>
    <element id="ClinicalDocument.code.nullFlavor">
      <path value="ClinicalDocument.code.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.code.code">
      <path value="ClinicalDocument.code.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.code.codeSystem">
      <path value="ClinicalDocument.code.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <patternString value="2.16.840.1.113883.6.1"/>
    </element>
    <element id="ClinicalDocument.code.codeSystemName">
      <path value="ClinicalDocument.code.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.code.codeSystemVersion">
      <path value="ClinicalDocument.code.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.code.displayName">
      <path value="ClinicalDocument.code.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.code.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path value="ClinicalDocument.code.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element id="ClinicalDocument.code.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path value="ClinicalDocument.code.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.code.originalText">
      <path value="ClinicalDocument.code.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="ClinicalDocument.code.qualifier">
      <path value="ClinicalDocument.code.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="ClinicalDocument.code.translation">
      <path value="ClinicalDocument.code.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.title">
      <path value="ClinicalDocument.title"/>
      <short
             value="The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code"/>
      <comment
               value="SHALL contain exactly one [1..1] title (CONF:4537-5254)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </type>
    </element>
    <element id="ClinicalDocument.sdtcStatusCode">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="statusCode"/>
      </extension>
      <path value="ClinicalDocument.sdtcStatusCode"/>
      <definition
                  value="The statusCode extension attribute allows the implementer to identify a ClinicalDocument that is in other than the completed state. It was created to support the Structured Form Definition IG to identify that the document itself is an unfinished product currently being completed for a patient."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.sdtcStatusCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element id="ClinicalDocument.effectiveTime">
      <path value="ClinicalDocument.effectiveTime"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <comment
               value="SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5256)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.effectiveTime"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </type>
      <constraint>
        <key value="ts-shall-day"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to at least the day"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </constraint>
      <constraint>
        <key value="ts-should-minute"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to at least the minute"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt; 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.confidentialityCode">
      <path value="ClinicalDocument.confidentialityCode"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.confidentialityCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode.nullFlavor">
      <path value="ClinicalDocument.confidentialityCode.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.confidentialityCode.code">
      <path value="ClinicalDocument.confidentialityCode.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926"/>
      </binding>
    </element>
    <element id="ClinicalDocument.confidentialityCode.codeSystem">
      <path value="ClinicalDocument.confidentialityCode.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode.codeSystemName">
      <path value="ClinicalDocument.confidentialityCode.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode.codeSystemVersion">
      <path value="ClinicalDocument.confidentialityCode.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode.displayName">
      <path value="ClinicalDocument.confidentialityCode.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path value="ClinicalDocument.confidentialityCode.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path value="ClinicalDocument.confidentialityCode.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode.originalText">
      <path value="ClinicalDocument.confidentialityCode.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode.qualifier">
      <path value="ClinicalDocument.confidentialityCode.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode.translation">
      <path value="ClinicalDocument.confidentialityCode.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.languageCode">
      <path value="ClinicalDocument.languageCode"/>
      <comment
               value="SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet AllLanguages https://www.hl7.org/fhir/valueset-all-languages.html (OID 2.16.840.1.113883.4.642.3.21) DYNAMIC."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.languageCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/all-languages"/>
      </binding>
    </element>
    <element id="ClinicalDocument.setId">
      <path value="ClinicalDocument.setId"/>
      <comment
               value="MAY contain zero or one [0..1] setId (CONF:4537-5261)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.setId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.versionNumber">
      <path value="ClinicalDocument.versionNumber"/>
      <comment
               value="MAY contain zero or one [0..1] versionNumber (CONF:4537-5264)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.versionNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="ClinicalDocument.copyTime">
      <path value="ClinicalDocument.copyTime"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.copyTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget">
      <path value="ClinicalDocument.recordTarget"/>
      <short
             value="The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. 

If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA.

HL7 Vocabulary simply describes guardian as a relationship to a ward.  This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role.  In this case, the guardian/code element would encode the personal relationship of &quot;mother&quot; for the child's mom or &quot;father&quot; for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of &quot;daughter&quot; or &quot;son&quot;, or if a legal relationship existed, the relationship of &quot;legal guardian&quot; could be encoded."/>
      <comment
               value="SHALL contain exactly one [1..1] recordTarget (CONF:1198-28460)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.recordTarget"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RecordTarget"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.nullFlavor">
      <path value="ClinicalDocument.recordTarget.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.recordTarget.realmCode">
      <path value="ClinicalDocument.recordTarget.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.typeId">
      <path value="ClinicalDocument.recordTarget.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.typeId.nullFlavor">
      <path value="ClinicalDocument.recordTarget.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.recordTarget.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.typeId.displayable">
      <path value="ClinicalDocument.recordTarget.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.typeId.root">
      <path value="ClinicalDocument.recordTarget.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.recordTarget.typeId.extension">
      <path value="ClinicalDocument.recordTarget.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.templateId">
      <path value="ClinicalDocument.recordTarget.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.typeCode">
      <path value="ClinicalDocument.recordTarget.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RecordTarget.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="RCT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.recordTarget.contextControlCode">
      <path value="ClinicalDocument.recordTarget.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RecordTarget.contextControlCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"/>
      </binding>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole">
      <path value="ClinicalDocument.recordTarget.patientRole"/>
      <comment
               value="This recordTarget SHALL contain exactly one [1..1] patientRole (CONF:1198-28461)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="RecordTarget.patientRole"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PatientRole"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.nullFlavor">
      <path value="ClinicalDocument.recordTarget.patientRole.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.realmCode">
      <path value="ClinicalDocument.recordTarget.patientRole.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.typeId">
      <path value="ClinicalDocument.recordTarget.patientRole.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.typeId.displayable">
      <path
            value="ClinicalDocument.recordTarget.patientRole.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.typeId.root">
      <path value="ClinicalDocument.recordTarget.patientRole.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.typeId.extension">
      <path
            value="ClinicalDocument.recordTarget.patientRole.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.templateId">
      <path value="ClinicalDocument.recordTarget.patientRole.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.classCode">
      <path value="ClinicalDocument.recordTarget.patientRole.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="PatientRole.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PAT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal"/>
      </binding>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.id">
      <path value="ClinicalDocument.recordTarget.patientRole.id"/>
      <comment
               value="This patientRole SHALL contain at least one [1..*] id (CONF:1198-28462)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PatientRole.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="identifiedBy"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.sdtcIdentifiedBy"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PatientRole.sdtcIdentifiedBy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.addr">
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
        <valueBoolean value="true"/>
      </extension>
      <path value="ClinicalDocument.recordTarget.patientRole.addr"/>
      <short value="(USCDI) Address"/>
      <definition
                  value="Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc."/>
      <comment
               value="This patientRole SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5271)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PatientRole.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </type>
      <constraint>
        <key value="shall-city"/>
        <severity value="error"/>
        <human value="SHALL contain exactly one [1..1] city (CONF:81-7292)."/>
        <expression value="nullFlavor.exists() or item.city.count() = 1"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-streetAddressLine"/>
        <severity value="error"/>
        <human
               value="SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291)."/>
        <expression
                    value="nullFlavor.exists() or (item.streetAddressLine.count() &gt;= 1 and item.streetAddressLine.count() &lt;= 4)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-country"/>
        <severity value="warning"/>
        <human value="SHOULD contain country"/>
        <expression value="nullFlavor.exists() or item.country.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)"/>
        <expression value="item.xmlText.empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10024"/>
        <severity value="error"/>
        <human
               value="If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10025"/>
        <severity value="error"/>
        <human
               value="If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-max-ad-parts"/>
        <severity value="error"/>
        <human
               value="SHALL have at most one of each: state, city, postalCode, and country"/>
        <expression
                    value="(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.telecom">
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
        <valueBoolean value="true"/>
      </extension>
      <path value="ClinicalDocument.recordTarget.patientRole.telecom"/>
      <short value="(USCDI) Phone Number / Email"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PatientRole.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.telecom.value">
      <path value="ClinicalDocument.recordTarget.patientRole.telecom.value"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="url"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/url"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueCanonical
                        value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.telecom.useablePeriod"/>
      <representation value="typeAttr"/>
      <label value="Useable Period"/>
      <definition
                  value="Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.useablePeriod"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.telecom.use">
      <path value="ClinicalDocument.recordTarget.patientRole.telecom.use"/>
      <representation value="xmlAttr"/>
      <label value="Use Code"/>
      <definition
                  value="One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need."/>
      <comment
               value="Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-5375)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20"/>
      </binding>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient">
      <path value="ClinicalDocument.recordTarget.patientRole.patient"/>
      <comment
               value="This patientRole SHALL contain exactly one [1..1] patient (CONF:1198-28465)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="PatientRole.patient"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Patient"/>
      </type>
      <constraint>
        <key value="4537-32993"/>
        <severity value="error"/>
        <human
               value="If sdtc:deceasedInd=&quot;true&quot;, then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993)."/>
        <expression
                    value="sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="4537-21000"/>
        <severity value="error"/>
        <human
               value="If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true"/>
        <expression
                    value="sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-maritalStatusCode"/>
        <severity value="warning"/>
        <human value="SHOULD contain maritalStatusCode"/>
        <expression value="maritalStatusCode.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-us-languageCommunication"/>
        <severity value="warning"/>
        <human value="SHOULD contain languageCommunication"/>
        <expression value="languageCommunication.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-languageCommunication"/>
        <severity value="warning"/>
        <human value="SHOULD contain languageCommunication"/>
        <expression value="languageCommunication.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.realmCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.typeId">
      <path value="ClinicalDocument.recordTarget.patientRole.patient.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.typeId.displayable">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.typeId.root">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.typeId.extension">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.templateId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.classCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.determinerCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.id">
      <path value="ClinicalDocument.recordTarget.patientRole.patient.id"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.name">
      <path value="ClinicalDocument.recordTarget.patientRole.patient.name"/>
      <short value="Base for all types and resources"/>
      <definition
                  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 &quot;Jim Bob Walton, Jr.&quot;, &quot;Adam Everyman&quot;, etc. A person name may be as simple as a character string or may consist of several person name parts, such as, &quot;Jim&quot;, &quot;Bob&quot;, &quot;Walton&quot;, and &quot;Jr.&quot;. PN differs from EN because the qualifier type cannot include LS (Legal Status)."/>
      <comment
               value="This patient SHALL contain at least one [1..*] US Realm Patient Name (PTN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1) (CONF:4537-5284)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Patient.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED"/>
      </type>
      <constraint>
        <key value="pn-no-ls"/>
        <severity value="error"/>
        <human value="No PN name part may have a qualifier of LS."/>
        <expression
                    value="(item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
      </constraint>
      <constraint>
        <key value="shall-family"/>
        <severity value="error"/>
        <human
               value="SHALL contain exactly one [1..1] family (CONF:81-7159)."/>
        <expression value="nullFlavor.exists() or item.family.count() = 1"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED"/>
      </constraint>
      <constraint>
        <key value="shall-given"/>
        <severity value="error"/>
        <human
               value="SHALL contain at least one [1..*] given (CONF:81-7157)."/>
        <expression value="nullFlavor.exists() or item.given.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED"/>
      </constraint>
      <constraint>
        <key value="shall-max-suffix"/>
        <severity value="error"/>
        <human value="There may be at most one suffix"/>
        <expression value="(item.suffix.empty() or item.suffix.count() = 1)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED"/>
      </constraint>
      <constraint>
        <key value="81-7278"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7278)."/>
        <expression value="item.xmlText.empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.sdtcDesc">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="desc"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.sdtcDesc"/>
      <definition
                  value="The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcDesc"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode"/>
      <comment
               value="This patient SHALL contain exactly one [1..1] administrativeGenderCode, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) urn:oid:2.16.840.1.113883.1.11.1 DYNAMIC (CONF:4537-6394)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.administrativeGenderCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthTime">
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
        <valueBoolean value="true"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthTime"/>
      <short
             value="(USCDI) Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured)"/>
      <comment
               value="This patient SHALL contain exactly one [1..1] birthTime (CONF:4537-5298)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.birthTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
      <constraint>
        <key value="ts-shall-year"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to at least the year"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt;= 4"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="ts-should-day"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to at least the day"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="deceasedInd"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd"/>
      <short value="sdtc:deceasedInd"/>
      <comment
               value="This patient MAY contain zero or one [0..1] sdtc:deceasedInd (CONF:4537-32990)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcDeceasedInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="deceasedTime"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
        <valueBoolean value="true"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime"/>
      <short value="(USCDI) Date of Death"/>
      <comment
               value="This patient MAY contain zero or one [0..1] sdtc:deceasedTime (CONF:4537-32988)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcDeceasedTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
      <constraint>
        <key value="should-value-att"/>
        <severity value="warning"/>
        <human value="SHOULD contain @value"/>
        <expression value="value.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="ts-shall-year"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to at least the year"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt;= 4"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="ts-should-day"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to at least the day"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthInd">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="multipleBirthInd"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcMultipleBirthInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthOrderNumber">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="multipleBirthOrderNumber"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthOrderNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcMultipleBirthOrderNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/INT-POS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode"/>
      <comment
               value="This patient SHOULD contain zero or one [0..1] maritalStatusCode, which SHALL be selected from ValueSet Marital Status urn:oid:2.16.840.1.113883.1.11.12212 DYNAMIC (CONF:4537-5303)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.maritalStatusCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode"/>
      <comment
               value="This patient MAY contain zero or one [0..1] religiousAffiliationCode, which SHALL be selected from ValueSet Religious Affiliation urn:oid:2.16.840.1.113883.1.11.19185 DYNAMIC (CONF:4537-5317)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.religiousAffiliationCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185"/>
      </binding>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.raceCode">
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
        <valueBoolean value="true"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.raceCode"/>
      <short value="(USCDI) Race"/>
      <comment
               value="This patient SHALL contain exactly one [1..1] raceCode, which SHALL be selected from ValueSet Race Category Excluding Nulls urn:oid:2.16.840.1.113883.3.2074.1.1.3 DYNAMIC (CONF:4537-5322)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.raceCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="raceCode"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
        <valueBoolean value="true"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode"/>
      <short
             value="(USCDI) Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements."/>
      <comment
               value="This patient MAY contain zero or more [0..*] sdtc:raceCode, which SHALL be selected from ValueSet Race Value Set urn:oid:2.16.840.1.113883.1.11.14914 DYNAMIC (CONF:4537-7263)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.sdtcRaceCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode">
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
        <valueBoolean value="true"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode"/>
      <short value="(USCDI) Ethnicity"/>
      <comment
               value="This patient SHALL contain exactly one [1..1] ethnicGroupCode, which SHALL be selected from ValueSet Ethnicity urn:oid:2.16.840.1.114222.4.11.837 DYNAMIC (CONF:4537-5323)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.ethnicGroupCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="ethnicGroupCode"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
        <valueBoolean value="true"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode"/>
      <short value="(USCDI) Ethnicity"/>
      <comment
               value="This patient MAY contain zero or more [0..*] ethnicGroupCode, which SHALL be selected from ValueSet Detailed Ethnicity urn:oid:2.16.840.1.114222.4.11.877 DYNAMIC (CONF:4537-32901)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.sdtcEthnicGroupCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877"/>
      </binding>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.guardian">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian"/>
      <comment
               value="This patient MAY contain zero or more [0..*] guardian (CONF:1198-28469)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.guardian"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Guardian"/>
      </type>
      <constraint>
        <key value="should-us-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-us-addr"/>
        <severity value="warning"/>
        <human value="SHOULD contain addr"/>
        <expression value="addr.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-us-telecom"/>
        <severity value="warning"/>
        <human value="SHOULD contain telecom"/>
        <expression value="telecom.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-id"/>
        <severity value="warning"/>
        <human value="SHOULD contain id"/>
        <expression value="id.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
      <constraint>
        <key value="should-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.realmCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.displayable">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.root">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.extension">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.templateId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Guardian.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="GUARD"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAgent"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.id">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.id"/>
      <comment
               value="The guardian, if present, SHOULD contain zero or more [0..*] id (CONF:1198-28470)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Guardian.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="identifiedBy"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.sdtcIdentifiedBy"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Guardian.sdtcIdentifiedBy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.code">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.code"/>
      <comment
               value="The guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28473)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Guardian.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.addr">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.addr"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc."/>
      <comment
               value="The guardian, if present, SHOULD 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:4537-5359)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Guardian.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </type>
      <constraint>
        <key value="shall-city"/>
        <severity value="error"/>
        <human value="SHALL contain exactly one [1..1] city (CONF:81-7292)."/>
        <expression value="nullFlavor.exists() or item.city.count() = 1"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-streetAddressLine"/>
        <severity value="error"/>
        <human
               value="SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291)."/>
        <expression
                    value="nullFlavor.exists() or (item.streetAddressLine.count() &gt;= 1 and item.streetAddressLine.count() &lt;= 4)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-country"/>
        <severity value="warning"/>
        <human value="SHOULD contain country"/>
        <expression value="nullFlavor.exists() or item.country.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)"/>
        <expression value="item.xmlText.empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10024"/>
        <severity value="error"/>
        <human
               value="If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10025"/>
        <severity value="error"/>
        <human
               value="If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-max-ad-parts"/>
        <severity value="error"/>
        <human
               value="SHALL have at most one of each: state, city, postalCode, and country"/>
        <expression
                    value="(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom"/>
      <comment
               value="The guardian, if present, SHOULD contain zero or more [0..*] telecom (CONF:4537-5382)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Guardian.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.value">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.value"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="url"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/url"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueCanonical
                        value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.useablePeriod"/>
      <representation value="typeAttr"/>
      <label value="Useable Period"/>
      <definition
                  value="Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.useablePeriod"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use"/>
      <representation value="xmlAttr"/>
      <label value="Use Code"/>
      <definition
                  value="One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need."/>
      <comment
               value="The telecom, if present, SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7993)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson"/>
      <comment
               value="The guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:4537-5385)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Guardian.guardianPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.realmCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.displayable">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.root">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.extension">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.templateId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name"/>
      <short value="Base for all types and resources"/>
      <definition
                  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 &quot;Jim Bob Walton, Jr.&quot;, &quot;Adam Everyman&quot;, etc. A person name may be as simple as a character string or may consist of several person name parts, such as, &quot;Jim&quot;, &quot;Bob&quot;, &quot;Walton&quot;, and &quot;Jr.&quot;. PN differs from EN because the qualifier type cannot include LS (Legal Status)."/>
      <comment
               value="This guardianPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5386)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </type>
      <constraint>
        <key value="pn-no-ls"/>
        <severity value="error"/>
        <human value="No PN name part may have a qualifier of LS."/>
        <expression
                    value="(item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
      </constraint>
      <constraint>
        <key value="81-9371"/>
        <severity value="error"/>
        <human
               value="The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371)."/>
        <expression
                    value="conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <expression
                    value="item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcDesc">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="desc"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcDesc"/>
      <definition
                  value="The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcDesc"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship"/>
      <definition
                  value="Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.realmCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.displayable">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.root">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.extension">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.templateId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.classCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PRS"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.determinerCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.code">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.code"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Guardian.guardianOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Organization"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace"/>
      <comment
               value="This patient MAY contain zero or one [0..1] birthplace (CONF:4537-5395)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.birthplace"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Birthplace"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.realmCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.displayable">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.root">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.extension">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.templateId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Birthplace.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="BIRTHPL"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassPassive"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place"/>
      <comment
               value="The birthplace, if present, SHALL contain exactly one [1..1] place (CONF:4537-5396)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Birthplace.place"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/Place"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.realmCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.displayable">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.root">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.extension">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.templateId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Place.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PLC"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassPlace"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Place.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.name">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.name"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Place.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/EN"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr"/>
      <comment
               value="This place SHALL contain exactly one [1..1] addr (CONF:4537-5397)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Place.addr"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
      </type>
      <constraint>
        <key value="4537-5402"/>
        <severity value="error"/>
        <human
               value="If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="4537-5403"/>
        <severity value="warning"/>
        <human
               value="If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-country"/>
        <severity value="warning"/>
        <human value="SHOULD contain country"/>
        <expression value="nullFlavor.exists() or item.country.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.isNotOrdered">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.isNotOrdered"/>
      <representation value="xmlAttr"/>
      <label value="Is Not Ordered"/>
      <definition
                  value="A boolean value specifying whether the order of the address parts is known or not. While the address parts are always a Sequence, the order in which they are presented may or may not be known. Where this matters, the isNotOrdered property can be used to convey this information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.isNotOrdered"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use"/>
      <representation value="xmlAttr"/>
      <label value="Use Code"/>
      <definition
                  value="A set of codes advising a system or user which address in a set of like addresses to select for a given purpose."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-choice-group">
        <valueBoolean value="true"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item"/>
      <definition value="A series of items that constitute the address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.item"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/StructureDefinition/Base"/>
      </type>
      <constraint>
        <key value="AD-1"/>
        <severity value="error"/>
        <human
               value="Can only have only one of the possible item elements in each choice"/>
        <expression
                    value="(delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1"/>
        <source
                value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter"/>
      <definition
                  value="Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.delimiter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DEL"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country"/>
      <definition value="Country"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.country"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="CNT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state"/>
      <definition
                  value="A sub-unit of a country with limited sovereignty in a federally organized country."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.state"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="STA"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county"/>
      <definition
                  value="A sub-unit of a state or province. (49 of the United States of America use the term &quot;county;&quot; Louisiana uses the term &quot;parish&quot;.)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.county"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="CPA"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city"/>
      <definition
                  value="The name of the city, town, village, or other community or delivery center"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.city"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="CTY"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode"/>
      <definition
                  value="A postal code designating a region defined by the postal service."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.postalCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ZIP"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine"/>
      <definition value="Street address line"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.streetAddressLine"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="SAL"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber"/>
      <definition
                  value="The number of a building, house or lot alongside the street. Also known as &quot;primary street number&quot;. This does not number the street but rather the building."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.houseNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="BNR"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric"/>
      <definition value="The numeric portion of a building number"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.houseNumberNumeric"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="BNN"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction"/>
      <definition value="Direction (e.g., N, S, W, E)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.direction"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DIR"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName"/>
      <definition
                  value="Name of a roadway or artery recognized by a municipality (including street type and direction)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.streetName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="STR"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase"/>
      <definition
                  value="The base name of a roadway or artery recognized by a municipality (excluding street type and direction)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.streetNameBase"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="STB"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType"/>
      <definition
                  value="The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.streetNameType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="STTYP"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator"/>
      <definition
                  value="This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., &quot;3rd floor, Appt. 342&quot;). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch &quot;t.o.&quot; means &quot;opposite to&quot; for house boats located across the street facing houses)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.additionalLocator"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ADL"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID"/>
      <definition
                  value="The number or name of a specific unit contained within a building or complex, as assigned by that building or complex."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.unitID"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="UNID"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType"/>
      <definition
                  value="Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.unitType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="UNIT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf"/>
      <definition
                  value="The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.careOf"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="CAR"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract"/>
      <definition
                  value="A geographic sub-unit delineated for demographic purposes."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.censusTract"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="CEN"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine"/>
      <definition
                  value="A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.deliveryAddressLine"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DAL"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType"/>
      <definition
                  value="Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.deliveryInstallationType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DINST"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea"/>
      <definition
                  value="The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.deliveryInstallationArea"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DINSTA"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier"/>
      <definition
                  value="A number, letter or name identifying a delivery installation. E.g., for Station A, the delivery installation qualifier would be 'A'."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.deliveryInstallationQualifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DINSTQ"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode"/>
      <definition
                  value="Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.deliveryMode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DMOD"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier"/>
      <definition
                  value="Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.deliveryModeIdentifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DMODID"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix"/>
      <definition
                  value="Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.buildingNumberSuffix"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="BNS"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox"/>
      <definition value="A numbered box located in a post station."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.postBox"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="POB"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct"/>
      <definition value="A subsection of a municipality"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.precinct"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ADXP"/>
      </type>
      <constraint>
        <key value="text-null"/>
        <severity value="error"/>
        <human
               value="xmlText and nullFlavor are mutually exclusive (one must be present)"/>
        <expression value="(xmlText | nullFlavor).count() = 1"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.representation">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.representation"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies the representation of the binary data that is the content of the binary data value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="TXT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.mediaType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition
                  value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="text/plain"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.language">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition
                  value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ST.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ADXP.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PRE"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.xmlText">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.xmlText"/>
      <representation value="xmlText"/>
      <short value="Allows for mixed text content"/>
      <comment
               value="This element is represented in XML as textual content. The actual name &quot;xmlText&quot; will not appear in a CDA instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.item.xmlText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueCanonical
                        value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.useablePeriod"/>
      <representation value="typeAttr"/>
      <label value="Useable Period"/>
      <definition
                  value="A General Timing Specification (GTS) specifying the periods of time during which the address can be used. This is used to specify different addresses for different times of the week or year."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.useablePeriod"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication">
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
        <valueBoolean value="true"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication"/>
      <short value="(USCDI) Preferred Language"/>
      <comment
               value="This patient SHOULD contain zero or more [0..*] languageCommunication which SHALL be selected from ValueSet AllLanguages https://www.hl7.org/fhir/valueset-all-languages.html (OID 2.16.840.1.113883.4.642.3.21) DYNAMIC (CONF:XXX)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.languageCommunication"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/LanguageCommunication"/>
      </type>
      <constraint>
        <key value="should-proficiencyLevelCode"/>
        <severity value="warning"/>
        <human value="SHOULD contain proficiencyLevelCode"/>
        <expression value="proficiencyLevelCode.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-preferenceInd"/>
        <severity value="warning"/>
        <human value="SHOULD contain preferenceInd"/>
        <expression value="preferenceInd.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.realmCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.displayable">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.root">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.extension">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.templateId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="LanguageCommunication.languageCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/all-languages"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode"/>
      <comment
               value="The languageCommunication, if present, MAY contain zero or one [0..1] modeCode, which SHALL be selected from ValueSet LanguageAbilityMode urn:oid:2.16.840.1.113883.1.11.12249 DYNAMIC (CONF:4537-5409)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LanguageCommunication.modeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode"/>
      <comment
               value="The languageCommunication, if present, SHOULD contain zero or one [0..1] proficiencyLevelCode, which SHALL be selected from ValueSet LanguageAbilityProficiency urn:oid:2.16.840.1.113883.1.11.12199 DYNAMIC (CONF:4537-9965)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LanguageCommunication.proficiencyLevelCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd"/>
      <short
             value="Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language.

If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1."/>
      <comment
               value="The languageCommunication, if present, MAY contain zero or one [0..1] preferenceInd (CONF:1198-28475)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LanguageCommunication.preferenceInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization"/>
      <label
             value="If present, this organization represents the provider organization where the person is claiming to be a patient."/>
      <short
             value="If present, this organization represents the provider organization where the person is claiming to be a patient."/>
      <comment
               value="This patientRole MAY contain zero or one [0..1] providerOrganization (CONF:1198-28476)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="PatientRole.providerOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Organization"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.realmCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.displayable">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.root">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.extension">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.templateId">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ORG"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.id">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.id"/>
      <comment
               value="The providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:4537-5417)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Organization.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.id.assigningAuthorityName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.id.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.id.displayable">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.id.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition
                  value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <comment
               value="Such ids SHOULD contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:4537-16820)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <constraint>
        <key value="should-npi"/>
        <severity value="warning"/>
        <human value="SHOULD be NPI"/>
        <expression value="$this = '2.16.840.1.113883.4.6'"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.id.extension">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.id.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.name">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.name"/>
      <comment
               value="The providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:4537-5419)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Organization.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ON"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom"/>
      <comment
               value="The providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:4537-5420)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Organization.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.value">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.value"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="url"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/url"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueCanonical
                        value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.useablePeriod"/>
      <representation value="typeAttr"/>
      <label value="Useable Period"/>
      <definition
                  value="Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.useablePeriod"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use"/>
      <representation value="xmlAttr"/>
      <label value="Use Code"/>
      <definition
                  value="One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need."/>
      <comment
               value="Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7994)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.addr">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.addr"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc."/>
      <comment
               value="The providerOrganization, if present, SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5422)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Organization.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </type>
      <constraint>
        <key value="shall-city"/>
        <severity value="error"/>
        <human value="SHALL contain exactly one [1..1] city (CONF:81-7292)."/>
        <expression value="nullFlavor.exists() or item.city.count() = 1"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-streetAddressLine"/>
        <severity value="error"/>
        <human
               value="SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291)."/>
        <expression
                    value="nullFlavor.exists() or (item.streetAddressLine.count() &gt;= 1 and item.streetAddressLine.count() &lt;= 4)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-country"/>
        <severity value="warning"/>
        <human value="SHOULD contain country"/>
        <expression value="nullFlavor.exists() or item.country.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)"/>
        <expression value="item.xmlText.empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10024"/>
        <severity value="error"/>
        <human
               value="If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10025"/>
        <severity value="error"/>
        <human
               value="If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-max-ad-parts"/>
        <severity value="error"/>
        <human
               value="SHALL have at most one of each: state, city, postalCode, and country"/>
        <expression
                    value="(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.standardIndustryClassCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.asOrganizationPartOf">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.asOrganizationPartOf"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.asOrganizationPartOf"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.author">
      <path value="ClinicalDocument.author"/>
      <short
             value="The author element represents the creator of the clinical document.  The author may be a device, or a person. The person is the patient or the patient's advocate."/>
      <comment
               value="SHALL contain at least one [1..*] author (CONF:1198-28477)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.author"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.nullFlavor">
      <path value="ClinicalDocument.author.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.realmCode">
      <path value="ClinicalDocument.author.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.typeId">
      <path value="ClinicalDocument.author.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.typeId.nullFlavor">
      <path value="ClinicalDocument.author.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.typeId.assigningAuthorityName">
      <path value="ClinicalDocument.author.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.typeId.displayable">
      <path value="ClinicalDocument.author.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.typeId.root">
      <path value="ClinicalDocument.author.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.author.typeId.extension">
      <path value="ClinicalDocument.author.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.templateId">
      <path value="ClinicalDocument.author.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.typeCode">
      <path value="ClinicalDocument.author.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Author.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="AUT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.contextControlCode">
      <path value="ClinicalDocument.author.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Author.contextControlCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.functionCode">
      <path value="ClinicalDocument.author.functionCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Author.functionCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.time">
      <path value="ClinicalDocument.author.time"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <comment
               value="Such authors SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5445)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Author.time"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </type>
      <constraint>
        <key value="ts-shall-day"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to at least the day"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </constraint>
      <constraint>
        <key value="ts-should-minute"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to at least the minute"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt; 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor">
      <path value="ClinicalDocument.author.assignedAuthor"/>
      <comment
               value="Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:1198-28478)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Author.assignedAuthor"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/AssignedAuthor"/>
      </type>
      <constraint>
        <key value="4537-16790"/>
        <severity value="error"/>
        <human
               value="There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790)."/>
        <expression
                    value="(assignedPerson | assignedAuthoringDevice).count() = 1"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-id-npi"/>
        <severity value="warning"/>
        <human
               value="SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI)"/>
        <expression value="id.where(root = '2.16.840.1.113883.4.6')"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-us-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.nullFlavor">
      <path value="ClinicalDocument.author.assignedAuthor.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.realmCode">
      <path value="ClinicalDocument.author.assignedAuthor.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.typeId">
      <path value="ClinicalDocument.author.assignedAuthor.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.typeId.nullFlavor">
      <path value="ClinicalDocument.author.assignedAuthor.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.author.assignedAuthor.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.typeId.displayable">
      <path
            value="ClinicalDocument.author.assignedAuthor.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.typeId.root">
      <path value="ClinicalDocument.author.assignedAuthor.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.typeId.extension">
      <path value="ClinicalDocument.author.assignedAuthor.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.templateId">
      <path value="ClinicalDocument.author.assignedAuthor.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.classCode">
      <path value="ClinicalDocument.author.assignedAuthor.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedAuthor.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id">
      <path value="ClinicalDocument.author.assignedAuthor.id"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="root"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <comment
               value="This assignedAuthor SHALL contain at least one [1..*] id (CONF:1198-28479)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedAuthor.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id:npi">
      <path value="ClinicalDocument.author.assignedAuthor.id"/>
      <sliceName value="npi"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedAuthor.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
      <constraint>
        <key value="should-extension"/>
        <severity value="warning"/>
        <human value="SHOULD contain extension"/>
        <expression value="extension.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor">
      <path value="ClinicalDocument.author.assignedAuthor.id.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <short value="If NPI is unknown, set @nullFlavor to UNK"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.id:npi.assigningAuthorityName">
      <path
            value="ClinicalDocument.author.assignedAuthor.id.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id:npi.displayable">
      <path value="ClinicalDocument.author.assignedAuthor.id.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id:npi.root">
      <path value="ClinicalDocument.author.assignedAuthor.id.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition
                  value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <comment
               value="SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:4537-32884)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <patternString value="2.16.840.1.113883.4.6"/>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id:npi.extension">
      <path value="ClinicalDocument.author.assignedAuthor.id.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <comment
               value="SHOULD contain zero or one [0..1] @extension (CONF:4537-32885)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="identifiedBy"/>
      </extension>
      <path value="ClinicalDocument.author.assignedAuthor.sdtcIdentifiedBy"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssignedAuthor.sdtcIdentifiedBy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code">
      <path value="ClinicalDocument.author.assignedAuthor.code"/>
      <short
             value="When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient."/>
      <comment
               value="This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:1198-28481)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedAuthor.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDARoleCode"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code.nullFlavor">
      <path value="ClinicalDocument.author.assignedAuthor.code.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code.code">
      <path value="ClinicalDocument.author.assignedAuthor.code.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code.codeSystem">
      <path value="ClinicalDocument.author.assignedAuthor.code.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code.codeSystemName">
      <path
            value="ClinicalDocument.author.assignedAuthor.code.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.code.codeSystemVersion">
      <path
            value="ClinicalDocument.author.assignedAuthor.code.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code.displayName">
      <path value="ClinicalDocument.author.assignedAuthor.code.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path value="ClinicalDocument.author.assignedAuthor.code.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.code.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path
            value="ClinicalDocument.author.assignedAuthor.code.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code.originalText">
      <path value="ClinicalDocument.author.assignedAuthor.code.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code.qualifier">
      <path value="ClinicalDocument.author.assignedAuthor.code.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code.translation">
      <path value="ClinicalDocument.author.assignedAuthor.code.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.addr">
      <path value="ClinicalDocument.author.assignedAuthor.addr"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc."/>
      <comment
               value="This assignedAuthor SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5452)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedAuthor.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </type>
      <constraint>
        <key value="shall-city"/>
        <severity value="error"/>
        <human value="SHALL contain exactly one [1..1] city (CONF:81-7292)."/>
        <expression value="nullFlavor.exists() or item.city.count() = 1"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-streetAddressLine"/>
        <severity value="error"/>
        <human
               value="SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291)."/>
        <expression
                    value="nullFlavor.exists() or (item.streetAddressLine.count() &gt;= 1 and item.streetAddressLine.count() &lt;= 4)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-country"/>
        <severity value="warning"/>
        <human value="SHOULD contain country"/>
        <expression value="nullFlavor.exists() or item.country.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)"/>
        <expression value="item.xmlText.empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10024"/>
        <severity value="error"/>
        <human
               value="If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10025"/>
        <severity value="error"/>
        <human
               value="If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-max-ad-parts"/>
        <severity value="error"/>
        <human
               value="SHALL have at most one of each: state, city, postalCode, and country"/>
        <expression
                    value="(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.telecom">
      <path value="ClinicalDocument.author.assignedAuthor.telecom"/>
      <comment
               value="This assignedAuthor SHALL contain at least one [1..*] telecom (CONF:4537-5428)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedAuthor.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.telecom.nullFlavor">
      <path
            value="ClinicalDocument.author.assignedAuthor.telecom.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.telecom.value">
      <path value="ClinicalDocument.author.assignedAuthor.telecom.value"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="url"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/url"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueCanonical
                        value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </extension>
      <path
            value="ClinicalDocument.author.assignedAuthor.telecom.useablePeriod"/>
      <representation value="typeAttr"/>
      <label value="Useable Period"/>
      <definition
                  value="Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.useablePeriod"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.telecom.use">
      <path value="ClinicalDocument.author.assignedAuthor.telecom.use"/>
      <representation value="xmlAttr"/>
      <label value="Use Code"/>
      <definition
                  value="One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need."/>
      <comment
               value="Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7995)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.assignedPerson">
      <path value="ClinicalDocument.author.assignedAuthor.assignedPerson"/>
      <comment value="MAY contain assignedPerson"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedAuthor.assignedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.realmCode">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.displayable">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.root">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.extension">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.templateId">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.classCode">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.assignedPerson.name">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.name"/>
      <short value="Base for all types and resources"/>
      <definition
                  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 &quot;Jim Bob Walton, Jr.&quot;, &quot;Adam Everyman&quot;, etc. A person name may be as simple as a character string or may consist of several person name parts, such as, &quot;Jim&quot;, &quot;Bob&quot;, &quot;Walton&quot;, and &quot;Jr.&quot;. PN differs from EN because the qualifier type cannot include LS (Legal Status)."/>
      <comment
               value="The assignedPerson, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-16789)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </type>
      <constraint>
        <key value="pn-no-ls"/>
        <severity value="error"/>
        <human value="No PN name part may have a qualifier of LS."/>
        <expression
                    value="(item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
      </constraint>
      <constraint>
        <key value="81-9371"/>
        <severity value="error"/>
        <human
               value="The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371)."/>
        <expression
                    value="conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <expression
                    value="item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcDesc">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="desc"/>
      </extension>
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcDesc"/>
      <definition
                  value="The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcDesc"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship"/>
      <definition
                  value="Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.realmCode">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.displayable">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.root">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.extension">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.templateId">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.classCode">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PRS"/>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.determinerCode">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.code">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.code"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice"/>
      <comment value="MAY contain assignedAuthoringDevice"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedAuthor.assignedAuthoringDevice"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/AuthoringDevice"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.realmCode">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.displayable">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.root">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.extension">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.templateId">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AuthoringDevice.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DEV"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassDevice"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AuthoringDevice.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AuthoringDevice.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName"/>
      <comment
               value="The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] manufacturerModelName (CONF:4537-16784)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AuthoringDevice.manufacturerModelName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/SC"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName"/>
      <comment
               value="The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] softwareName (CONF:4537-16785)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AuthoringDevice.softwareName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/SC"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-SoftwareNameExample"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.asMaintainedEntity">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.asMaintainedEntity"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AuthoringDevice.asMaintainedEntity"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/MaintainedEntity"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.representedOrganization">
      <path
            value="ClinicalDocument.author.assignedAuthor.representedOrganization"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedAuthor.representedOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer">
      <path value="ClinicalDocument.dataEnterer"/>
      <short
             value="The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author."/>
      <comment
               value="MAY contain zero or one [0..1] dataEnterer (CONF:1198-28678)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.dataEnterer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/DataEnterer"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.nullFlavor">
      <path value="ClinicalDocument.dataEnterer.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.dataEnterer.realmCode">
      <path value="ClinicalDocument.dataEnterer.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.typeId">
      <path value="ClinicalDocument.dataEnterer.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.typeId.nullFlavor">
      <path value="ClinicalDocument.dataEnterer.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.dataEnterer.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.dataEnterer.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.typeId.displayable">
      <path value="ClinicalDocument.dataEnterer.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.typeId.root">
      <path value="ClinicalDocument.dataEnterer.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.dataEnterer.typeId.extension">
      <path value="ClinicalDocument.dataEnterer.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.templateId">
      <path value="ClinicalDocument.dataEnterer.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.typeCode">
      <path value="ClinicalDocument.dataEnterer.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DataEnterer.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ENT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.dataEnterer.contextControlCode">
      <path value="ClinicalDocument.dataEnterer.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DataEnterer.contextControlCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"/>
      </binding>
    </element>
    <element id="ClinicalDocument.dataEnterer.time">
      <path value="ClinicalDocument.dataEnterer.time"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DataEnterer.time"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </type>
      <constraint>
        <key value="ts-shall-day"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to at least the day"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </constraint>
      <constraint>
        <key value="ts-should-minute"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to at least the minute"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt; 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity">
      <path value="ClinicalDocument.dataEnterer.assignedEntity"/>
      <comment
               value="The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28679)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DataEnterer.assignedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.nullFlavor">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.realmCode">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.typeId">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.typeId.displayable">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.typeId.root">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.typeId.extension">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.templateId">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.classCode">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.id">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.id"/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5443)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.id.assigningAuthorityName">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.id.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.id.displayable">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.id.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.id.root">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.id.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition
                  value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <comment
               value="Such ids SHOULD contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:4537-16821)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <constraint>
        <key value="should-npi"/>
        <severity value="warning"/>
        <human value="SHOULD be NPI"/>
        <expression value="$this = '2.16.840.1.113883.4.6'"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.id.extension">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.id.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="identifiedBy"/>
      </extension>
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.sdtcIdentifiedBy"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.sdtcIdentifiedBy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.code">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.code"/>
      <comment
               value="This assignedEntity MAY 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:1198-28680)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.addr">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.addr"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc."/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5460)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </type>
      <constraint>
        <key value="shall-city"/>
        <severity value="error"/>
        <human value="SHALL contain exactly one [1..1] city (CONF:81-7292)."/>
        <expression value="nullFlavor.exists() or item.city.count() = 1"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-streetAddressLine"/>
        <severity value="error"/>
        <human
               value="SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291)."/>
        <expression
                    value="nullFlavor.exists() or (item.streetAddressLine.count() &gt;= 1 and item.streetAddressLine.count() &lt;= 4)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-country"/>
        <severity value="warning"/>
        <human value="SHOULD contain country"/>
        <expression value="nullFlavor.exists() or item.country.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)"/>
        <expression value="item.xmlText.empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10024"/>
        <severity value="error"/>
        <human
               value="If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10025"/>
        <severity value="error"/>
        <human
               value="If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-max-ad-parts"/>
        <severity value="error"/>
        <human
               value="SHALL have at most one of each: state, city, postalCode, and country"/>
        <expression
                    value="(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.telecom">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.telecom"/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5466)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.telecom.value">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.telecom.value"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="url"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/url"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueCanonical
                        value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </extension>
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.telecom.useablePeriod"/>
      <representation value="typeAttr"/>
      <label value="Useable Period"/>
      <definition
                  value="Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.useablePeriod"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.telecom.use">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.telecom.use"/>
      <representation value="xmlAttr"/>
      <label value="Use Code"/>
      <definition
                  value="One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need."/>
      <comment
               value="Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7996)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20"/>
      </binding>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson"/>
      <comment
               value="This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5469)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.assignedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.realmCode">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.displayable">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.root">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.extension">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.templateId">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name"/>
      <short value="Base for all types and resources"/>
      <definition
                  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 &quot;Jim Bob Walton, Jr.&quot;, &quot;Adam Everyman&quot;, etc. A person name may be as simple as a character string or may consist of several person name parts, such as, &quot;Jim&quot;, &quot;Bob&quot;, &quot;Walton&quot;, and &quot;Jr.&quot;. PN differs from EN because the qualifier type cannot include LS (Legal Status)."/>
      <comment
               value="This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5470)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </type>
      <constraint>
        <key value="pn-no-ls"/>
        <severity value="error"/>
        <human value="No PN name part may have a qualifier of LS."/>
        <expression
                    value="(item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
      </constraint>
      <constraint>
        <key value="81-9371"/>
        <severity value="error"/>
        <human
               value="The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371)."/>
        <expression
                    value="conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <expression
                    value="item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcDesc">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="desc"/>
      </extension>
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcDesc"/>
      <definition
                  value="The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcDesc"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship"/>
      <definition
                  value="Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PRS"/>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.representedOrganization">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.representedOrganization"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.representedOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.sdtcPatient">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="patient"/>
      </extension>
      <path value="ClinicalDocument.dataEnterer.assignedEntity.sdtcPatient"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.sdtcPatient"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/StructureDefinition/Base"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.sdtcPatient.id">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.sdtcPatient.id"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.sdtcPatient.id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant">
      <path value="ClinicalDocument.informant"/>
      <slicing>
        <discriminator>
          <type value="exists"/>
          <path value="relatedEntity"/>
        </discriminator>
        <discriminator>
          <type value="exists"/>
          <path value="assignedEntity"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <comment
               value="MAY contain zero or more [0..*] informant (CONF:4537-31355) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:provider">
      <path value="ClinicalDocument.informant"/>
      <sliceName value="provider"/>
      <short
             value="The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient."/>
      <comment
               value="MAY contain zero or more [0..*] informant (CONF:4537-8001) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:provider.nullFlavor">
      <path value="ClinicalDocument.informant.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:provider.realmCode">
      <path value="ClinicalDocument.informant.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:provider.typeId">
      <path value="ClinicalDocument.informant.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:provider.typeId.nullFlavor">
      <path value="ClinicalDocument.informant.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:provider.typeId.assigningAuthorityName">
      <path value="ClinicalDocument.informant.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:provider.typeId.displayable">
      <path value="ClinicalDocument.informant.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:provider.typeId.root">
      <path value="ClinicalDocument.informant.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.informant:provider.typeId.extension">
      <path value="ClinicalDocument.informant.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:provider.templateId">
      <path value="ClinicalDocument.informant.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:provider.typeCode">
      <path value="ClinicalDocument.informant.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Informant.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INF"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:provider.contextControlCode">
      <path value="ClinicalDocument.informant.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Informant.contextControlCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:provider.assignedEntity">
      <path value="ClinicalDocument.informant.assignedEntity"/>
      <comment
               value="SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8002)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Informant.assignedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.nullFlavor">
      <path value="ClinicalDocument.informant.assignedEntity.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.realmCode">
      <path value="ClinicalDocument.informant.assignedEntity.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:provider.assignedEntity.typeId">
      <path value="ClinicalDocument.informant.assignedEntity.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor">
      <path
            value="ClinicalDocument.informant.assignedEntity.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.informant.assignedEntity.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.typeId.displayable">
      <path
            value="ClinicalDocument.informant.assignedEntity.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.typeId.root">
      <path value="ClinicalDocument.informant.assignedEntity.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.typeId.extension">
      <path
            value="ClinicalDocument.informant.assignedEntity.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.templateId">
      <path value="ClinicalDocument.informant.assignedEntity.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.classCode">
      <path value="ClinicalDocument.informant.assignedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:provider.assignedEntity.id">
      <path value="ClinicalDocument.informant.assignedEntity.id"/>
      <short
             value="If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root =&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:4537-9946)."/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-9945)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="identifiedBy"/>
      </extension>
      <path
            value="ClinicalDocument.informant.assignedEntity.sdtcIdentifiedBy"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.sdtcIdentifiedBy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:provider.assignedEntity.code">
      <path value="ClinicalDocument.informant.assignedEntity.code"/>
      <comment
               value="This assignedEntity MAY 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:4537-32174)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:provider.assignedEntity.addr">
      <path value="ClinicalDocument.informant.assignedEntity.addr"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc."/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8220)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </type>
      <constraint>
        <key value="shall-city"/>
        <severity value="error"/>
        <human value="SHALL contain exactly one [1..1] city (CONF:81-7292)."/>
        <expression value="nullFlavor.exists() or item.city.count() = 1"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-streetAddressLine"/>
        <severity value="error"/>
        <human
               value="SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291)."/>
        <expression
                    value="nullFlavor.exists() or (item.streetAddressLine.count() &gt;= 1 and item.streetAddressLine.count() &lt;= 4)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-country"/>
        <severity value="warning"/>
        <human value="SHOULD contain country"/>
        <expression value="nullFlavor.exists() or item.country.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)"/>
        <expression value="item.xmlText.empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10024"/>
        <severity value="error"/>
        <human
               value="If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10025"/>
        <severity value="error"/>
        <human
               value="If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-max-ad-parts"/>
        <severity value="error"/>
        <human
               value="SHALL have at most one of each: state, city, postalCode, and country"/>
        <expression
                    value="(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.informant:provider.assignedEntity.telecom">
      <path value="ClinicalDocument.informant.assignedEntity.telecom"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson">
      <path value="ClinicalDocument.informant.assignedEntity.assignedPerson"/>
      <comment
               value="This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-8221)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.assignedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.realmCode">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.displayable">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.root">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.extension">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.templateId">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.name"/>
      <short value="Base for all types and resources"/>
      <definition
                  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 &quot;Jim Bob Walton, Jr.&quot;, &quot;Adam Everyman&quot;, etc. A person name may be as simple as a character string or may consist of several person name parts, such as, &quot;Jim&quot;, &quot;Bob&quot;, &quot;Walton&quot;, and &quot;Jr.&quot;. PN differs from EN because the qualifier type cannot include LS (Legal Status)."/>
      <comment
               value="This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-8222)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </type>
      <constraint>
        <key value="pn-no-ls"/>
        <severity value="error"/>
        <human value="No PN name part may have a qualifier of LS."/>
        <expression
                    value="(item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
      </constraint>
      <constraint>
        <key value="81-9371"/>
        <severity value="error"/>
        <human
               value="The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371)."/>
        <expression
                    value="conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <expression
                    value="item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcDesc">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="desc"/>
      </extension>
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcDesc"/>
      <definition
                  value="The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcDesc"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship"/>
      <definition
                  value="Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PRS"/>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.representedOrganization">
      <path
            value="ClinicalDocument.informant.assignedEntity.representedOrganization"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.representedOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Organization"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.sdtcPatient">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="patient"/>
      </extension>
      <path value="ClinicalDocument.informant.assignedEntity.sdtcPatient"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.sdtcPatient"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/StructureDefinition/Base"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:provider.assignedEntity.sdtcPatient.id">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path value="ClinicalDocument.informant.assignedEntity.sdtcPatient.id"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.sdtcPatient.id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:provider.relatedEntity">
      <path value="ClinicalDocument.informant.relatedEntity"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Informant.relatedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RelatedEntity"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:non-provider">
      <path value="ClinicalDocument.informant"/>
      <sliceName value="non-provider"/>
      <short
             value="The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:non-provider.nullFlavor">
      <path value="ClinicalDocument.informant.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:non-provider.realmCode">
      <path value="ClinicalDocument.informant.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:non-provider.typeId">
      <path value="ClinicalDocument.informant.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:non-provider.typeId.nullFlavor">
      <path value="ClinicalDocument.informant.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.typeId.assigningAuthorityName">
      <path value="ClinicalDocument.informant.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:non-provider.typeId.displayable">
      <path value="ClinicalDocument.informant.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:non-provider.typeId.root">
      <path value="ClinicalDocument.informant.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.informant:non-provider.typeId.extension">
      <path value="ClinicalDocument.informant.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:non-provider.templateId">
      <path value="ClinicalDocument.informant.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:non-provider.typeCode">
      <path value="ClinicalDocument.informant.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Informant.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INF"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:non-provider.contextControlCode">
      <path value="ClinicalDocument.informant.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Informant.contextControlCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:non-provider.assignedEntity">
      <path value="ClinicalDocument.informant.assignedEntity"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Informant.assignedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:non-provider.relatedEntity">
      <path value="ClinicalDocument.informant.relatedEntity"/>
      <comment
               value="SHALL contain exactly one [1..1] relatedEntity (CONF:1198-28682)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Informant.relatedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RelatedEntity"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.nullFlavor">
      <path value="ClinicalDocument.informant.relatedEntity.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.realmCode">
      <path value="ClinicalDocument.informant.relatedEntity.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.typeId">
      <path value="ClinicalDocument.informant.relatedEntity.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.typeId.nullFlavor">
      <path
            value="ClinicalDocument.informant.relatedEntity.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.informant.relatedEntity.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.typeId.displayable">
      <path
            value="ClinicalDocument.informant.relatedEntity.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.typeId.root">
      <path value="ClinicalDocument.informant.relatedEntity.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.typeId.extension">
      <path
            value="ClinicalDocument.informant.relatedEntity.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.templateId">
      <path value="ClinicalDocument.informant.relatedEntity.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.classCode">
      <path value="ClinicalDocument.informant.relatedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="RelatedEntity.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDARoleClassMutualRelationship"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:non-provider.relatedEntity.code">
      <path value="ClinicalDocument.informant.relatedEntity.code"/>
      <comment
               value="This relatedEntity MAY contain zero or one [0..1] code (CONF:1198-28683)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RelatedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <constraint>
        <key value="should-us-code-attr"/>
        <severity value="warning"/>
        <human value="SHOULD contain @code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
      <binding>
        <strength value="example"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-PersonalRelationshipRoleType"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.nullFlavor">
      <path value="ClinicalDocument.informant.relatedEntity.code.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.code">
      <path value="ClinicalDocument.informant.relatedEntity.code.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <comment
               value="The code, if present, 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:1198-28684)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.codeSystem">
      <path value="ClinicalDocument.informant.relatedEntity.code.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.codeSystemName">
      <path
            value="ClinicalDocument.informant.relatedEntity.code.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.codeSystemVersion">
      <path
            value="ClinicalDocument.informant.relatedEntity.code.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.displayName">
      <path
            value="ClinicalDocument.informant.relatedEntity.code.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path
            value="ClinicalDocument.informant.relatedEntity.code.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path
            value="ClinicalDocument.informant.relatedEntity.code.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.originalText">
      <path
            value="ClinicalDocument.informant.relatedEntity.code.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.qualifier">
      <path value="ClinicalDocument.informant.relatedEntity.code.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.translation">
      <path
            value="ClinicalDocument.informant.relatedEntity.code.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:non-provider.relatedEntity.addr">
      <path value="ClinicalDocument.informant.relatedEntity.addr"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="RelatedEntity.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.telecom">
      <path value="ClinicalDocument.informant.relatedEntity.telecom"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="RelatedEntity.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.effectiveTime">
      <path value="ClinicalDocument.informant.relatedEntity.effectiveTime"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RelatedEntity.effectiveTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.relatedPerson">
      <path value="ClinicalDocument.informant.relatedEntity.relatedPerson"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RelatedEntity.relatedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Person"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian">
      <path value="ClinicalDocument.custodian"/>
      <short
             value="The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization."/>
      <comment
               value="SHALL contain exactly one [1..1] custodian (CONF:1198-28685)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.custodian"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Custodian"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.nullFlavor">
      <path value="ClinicalDocument.custodian.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.custodian.realmCode">
      <path value="ClinicalDocument.custodian.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.typeId">
      <path value="ClinicalDocument.custodian.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.typeId.nullFlavor">
      <path value="ClinicalDocument.custodian.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.custodian.typeId.assigningAuthorityName">
      <path value="ClinicalDocument.custodian.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.typeId.displayable">
      <path value="ClinicalDocument.custodian.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.typeId.root">
      <path value="ClinicalDocument.custodian.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.custodian.typeId.extension">
      <path value="ClinicalDocument.custodian.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.templateId">
      <path value="ClinicalDocument.custodian.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.typeCode">
      <path value="ClinicalDocument.custodian.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Custodian.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="CST"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.custodian.assignedCustodian">
      <path value="ClinicalDocument.custodian.assignedCustodian"/>
      <comment
               value="This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:1198-28686)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Custodian.assignedCustodian"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/AssignedCustodian"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.assignedCustodian.nullFlavor">
      <path value="ClinicalDocument.custodian.assignedCustodian.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.custodian.assignedCustodian.realmCode">
      <path value="ClinicalDocument.custodian.assignedCustodian.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.assignedCustodian.typeId">
      <path value="ClinicalDocument.custodian.assignedCustodian.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.typeId.displayable">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.assignedCustodian.typeId.root">
      <path value="ClinicalDocument.custodian.assignedCustodian.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.typeId.extension">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.assignedCustodian.templateId">
      <path value="ClinicalDocument.custodian.assignedCustodian.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.assignedCustodian.classCode">
      <path value="ClinicalDocument.custodian.assignedCustodian.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedCustodian.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization"/>
      <short
             value="The representedCustodianOrganization may be the person when the document is not maintained by an organization."/>
      <comment
               value="This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:1198-28687)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedCustodian.representedCustodianOrganization"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/CustodianOrganization"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.realmCode">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.displayable">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.root">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.extension">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.templateId">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CustodianOrganization.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ORG"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CustodianOrganization.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id"/>
      <short
             value="The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way."/>
      <comment
               value="This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:1198-28688)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="CustodianOrganization.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.assigningAuthorityName">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.displayable">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition
                  value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <comment
               value="Such ids SHOULD contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:4537-16822)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <constraint>
        <key value="should-npi"/>
        <severity value="warning"/>
        <human value="SHOULD be NPI"/>
        <expression value="$this = '2.16.840.1.113883.4.6'"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.extension">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.name">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.name"/>
      <comment
               value="This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:4537-5524)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CustodianOrganization.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ON"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom"/>
      <comment
               value="This representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:4537-5525)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CustodianOrganization.telecom"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.value">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.value"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="url"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/url"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueCanonical
                        value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </extension>
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.useablePeriod"/>
      <representation value="typeAttr"/>
      <label value="Useable Period"/>
      <definition
                  value="Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.useablePeriod"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use"/>
      <representation value="xmlAttr"/>
      <label value="Use Code"/>
      <definition
                  value="One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need."/>
      <comment
               value="This telecom SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7998)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.sdtcTelecom">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="telecom"/>
      </extension>
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.sdtcTelecom"/>
      <short
             value="The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CustodianOrganization.sdtcTelecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc."/>
      <comment
               value="This representedCustodianOrganization SHALL contain exactly one [1..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5559)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CustodianOrganization.addr"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </type>
      <constraint>
        <key value="shall-city"/>
        <severity value="error"/>
        <human value="SHALL contain exactly one [1..1] city (CONF:81-7292)."/>
        <expression value="nullFlavor.exists() or item.city.count() = 1"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-streetAddressLine"/>
        <severity value="error"/>
        <human
               value="SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291)."/>
        <expression
                    value="nullFlavor.exists() or (item.streetAddressLine.count() &gt;= 1 and item.streetAddressLine.count() &lt;= 4)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-country"/>
        <severity value="warning"/>
        <human value="SHOULD contain country"/>
        <expression value="nullFlavor.exists() or item.country.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)"/>
        <expression value="item.xmlText.empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10024"/>
        <severity value="error"/>
        <human
               value="If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10025"/>
        <severity value="error"/>
        <human
               value="If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-max-ad-parts"/>
        <severity value="error"/>
        <human
               value="SHALL have at most one of each: state, city, postalCode, and country"/>
        <expression
                    value="(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.informationRecipient">
      <path value="ClinicalDocument.informationRecipient"/>
      <short
             value="The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart."/>
      <comment
               value="MAY contain zero or more [0..*] informationRecipient (CONF:1198-28690)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.informationRecipient"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InformationRecipient"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient.nullFlavor">
      <path value="ClinicalDocument.informationRecipient.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informationRecipient.realmCode">
      <path value="ClinicalDocument.informationRecipient.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient.typeId">
      <path value="ClinicalDocument.informationRecipient.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient.typeId.nullFlavor">
      <path value="ClinicalDocument.informationRecipient.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.informationRecipient.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient.typeId.displayable">
      <path value="ClinicalDocument.informationRecipient.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient.typeId.root">
      <path value="ClinicalDocument.informationRecipient.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.informationRecipient.typeId.extension">
      <path value="ClinicalDocument.informationRecipient.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient.templateId">
      <path value="ClinicalDocument.informationRecipient.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient.typeCode">
      <path value="ClinicalDocument.informationRecipient.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InformationRecipient.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <defaultValueCode value="PRCP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informationRecipient.intendedRecipient">
      <path value="ClinicalDocument.informationRecipient.intendedRecipient"/>
      <comment
               value="The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:1198-28691)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="InformationRecipient.intendedRecipient"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IntendedRecipient"/>
      </type>
      <constraint>
        <key value="should-id"/>
        <severity value="warning"/>
        <human value="SHOULD contain id"/>
        <expression value="id.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.realmCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.typeId">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.typeId.displayable">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.typeId.root">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.typeId.extension">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.templateId">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.classCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IntendedRecipient.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <defaultValueCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informationRecipient.intendedRecipient.id">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.id"/>
      <short
             value="The combined @root and @extension  attributes to record the information recipient's identity in a secure, trusted, and unique way."/>
      <comment
               value="This intendedRecipient SHOULD contain zero or more [0..*] id (CONF:1198-28692)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="IntendedRecipient.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
      <constraint>
        <key value="should-root"/>
        <severity value="warning"/>
        <human value="SHOULD contain @root"/>
        <expression value="root.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.id.nullFlavor">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.id.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.id.assigningAuthorityName">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.id.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.id.displayable">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.id.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.id.root">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.id.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <short
             value="For a provider, the id/@root =&quot;2.16.840.1.113883.4.6&quot; indicates the National Provider Identifier where id/@extension is the NPI number for the provider.

The ids MAY reference the id of a person or organization entity specified elsewhere in the document."/>
      <definition
                  value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <comment
               value="The id, if present, SHOULD contain zero or one [0..1] @root (CONF:1198-28693)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.id.extension">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.id.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="identifiedBy"/>
      </extension>
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.sdtcIdentifiedBy"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="IntendedRecipient.sdtcIdentifiedBy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.addr">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.addr"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="IntendedRecipient.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.telecom">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.telecom"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="IntendedRecipient.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient"/>
      <comment
               value="This intendedRecipient MAY contain zero or one [0..1] informationRecipient (CONF:4537-5567)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IntendedRecipient.informationRecipient"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.realmCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.displayable">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.root">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.extension">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.templateId">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name"/>
      <short value="Base for all types and resources"/>
      <definition
                  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 &quot;Jim Bob Walton, Jr.&quot;, &quot;Adam Everyman&quot;, etc. A person name may be as simple as a character string or may consist of several person name parts, such as, &quot;Jim&quot;, &quot;Bob&quot;, &quot;Walton&quot;, and &quot;Jr.&quot;. PN differs from EN because the qualifier type cannot include LS (Legal Status)."/>
      <comment
               value="The informationRecipient, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5568)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </type>
      <constraint>
        <key value="pn-no-ls"/>
        <severity value="error"/>
        <human value="No PN name part may have a qualifier of LS."/>
        <expression
                    value="(item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
      </constraint>
      <constraint>
        <key value="81-9371"/>
        <severity value="error"/>
        <human
               value="The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371)."/>
        <expression
                    value="conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <expression
                    value="item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcDesc">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="desc"/>
      </extension>
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcDesc"/>
      <definition
                  value="The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcDesc"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship"/>
      <definition
                  value="Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.realmCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.displayable">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.root">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.extension">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.templateId">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.classCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PRS"/>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.determinerCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.code">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.code"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization"/>
      <comment
               value="This intendedRecipient MAY contain zero or one [0..1] receivedOrganization (CONF:4537-5577)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IntendedRecipient.receivedOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Organization"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.realmCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.displayable">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.root">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.extension">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.templateId">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ORG"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.id">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.id"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.name">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.name"/>
      <comment
               value="The receivedOrganization, if present, SHALL contain exactly one [1..1] name (CONF:4537-5578)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Organization.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ON"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.telecom">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.telecom"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.addr">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.addr"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.standardIndustryClassCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.asOrganizationPartOf">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.asOrganizationPartOf"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.asOrganizationPartOf"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator">
      <path value="ClinicalDocument.legalAuthenticator"/>
      <short
             value="In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) 

Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored document that does not contain this element has not been legally authenticated.

The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. All patient documents have the potential for legal authentication, given the appropriate legal authority.

Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system.

Note that the legal authenticator, if present, must be a person."/>
      <comment
               value="MAY contain zero or one [0..1] legalAuthenticator (CONF:1198-28694)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.legalAuthenticator"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/LegalAuthenticator"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.nullFlavor">
      <path value="ClinicalDocument.legalAuthenticator.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.realmCode">
      <path value="ClinicalDocument.legalAuthenticator.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.typeId">
      <path value="ClinicalDocument.legalAuthenticator.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.typeId.nullFlavor">
      <path value="ClinicalDocument.legalAuthenticator.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.legalAuthenticator.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.typeId.displayable">
      <path value="ClinicalDocument.legalAuthenticator.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.typeId.root">
      <path value="ClinicalDocument.legalAuthenticator.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.typeId.extension">
      <path value="ClinicalDocument.legalAuthenticator.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.templateId">
      <path value="ClinicalDocument.legalAuthenticator.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.typeCode">
      <path value="ClinicalDocument.legalAuthenticator.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LegalAuthenticator.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="LA"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.contextControlCode">
      <path value="ClinicalDocument.legalAuthenticator.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LegalAuthenticator.contextControlCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"/>
      </binding>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.time">
      <path value="ClinicalDocument.legalAuthenticator.time"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <comment
               value="The legalAuthenticator, if present, SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5580)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="LegalAuthenticator.time"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </type>
      <constraint>
        <key value="ts-shall-day"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to at least the day"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </constraint>
      <constraint>
        <key value="ts-should-minute"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to at least the minute"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt; 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.signatureCode">
      <path value="ClinicalDocument.legalAuthenticator.signatureCode"/>
      <comment
               value="The legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:4537-5583)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="LegalAuthenticator.signatureCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <constraint>
        <key value="signature"/>
        <severity value="warning"/>
        <human
               value="CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'."/>
        <expression value="code.exists() implies code != 'X'"/>
        <source
                value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor">
      <path
            value="ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.signatureCode.code">
      <path value="ClinicalDocument.legalAuthenticator.signatureCode.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <comment
               value="This signatureCode SHALL contain exactly one [1..1] @code=&quot;S&quot; (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5584)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <patternCode value="S"/>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.signatureCode.codeSystem">
      <path
            value="ClinicalDocument.legalAuthenticator.signatureCode.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.signatureCode.codeSystemName">
      <path
            value="ClinicalDocument.legalAuthenticator.signatureCode.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.signatureCode.codeSystemVersion">
      <path
            value="ClinicalDocument.legalAuthenticator.signatureCode.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.signatureCode.displayName">
      <path
            value="ClinicalDocument.legalAuthenticator.signatureCode.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.signatureCode.originalText">
      <path
            value="ClinicalDocument.legalAuthenticator.signatureCode.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.signatureCode.qualifier">
      <path
            value="ClinicalDocument.legalAuthenticator.signatureCode.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.signatureCode.translation">
      <path
            value="ClinicalDocument.legalAuthenticator.signatureCode.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.sdtcSignatureText">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="signatureText"/>
      </extension>
      <path value="ClinicalDocument.legalAuthenticator.sdtcSignatureText"/>
      <short
             value="The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are:
1) Electronic signature: this attribute can represent virtually any electronic signature scheme.
2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc.
 The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013."/>
      <definition
                  value="A textual or multimedia depiction of the signature by which the participant endorses his or her participation in the Act as specified in the Participation.typeCode and that he or she agrees to assume the associated accountability."/>
      <comment
               value="The legalAuthenticator, if present, MAY contain zero or one [0..1] sdtc:signatureText (CONF:4537-30810)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LegalAuthenticator.sdtcSignatureText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity"/>
      <comment
               value="The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28695)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="LegalAuthenticator.assignedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.realmCode">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.typeId">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.typeId.displayable">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.typeId.root">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.typeId.extension">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.templateId">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.classCode">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.id">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity.id"/>
      <short
             value="The combined @root and @extension  attributes to record the information recipient's identity in a secure, trusted, and unique way."/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28696)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.id.assigningAuthorityName">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.id.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.id.displayable">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.id.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.id.root">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.id.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <short value="MAY contain '2.16.840.1.113883.4.6' (NPI)"/>
      <definition
                  value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <comment
               value="Such ids MAY contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:4537-16823)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.id.extension">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.id.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="identifiedBy"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.sdtcIdentifiedBy"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.sdtcIdentifiedBy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.code">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity.code"/>
      <comment
               value="This assignedEntity MAY contain zero or one [0..1] code (CONF:1198-28697)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.nullFlavor">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.code">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <comment
               value="The code, if present, MAY 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:1198-28698)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.codeSystem">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.codeSystemName">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.codeSystemVersion">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.displayName">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.originalText">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.qualifier">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.translation">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.addr">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity.addr"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc."/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5589)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </type>
      <constraint>
        <key value="shall-city"/>
        <severity value="error"/>
        <human value="SHALL contain exactly one [1..1] city (CONF:81-7292)."/>
        <expression value="nullFlavor.exists() or item.city.count() = 1"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-streetAddressLine"/>
        <severity value="error"/>
        <human
               value="SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291)."/>
        <expression
                    value="nullFlavor.exists() or (item.streetAddressLine.count() &gt;= 1 and item.streetAddressLine.count() &lt;= 4)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-country"/>
        <severity value="warning"/>
        <human value="SHOULD contain country"/>
        <expression value="nullFlavor.exists() or item.country.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)"/>
        <expression value="item.xmlText.empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10024"/>
        <severity value="error"/>
        <human
               value="If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10025"/>
        <severity value="error"/>
        <human
               value="If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-max-ad-parts"/>
        <severity value="error"/>
        <human
               value="SHALL have at most one of each: state, city, postalCode, and country"/>
        <expression
                    value="(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.telecom">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.telecom"/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5595)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.telecom.value">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.telecom.value"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="url"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/url"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueCanonical
                        value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.telecom.useablePeriod"/>
      <representation value="typeAttr"/>
      <label value="Useable Period"/>
      <definition
                  value="Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.useablePeriod"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use"/>
      <representation value="xmlAttr"/>
      <label value="Use Code"/>
      <definition
                  value="One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need."/>
      <comment
               value="Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7999)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson"/>
      <comment
               value="This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5597)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.assignedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.realmCode">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.displayable">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.root">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.extension">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.templateId">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name"/>
      <short value="Base for all types and resources"/>
      <definition
                  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 &quot;Jim Bob Walton, Jr.&quot;, &quot;Adam Everyman&quot;, etc. A person name may be as simple as a character string or may consist of several person name parts, such as, &quot;Jim&quot;, &quot;Bob&quot;, &quot;Walton&quot;, and &quot;Jr.&quot;. PN differs from EN because the qualifier type cannot include LS (Legal Status)."/>
      <comment
               value="This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5598)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </type>
      <constraint>
        <key value="pn-no-ls"/>
        <severity value="error"/>
        <human value="No PN name part may have a qualifier of LS."/>
        <expression
                    value="(item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
      </constraint>
      <constraint>
        <key value="81-9371"/>
        <severity value="error"/>
        <human
               value="The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371)."/>
        <expression
                    value="conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <expression
                    value="item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcDesc">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="desc"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcDesc"/>
      <definition
                  value="The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcDesc"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship"/>
      <definition
                  value="Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PRS"/>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.representedOrganization">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.representedOrganization"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.representedOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Organization"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.sdtcPatient">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="patient"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.sdtcPatient"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.sdtcPatient"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/StructureDefinition/Base"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.sdtcPatient.id">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.sdtcPatient.id"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.sdtcPatient.id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator">
      <path value="ClinicalDocument.authenticator"/>
      <short
             value="The authenticator identifies a participant or participants who attest to the accuracy of the information in the document."/>
      <comment
               value="MAY contain zero or more [0..*] authenticator (CONF:1198-28699)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.authenticator"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Authenticator"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.nullFlavor">
      <path value="ClinicalDocument.authenticator.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authenticator.realmCode">
      <path value="ClinicalDocument.authenticator.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.typeId">
      <path value="ClinicalDocument.authenticator.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.typeId.nullFlavor">
      <path value="ClinicalDocument.authenticator.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.authenticator.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.typeId.displayable">
      <path value="ClinicalDocument.authenticator.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.typeId.root">
      <path value="ClinicalDocument.authenticator.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.authenticator.typeId.extension">
      <path value="ClinicalDocument.authenticator.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.templateId">
      <path value="ClinicalDocument.authenticator.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.typeCode">
      <path value="ClinicalDocument.authenticator.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Authenticator.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="AUTHEN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authenticator.time">
      <path value="ClinicalDocument.authenticator.time"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <comment
               value="SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5608)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Authenticator.time"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </type>
      <constraint>
        <key value="ts-shall-day"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to at least the day"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </constraint>
      <constraint>
        <key value="ts-should-minute"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to at least the minute"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt; 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.authenticator.signatureCode">
      <path value="ClinicalDocument.authenticator.signatureCode"/>
      <comment
               value="SHALL contain exactly one [1..1] signatureCode (CONF:4537-5610)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Authenticator.signatureCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <constraint>
        <key value="signature"/>
        <severity value="warning"/>
        <human
               value="CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'."/>
        <expression value="code.exists() implies code != 'X'"/>
        <source
                value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authenticator.signatureCode.nullFlavor">
      <path value="ClinicalDocument.authenticator.signatureCode.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authenticator.signatureCode.code">
      <path value="ClinicalDocument.authenticator.signatureCode.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <comment
               value="This signatureCode SHALL contain exactly one [1..1] @code=&quot;S&quot; (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5611)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <patternCode value="S"/>
    </element>
    <element id="ClinicalDocument.authenticator.signatureCode.codeSystem">
      <path value="ClinicalDocument.authenticator.signatureCode.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.signatureCode.codeSystemName">
      <path
            value="ClinicalDocument.authenticator.signatureCode.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.signatureCode.codeSystemVersion">
      <path
            value="ClinicalDocument.authenticator.signatureCode.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.signatureCode.displayName">
      <path value="ClinicalDocument.authenticator.signatureCode.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.signatureCode.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.signatureCode.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.signatureCode.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.signatureCode.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.signatureCode.originalText">
      <path
            value="ClinicalDocument.authenticator.signatureCode.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.signatureCode.qualifier">
      <path value="ClinicalDocument.authenticator.signatureCode.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.signatureCode.translation">
      <path value="ClinicalDocument.authenticator.signatureCode.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.sdtcSignatureText">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="signatureText"/>
      </extension>
      <path value="ClinicalDocument.authenticator.sdtcSignatureText"/>
      <short
             value="The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are:
1) Electronic signature: this attribute can represent virtually any electronic signature scheme.
2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc.
 The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013."/>
      <definition
                  value="A textual or multimedia depiction of the signature by which the participant endorses his or her participation in the Act as specified in the Participation.typeCode and that he or she agrees to assume the associated accountability."/>
      <comment
               value="MAY contain zero or one [0..1] sdtc:signatureText (CONF:4537-30811)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Authenticator.sdtcSignatureText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity">
      <path value="ClinicalDocument.authenticator.assignedEntity"/>
      <comment
               value="The authenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28700)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Authenticator.assignedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity"/>
      </type>
      <constraint>
        <key value="should-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.nullFlavor">
      <path value="ClinicalDocument.authenticator.assignedEntity.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.realmCode">
      <path value="ClinicalDocument.authenticator.assignedEntity.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.typeId">
      <path value="ClinicalDocument.authenticator.assignedEntity.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.typeId.displayable">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.typeId.root">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.typeId.extension">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.templateId">
      <path value="ClinicalDocument.authenticator.assignedEntity.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.classCode">
      <path value="ClinicalDocument.authenticator.assignedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.id">
      <path value="ClinicalDocument.authenticator.assignedEntity.id"/>
      <short
             value="The combined @root and @extension  attributes to record the authenticator's identity in a secure, trusted, and unique way."/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28701)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.id.nullFlavor">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.id.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.id.assigningAuthorityName">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.id.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.id.displayable">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.id.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.id.root">
      <path value="ClinicalDocument.authenticator.assignedEntity.id.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition
                  value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <comment
               value="Such ids SHOULD contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier  (CONF:4537-16824)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <constraint>
        <key value="should-npi"/>
        <severity value="warning"/>
        <human value="SHOULD be NPI"/>
        <expression value="$this = '2.16.840.1.113883.4.6'"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.id.extension">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.id.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="identifiedBy"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.assignedEntity.sdtcIdentifiedBy"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.sdtcIdentifiedBy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.code">
      <path value="ClinicalDocument.authenticator.assignedEntity.code"/>
      <comment
               value="This assignedEntity 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:1198-28702)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.code.nullFlavor">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.code.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.code.code">
      <path value="ClinicalDocument.authenticator.assignedEntity.code.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <comment
               value="The code, if present, MAY 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:4537-16826)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.code.codeSystem">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.code.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.code.codeSystemName">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.code.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.code.codeSystemVersion">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.code.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.code.displayName">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.code.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.code.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.assignedEntity.code.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.code.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.assignedEntity.code.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.code.originalText">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.code.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.code.qualifier">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.code.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.code.translation">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.code.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.addr">
      <path value="ClinicalDocument.authenticator.assignedEntity.addr"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc."/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5616)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </type>
      <constraint>
        <key value="shall-city"/>
        <severity value="error"/>
        <human value="SHALL contain exactly one [1..1] city (CONF:81-7292)."/>
        <expression value="nullFlavor.exists() or item.city.count() = 1"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-streetAddressLine"/>
        <severity value="error"/>
        <human
               value="SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291)."/>
        <expression
                    value="nullFlavor.exists() or (item.streetAddressLine.count() &gt;= 1 and item.streetAddressLine.count() &lt;= 4)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="should-country"/>
        <severity value="warning"/>
        <human value="SHOULD contain country"/>
        <expression value="nullFlavor.exists() or item.country.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)"/>
        <expression value="item.xmlText.empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10024"/>
        <severity value="error"/>
        <human
               value="If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="81-10025"/>
        <severity value="error"/>
        <human
               value="If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025)."/>
        <expression
                    value="nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <constraint>
        <key value="shall-max-ad-parts"/>
        <severity value="error"/>
        <human
               value="SHALL have at most one of each: state, city, postalCode, and country"/>
        <expression
                    value="(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.telecom">
      <path value="ClinicalDocument.authenticator.assignedEntity.telecom"/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5622)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
      <constraint>
        <key value="should-use"/>
        <severity value="warning"/>
        <human value="SHOULD contain @use"/>
        <expression value="nullFlavor.exists() or use.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.telecom.value">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.telecom.value"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="url"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/url"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueCanonical
                        value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.assignedEntity.telecom.useablePeriod"/>
      <representation value="typeAttr"/>
      <label value="Useable Period"/>
      <definition
                  value="Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.useablePeriod"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.telecom.use">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.telecom.use"/>
      <representation value="xmlAttr"/>
      <label value="Use Code"/>
      <definition
                  value="One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need."/>
      <comment
               value="Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-8000)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson"/>
      <comment
               value="This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5624)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.assignedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.realmCode">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.displayable">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.root">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.extension">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.templateId">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.name">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.name"/>
      <short value="Base for all types and resources"/>
      <definition
                  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 &quot;Jim Bob Walton, Jr.&quot;, &quot;Adam Everyman&quot;, etc. A person name may be as simple as a character string or may consist of several person name parts, such as, &quot;Jim&quot;, &quot;Bob&quot;, &quot;Walton&quot;, and &quot;Jr.&quot;. PN differs from EN because the qualifier type cannot include LS (Legal Status)."/>
      <comment
               value="This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5625)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </type>
      <constraint>
        <key value="pn-no-ls"/>
        <severity value="error"/>
        <human value="No PN name part may have a qualifier of LS."/>
        <expression
                    value="(item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()"/>
        <source value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
      </constraint>
      <constraint>
        <key value="81-9371"/>
        <severity value="error"/>
        <human
               value="The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371)."/>
        <expression
                    value="conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <expression
                    value="item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcDesc">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="desc"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcDesc"/>
      <definition
                  value="The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcDesc"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship"/>
      <definition
                  value="Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PRS"/>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.representedOrganization">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.representedOrganization"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.representedOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.sdtcPatient">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="patient"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.assignedEntity.sdtcPatient"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.sdtcPatient"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/StructureDefinition/Base"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator.assignedEntity.sdtcPatient.id">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.assignedEntity.sdtcPatient.id"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.sdtcPatient.id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant">
      <path value="ClinicalDocument.participant"/>
      <short
             value="The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. 

A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin)"/>
      <comment
               value="MAY contain zero or more [0..*] participant (CONF:1198-28703)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Participant1"/>
      </type>
      <constraint>
        <key value="4537-10006"/>
        <severity value="error"/>
        <human
               value="**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006)."/>
        <expression
                    value="associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="4537-10007"/>
        <severity value="warning"/>
        <human
               value="When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007)."/>
        <expression
                    value="typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.participant.nullFlavor">
      <path value="ClinicalDocument.participant.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.participant.realmCode">
      <path value="ClinicalDocument.participant.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.typeId">
      <path value="ClinicalDocument.participant.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.typeId.nullFlavor">
      <path value="ClinicalDocument.participant.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.participant.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.participant.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.typeId.displayable">
      <path value="ClinicalDocument.participant.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.typeId.root">
      <path value="ClinicalDocument.participant.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.participant.typeId.extension">
      <path value="ClinicalDocument.participant.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.templateId">
      <path value="ClinicalDocument.participant.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.typeCode">
      <path value="ClinicalDocument.participant.typeCode"/>
      <representation value="xmlAttr"/>
      <short
             value="Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30"/>
      <comment
               value="The participant, if present, SHALL contain exactly one [1..1] @typeCode (CONF:1198-28704)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Participant1.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.participant.contextControlCode">
      <path value="ClinicalDocument.participant.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Participant1.contextControlCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"/>
      </binding>
    </element>
    <element id="ClinicalDocument.participant.functionCode">
      <path value="ClinicalDocument.participant.functionCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Participant1.functionCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.time">
      <path value="ClinicalDocument.participant.time"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <comment
               value="MAY contain zero or one [0..1] time (CONF:4537-10004)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Participant1.time"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </type>
      <constraint>
        <key value="ivl-ts-center"/>
        <severity value="error"/>
        <human value="Center cannot co-exist with low or high"/>
        <expression value="center.empty() or (low.empty() and high.empty())"/>
        <source
                value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </constraint>
      <constraint>
        <key value="ivl-value-shall"/>
        <severity value="error"/>
        <human
               value="If a time interval contains @value, then it shall be precise to at least the day."/>
        <expression
                    value="value.exists() implies value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
      <constraint>
        <key value="ivl-value-should"/>
        <severity value="warning"/>
        <human
               value="If a time interval contains @value, then it SHOULD contain a time component."/>
        <expression
                    value="value.exists() implies value.toString().length() &gt; 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity">
      <path value="ClinicalDocument.participant.associatedEntity"/>
      <comment
               value="The participant, if present, SHALL contain exactly one [1..1] associatedEntity (CONF:1198-28705)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Participant1.associatedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/AssociatedEntity"/>
      </type>
      <constraint>
        <key value="should-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity.nullFlavor">
      <path value="ClinicalDocument.participant.associatedEntity.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity.realmCode">
      <path value="ClinicalDocument.participant.associatedEntity.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity.typeId">
      <path value="ClinicalDocument.participant.associatedEntity.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant.associatedEntity.typeId.nullFlavor">
      <path
            value="ClinicalDocument.participant.associatedEntity.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.participant.associatedEntity.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.participant.associatedEntity.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant.associatedEntity.typeId.displayable">
      <path
            value="ClinicalDocument.participant.associatedEntity.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity.typeId.root">
      <path
            value="ClinicalDocument.participant.associatedEntity.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.participant.associatedEntity.typeId.extension">
      <path
            value="ClinicalDocument.participant.associatedEntity.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity.templateId">
      <path value="ClinicalDocument.participant.associatedEntity.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity.classCode">
      <path value="ClinicalDocument.participant.associatedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssociatedEntity.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDARoleClassAssociative"/>
      </binding>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity.id">
      <path value="ClinicalDocument.participant.associatedEntity.id"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssociatedEntity.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant.associatedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="identifiedBy"/>
      </extension>
      <path
            value="ClinicalDocument.participant.associatedEntity.sdtcIdentifiedBy"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssociatedEntity.sdtcIdentifiedBy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity.code">
      <path value="ClinicalDocument.participant.associatedEntity.code"/>
      <comment
               value="This associatedEntity 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:1198-28706)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssociatedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity.addr">
      <path value="ClinicalDocument.participant.associatedEntity.addr"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssociatedEntity.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity.telecom">
      <path value="ClinicalDocument.participant.associatedEntity.telecom"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssociatedEntity.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant.associatedEntity.associatedPerson">
      <path
            value="ClinicalDocument.participant.associatedEntity.associatedPerson"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssociatedEntity.associatedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant.associatedEntity.scopingOrganization">
      <path
            value="ClinicalDocument.participant.associatedEntity.scopingOrganization"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssociatedEntity.scopingOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf">
      <path value="ClinicalDocument.inFulfillmentOf"/>
      <short
             value="The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray."/>
      <comment
               value="MAY contain zero or more [0..*] inFulfillmentOf (CONF:1198-28707)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.inFulfillmentOf"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.nullFlavor">
      <path value="ClinicalDocument.inFulfillmentOf.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.realmCode">
      <path value="ClinicalDocument.inFulfillmentOf.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.typeId">
      <path value="ClinicalDocument.inFulfillmentOf.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.typeId.nullFlavor">
      <path value="ClinicalDocument.inFulfillmentOf.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.inFulfillmentOf.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.inFulfillmentOf.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.typeId.displayable">
      <path value="ClinicalDocument.inFulfillmentOf.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.typeId.root">
      <path value="ClinicalDocument.inFulfillmentOf.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.typeId.extension">
      <path value="ClinicalDocument.inFulfillmentOf.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.templateId">
      <path value="ClinicalDocument.inFulfillmentOf.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.typeCode">
      <path value="ClinicalDocument.inFulfillmentOf.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InFulfillmentOf.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="FLFS"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0"/>
      </binding>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order">
      <path value="ClinicalDocument.inFulfillmentOf.order"/>
      <comment
               value="The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:1198-28708)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="InFulfillmentOf.order"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/Order"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.nullFlavor">
      <path value="ClinicalDocument.inFulfillmentOf.order.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.realmCode">
      <path value="ClinicalDocument.inFulfillmentOf.order.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.typeId">
      <path value="ClinicalDocument.inFulfillmentOf.order.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor">
      <path value="ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.inFulfillmentOf.order.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.inFulfillmentOf.order.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.typeId.displayable">
      <path
            value="ClinicalDocument.inFulfillmentOf.order.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.typeId.root">
      <path value="ClinicalDocument.inFulfillmentOf.order.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.typeId.extension">
      <path value="ClinicalDocument.inFulfillmentOf.order.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.templateId">
      <path value="ClinicalDocument.inFulfillmentOf.order.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.classCode">
      <path value="ClinicalDocument.inFulfillmentOf.order.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Order.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <defaultValueCode value="ACT"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.moodCode">
      <path value="ClinicalDocument.inFulfillmentOf.order.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Order.moodCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="RQO"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent"/>
      </binding>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.id">
      <path value="ClinicalDocument.inFulfillmentOf.order.id"/>
      <short
             value="A scheduled appointment or service event in a practice management system may be represented using this id element."/>
      <comment
               value="This order SHALL contain at least one [1..*] id (CONF:1198-28709)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Order.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.code">
      <path value="ClinicalDocument.inFulfillmentOf.order.code"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Order.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/>
      </binding>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.priorityCode">
      <path value="ClinicalDocument.inFulfillmentOf.order.priorityCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Order.priorityCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
      </binding>
    </element>
    <element id="ClinicalDocument.documentationOf">
      <path value="ClinicalDocument.documentationOf"/>
      <comment
               value="MAY contain zero or more [0..*] documentationOf (CONF:1198-28710)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.documentationOf"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/DocumentationOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.nullFlavor">
      <path value="ClinicalDocument.documentationOf.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.documentationOf.realmCode">
      <path value="ClinicalDocument.documentationOf.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.typeId">
      <path value="ClinicalDocument.documentationOf.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.typeId.nullFlavor">
      <path value="ClinicalDocument.documentationOf.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.documentationOf.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.typeId.displayable">
      <path value="ClinicalDocument.documentationOf.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.typeId.root">
      <path value="ClinicalDocument.documentationOf.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.documentationOf.typeId.extension">
      <path value="ClinicalDocument.documentationOf.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.templateId">
      <path value="ClinicalDocument.documentationOf.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.typeCode">
      <path value="ClinicalDocument.documentationOf.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DocumentationOf.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DOC"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent">
      <path value="ClinicalDocument.documentationOf.serviceEvent"/>
      <short
             value="A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template."/>
      <comment
               value="The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:1198-28711)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentationOf.serviceEvent"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/ServiceEvent"/>
      </type>
      <constraint>
        <key value="should-us-performer"/>
        <severity value="warning"/>
        <human value="SHOULD contain performer"/>
        <expression value="performer.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
      <constraint>
        <key value="should-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
      <constraint>
        <key value="should-performer"/>
        <severity value="warning"/>
        <human value="SHOULD contain performer"/>
        <expression value="performer.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.nullFlavor">
      <path value="ClinicalDocument.documentationOf.serviceEvent.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.realmCode">
      <path value="ClinicalDocument.documentationOf.serviceEvent.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.typeId">
      <path value="ClinicalDocument.documentationOf.serviceEvent.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.typeId.displayable">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.typeId.root">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.typeId.extension">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.templateId">
      <path value="ClinicalDocument.documentationOf.serviceEvent.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.classCode">
      <path value="ClinicalDocument.documentationOf.serviceEvent.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <defaultValueCode value="ACT"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.moodCode">
      <path value="ClinicalDocument.documentationOf.serviceEvent.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.moodCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActMood"/>
      </binding>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.id">
      <path value="ClinicalDocument.documentationOf.serviceEvent.id"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ServiceEvent.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.code">
      <path value="ClinicalDocument.documentationOf.serviceEvent.code"/>
      <short
             value="The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document."/>
      <definition value="Drawn from concept domain ActCode"/>
      <comment
               value="This serviceEvent SHOULD contain zero or one [0..1] code (CONF:1198-28712)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <comment
               value="This serviceEvent SHALL contain exactly one [1..1] US Realm Date and Time (Interval) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:4537-14837)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.effectiveTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </type>
      <constraint>
        <key value="ivl-ts-center"/>
        <severity value="error"/>
        <human value="Center cannot co-exist with low or high"/>
        <expression value="center.empty() or (low.empty() and high.empty())"/>
        <source
                value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </constraint>
      <constraint>
        <key value="ivl-value-shall"/>
        <severity value="error"/>
        <human
               value="If a time interval contains @value, then it shall be precise to at least the day."/>
        <expression
                    value="value.exists() implies value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
      <constraint>
        <key value="ivl-value-should"/>
        <severity value="warning"/>
        <human
               value="If a time interval contains @value, then it SHOULD contain a time component."/>
        <expression
                    value="value.exists() implies value.toString().length() &gt; 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.value">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format">
        <valueString value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules">
        <valueString value="year-valid:tz-for-time"/>
      </extension>
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.value"/>
      <representation value="xmlAttr"/>
      <short
             value="Either @value or low/high should be present, but not both"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TS.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SXCM_TS.operator"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <defaultValueCode value="I"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDASetOperator"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low"/>
      <label value="Low Boundary"/>
      <short value="**MAY** be precise to at least the second"/>
      <definition value="This is the low limit of the interval."/>
      <comment
               value="This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-14838)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.low"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/>
      </type>
      <constraint>
        <key value="ts-shall-day"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to at least the day"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
      <constraint>
        <key value="ts-should-minute"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to at least the minute"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt; 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.value">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format">
        <valueString value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules">
        <valueString value="year-valid:tz-for-time"/>
      </extension>
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.value"/>
      <representation value="xmlAttr"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TS.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.inclusive">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.inclusive"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IVXB_TS.inclusive"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.center">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.center"/>
      <label value="Central Value"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.center"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.width">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.width"/>
      <label value="Width"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.width"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PQ"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high"/>
      <label value="High Boundary"/>
      <short value="**MAY** be precise to at least the second"/>
      <definition value="This is the high limit of the interval."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IVL_TS.high"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"/>
      </type>
      <constraint>
        <key value="ts-shall-day"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to at least the day"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
      <constraint>
        <key value="ts-should-minute"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to at least the minute"/>
        <expression
                    value="nullFlavor.exists() or value.toString().length() &gt; 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.value">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format">
        <valueString value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules">
        <valueString value="year-valid:tz-for-time"/>
      </extension>
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.value"/>
      <representation value="xmlAttr"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TS.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.inclusive">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.inclusive"/>
      <representation value="xmlAttr"/>
      <definition
                  value="Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IVXB_TS.inclusive"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.performer">
      <path value="ClinicalDocument.documentationOf.serviceEvent.performer"/>
      <short
             value="The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors."/>
      <comment
               value="This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:1198-28713)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ServiceEvent.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Performer1"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.realmCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.typeId">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.typeId.displayable">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.typeId.root">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.typeId.extension">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.templateId">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.typeCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.typeCode"/>
      <representation value="xmlAttr"/>
      <comment
               value="The performer, if present, SHALL contain exactly one [1..1] @typeCode, which SHALL be selected from ValueSet x_ServiceEventPerformer urn:oid:2.16.840.1.113883.1.11.19601 STATIC (CONF:4537-14840)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Performer1.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode"/>
      <short
             value="When indicating the performer was the primary care physician, implementers should indicate &quot;PCP&quot; as the functionCode"/>
      <comment
               value="The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:4537-16818)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Performer1.functionCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <constraint>
        <key value="should-code-attr"/>
        <severity value="warning"/>
        <human value="SHOULD contain @code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <comment
               value="The functionCode, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4537-32889)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10267"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystem">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystemName">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystemVersion">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.displayName">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.originalText">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.qualifier">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.translation">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.time">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.time"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Performer1.time"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </type>
      <constraint>
        <key value="ivl-ts-center"/>
        <severity value="error"/>
        <human value="Center cannot co-exist with low or high"/>
        <expression value="center.empty() or (low.empty() and high.empty())"/>
        <source
                value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </constraint>
      <constraint>
        <key value="ivl-value-shall"/>
        <severity value="error"/>
        <human
               value="If a time interval contains @value, then it shall be precise to at least the day."/>
        <expression
                    value="value.exists() implies value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
      <constraint>
        <key value="ivl-value-should"/>
        <severity value="warning"/>
        <human
               value="If a time interval contains @value, then it SHOULD contain a time component."/>
        <expression
                    value="value.exists() implies value.toString().length() &gt; 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity"/>
      <comment
               value="The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28715)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Performer1.assignedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity"/>
      </type>
      <constraint>
        <key value="should-us-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.realmCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.displayable">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.root">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.extension">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.templateId">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id"/>
      <short
             value="The combined @root and @extension  attributes record the performer's identity in a secure, trusted, and unique way."/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28716)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.assigningAuthorityName">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.displayable">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition
                  value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <comment
               value="Such ids SHOULD contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:4537-14847)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <constraint>
        <key value="should-npi"/>
        <severity value="warning"/>
        <human value="SHOULD be NPI"/>
        <expression value="$this = '2.16.840.1.113883.4.6'"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.extension">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="identifiedBy"/>
      </extension>
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcIdentifiedBy"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.sdtcIdentifiedBy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code"/>
      <short
             value="If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set"/>
      <comment
               value="This assignedEntity MAY 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:1198-28718)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.addr">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.addr"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/AD"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.telecom">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.telecom"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.assignedPerson">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.assignedPerson"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.assignedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.representedOrganization">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.representedOrganization"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.representedOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Organization"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcPatient">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="patient"/>
      </extension>
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcPatient"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.sdtcPatient"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/StructureDefinition/Base"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcPatient.id">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcPatient.id"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.sdtcPatient.id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument">
      <path value="ClinicalDocument.relatedDocument"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.relatedDocument"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RelatedDocument"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization">
      <path value="ClinicalDocument.authorization"/>
      <short
             value="The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document."/>
      <comment
               value="MAY contain zero or more [0..*] authorization (CONF:4537-16792) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.authorization"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Authorization"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.nullFlavor">
      <path value="ClinicalDocument.authorization.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authorization.realmCode">
      <path value="ClinicalDocument.authorization.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.typeId">
      <path value="ClinicalDocument.authorization.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.typeId.nullFlavor">
      <path value="ClinicalDocument.authorization.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authorization.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.authorization.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.typeId.displayable">
      <path value="ClinicalDocument.authorization.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.typeId.root">
      <path value="ClinicalDocument.authorization.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.authorization.typeId.extension">
      <path value="ClinicalDocument.authorization.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.templateId">
      <path value="ClinicalDocument.authorization.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.typeCode">
      <path value="ClinicalDocument.authorization.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Authorization.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="AUTH"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authorization.consent">
      <path value="ClinicalDocument.authorization.consent"/>
      <comment
               value="SHALL contain exactly one [1..1] consent (CONF:4537-16793)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Authorization.consent"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Consent"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.consent.nullFlavor">
      <path value="ClinicalDocument.authorization.consent.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authorization.consent.realmCode">
      <path value="ClinicalDocument.authorization.consent.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.consent.typeId">
      <path value="ClinicalDocument.authorization.consent.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.consent.typeId.nullFlavor">
      <path value="ClinicalDocument.authorization.consent.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authorization.consent.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.authorization.consent.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.consent.typeId.displayable">
      <path
            value="ClinicalDocument.authorization.consent.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.consent.typeId.root">
      <path value="ClinicalDocument.authorization.consent.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.authorization.consent.typeId.extension">
      <path value="ClinicalDocument.authorization.consent.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.consent.templateId">
      <path value="ClinicalDocument.authorization.consent.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.consent.classCode">
      <path value="ClinicalDocument.authorization.consent.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Consent.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="CONS"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authorization.consent.moodCode">
      <path value="ClinicalDocument.authorization.consent.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Consent.moodCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActMood"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authorization.consent.id">
      <path value="ClinicalDocument.authorization.consent.id"/>
      <comment
               value="This consent MAY contain zero or more [0..*] id (CONF:4537-16794)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Consent.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization.consent.code">
      <path value="ClinicalDocument.authorization.consent.code"/>
      <short
             value="The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code."/>
      <comment
               value="This consent MAY contain zero or one [0..1] code (CONF:4537-16795)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Consent.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authorization.consent.statusCode">
      <path value="ClinicalDocument.authorization.consent.statusCode"/>
      <comment
               value="This consent SHALL contain exactly one [1..1] statusCode (CONF:4537-16797)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Consent.statusCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authorization.consent.statusCode.nullFlavor">
      <path
            value="ClinicalDocument.authorization.consent.statusCode.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authorization.consent.statusCode.code">
      <path value="ClinicalDocument.authorization.consent.statusCode.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition
                  value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <comment
               value="This statusCode SHALL contain exactly one [1..1] @code=&quot;completed&quot; Completed (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:4537-16798)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="completed"/>
    </element>
    <element
             id="ClinicalDocument.authorization.consent.statusCode.codeSystem">
      <path
            value="ClinicalDocument.authorization.consent.statusCode.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authorization.consent.statusCode.codeSystemName">
      <path
            value="ClinicalDocument.authorization.consent.statusCode.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authorization.consent.statusCode.codeSystemVersion">
      <path
            value="ClinicalDocument.authorization.consent.statusCode.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition
                  value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authorization.consent.statusCode.displayName">
      <path
            value="ClinicalDocument.authorization.consent.statusCode.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition
                  value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authorization.consent.statusCode.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path
            value="ClinicalDocument.authorization.consent.statusCode.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition
                  value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authorization.consent.statusCode.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path
            value="ClinicalDocument.authorization.consent.statusCode.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authorization.consent.statusCode.originalText">
      <path
            value="ClinicalDocument.authorization.consent.statusCode.originalText"/>
      <label value="Original Text"/>
      <definition
                  value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authorization.consent.statusCode.qualifier">
      <path
            value="ClinicalDocument.authorization.consent.statusCode.qualifier"/>
      <label value="Qualifier"/>
      <definition
                  value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authorization.consent.statusCode.translation">
      <path
            value="ClinicalDocument.authorization.consent.statusCode.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition
                  value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf">
      <path value="ClinicalDocument.componentOf"/>
      <short
             value="The encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section."/>
      <comment
               value="MAY contain zero or one [0..1] componentOf (CONF:4537-9955)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.componentOf"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/ComponentOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.nullFlavor">
      <path value="ClinicalDocument.componentOf.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.componentOf.realmCode">
      <path value="ClinicalDocument.componentOf.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.typeId">
      <path value="ClinicalDocument.componentOf.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.typeId.nullFlavor">
      <path value="ClinicalDocument.componentOf.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.componentOf.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.componentOf.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.typeId.displayable">
      <path value="ClinicalDocument.componentOf.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.typeId.root">
      <path value="ClinicalDocument.componentOf.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.componentOf.typeId.extension">
      <path value="ClinicalDocument.componentOf.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.templateId">
      <path value="ClinicalDocument.componentOf.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.typeCode">
      <path value="ClinicalDocument.componentOf.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ComponentOf.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="COMP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent"/>
      </binding>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter">
      <path value="ClinicalDocument.componentOf.encompassingEncounter"/>
      <comment
               value="The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:4537-9956)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ComponentOf.encompassingEncounter"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EncompassingEncounter"/>
      </type>
      <constraint>
        <key value="should-responsibleParty"/>
        <severity value="warning"/>
        <human value="SHOULD contain responsibleParty"/>
        <expression value="responsibleParty.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.nullFlavor">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.realmCode">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter.typeId">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.typeId.displayable">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.typeId.root">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.typeId.extension">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.templateId">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.classCode">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="ENC"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActClass"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.moodCode">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.moodCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActMood"/>
      </binding>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter.id">
      <path value="ClinicalDocument.componentOf.encompassingEncounter.id"/>
      <comment
               value="This encompassingEncounter SHALL contain at least one [1..*] id (CONF:4537-9959)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="EncompassingEncounter.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter.code">
      <path value="ClinicalDocument.componentOf.encompassingEncounter.code"/>
      <comment
               value="This encompassingEncounter MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Act Encounter Codes urn:oid:2.16.840.1.113762.1.4.1240.5 (CONF:1198-30873)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.effectiveTime">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.effectiveTime"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
      <comment
               value="This encompassingEncounter SHALL contain exactly one [1..1] US Realm Date and Time (Interval) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:4537-9958)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.effectiveTime"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
        <profile
                 value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </type>
      <constraint>
        <key value="ivl-ts-center"/>
        <severity value="error"/>
        <human value="Center cannot co-exist with low or high"/>
        <expression value="center.empty() or (low.empty() and high.empty())"/>
        <source
                value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </constraint>
      <constraint>
        <key value="ivl-value-shall"/>
        <severity value="error"/>
        <human
               value="If a time interval contains @value, then it shall be precise to at least the day."/>
        <expression
                    value="value.exists() implies value.toString().length() &gt;= 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
      <constraint>
        <key value="ivl-value-should"/>
        <severity value="warning"/>
        <human
               value="If a time interval contains @value, then it SHOULD contain a time component."/>
        <expression
                    value="value.exists() implies value.toString().length() &gt; 10"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.sdtcAdmissionReferralSourceCode">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="admissionReferralSourceCode"/>
      </extension>
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.sdtcAdmissionReferralSourceCode"/>
      <definition
                  value="This element is a coded concept that represents the type of referral. Its RIM source class is PatientEncounter."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.sdtcAdmissionReferralSourceCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.dischargeDispositionCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty"/>
      <definition
                  value="The responsibleParty participant represents the participant having primary legal responsibility for the encounter. This differs from the legalAuthenticator participant in that the legalAuthenticator may or may not be the responsible party, and is serving a medical records function by signing off on the document, moving it into a completed state."/>
      <comment
               value="This encompassingEncounter SHOULD contain zero or one [0..1] responsibleParty (CONF:1198-8391)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.responsibleParty"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.realmCode">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.displayable">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.root">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.extension">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.templateId">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.responsibleParty.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="RESP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity"/>
      <comment
               value="The responsibleParty, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-32904)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.responsibleParty.assignedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity"/>
      </type>
      <constraint>
        <key value="1198-32905"/>
        <severity value="error"/>
        <human
               value="This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905)."/>
        <expression
                    value="assignedPerson.exists() or representedOrganization.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="EncompassingEncounter.encounterParticipant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EncounterParticipant"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location"/>
      <definition
                  value="The location participant (location class) relates a healthcare facility (HealthCareFacility class) to the encounter to indicate where the encounter took place. The entity playing the role of HealthCareFacility is a place (Place class). The entity scoping the HealthCareFacility role is an organization (Organization class).

The setting of an encounter (e.g. cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) can be expressed in HealthCareFacility.code. Note that setting and physical location are not the same. There is a many-to-many relationship between setting and the physical location where care is delivered. Thus, a particular room can provide the location for cardiology clinic one day, and for primary care clinic another day; and cardiology clinic today might be held in one physical location, but in another physical location tomorrow.

When the location is an organization, this is indicated by the presence of a scoping Organization, without a playing Place."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.location"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.realmCode">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.realmCode"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.typeId">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.typeId"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.typeId.assigningAuthorityName">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.typeId.displayable">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.typeId.root">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.typeId.extension">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.templateId">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.templateId"/>
      <definition
                  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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.typeCode">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.location.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="LOC"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.location.healthCareFacility"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/HealthCareFacility"/>
      </type>
    </element>
    <element id="ClinicalDocument.component">
      <path value="ClinicalDocument.component"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.component"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Component"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="ClinicalDocument">
      <path value="ClinicalDocument"/>
    </element>
    <element id="ClinicalDocument.templateId">
      <path value="ClinicalDocument.templateId"/>
      <min value="2"/>
    </element>
    <element id="ClinicalDocument.templateId:us-patient-gen-doc">
      <path value="ClinicalDocument.templateId"/>
      <sliceName value="us-patient-gen-doc"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.templateId:us-patient-gen-doc.root">
      <path value="ClinicalDocument.templateId.root"/>
      <min value="1"/>
      <patternString value="2.16.840.1.113883.10.20.29.1"/>
    </element>
    <element id="ClinicalDocument.templateId:us-patient-gen-doc.extension">
      <path value="ClinicalDocument.templateId.extension"/>
      <min value="1"/>
      <patternString value="2024-05-01"/>
    </element>
    <element id="ClinicalDocument.recordTarget">
      <path value="ClinicalDocument.recordTarget"/>
      <short
             value="The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. 

If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA.

HL7 Vocabulary simply describes guardian as a relationship to a ward.  This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role.  In this case, the guardian/code element would encode the personal relationship of &quot;mother&quot; for the child's mom or &quot;father&quot; for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of &quot;daughter&quot; or &quot;son&quot;, or if a legal relationship existed, the relationship of &quot;legal guardian&quot; could be encoded."/>
      <comment
               value="SHALL contain exactly one [1..1] recordTarget (CONF:1198-28460)."/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole">
      <path value="ClinicalDocument.recordTarget.patientRole"/>
      <comment
               value="This recordTarget SHALL contain exactly one [1..1] patientRole (CONF:1198-28461)."/>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.id">
      <path value="ClinicalDocument.recordTarget.patientRole.id"/>
      <comment
               value="This patientRole SHALL contain at least one [1..*] id (CONF:1198-28462)."/>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient">
      <path value="ClinicalDocument.recordTarget.patientRole.patient"/>
      <comment
               value="This patientRole SHALL contain exactly one [1..1] patient (CONF:1198-28465)."/>
      <constraint>
        <key value="should-languageCommunication"/>
        <severity value="warning"/>
        <human value="SHOULD contain languageCommunication"/>
        <expression value="languageCommunication.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.guardian">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian"/>
      <comment
               value="This patient MAY contain zero or more [0..*] guardian (CONF:1198-28469)."/>
      <constraint>
        <key value="should-id"/>
        <severity value="warning"/>
        <human value="SHOULD contain id"/>
        <expression value="id.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
      <constraint>
        <key value="should-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.id">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.id"/>
      <comment
               value="The guardian, if present, SHOULD contain zero or more [0..*] id (CONF:1198-28470)."/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.code">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.code"/>
      <comment
               value="The guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28473)."/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication"/>
      <comment
               value="This patient SHOULD contain zero or more [0..*] languageCommunication which SHALL be selected from ValueSet AllLanguages https://www.hl7.org/fhir/valueset-all-languages.html (OID 2.16.840.1.113883.4.642.3.21) DYNAMIC (CONF:XXX)."/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/all-languages"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd"/>
      <short
             value="Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language.

If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1."/>
      <comment
               value="The languageCommunication, if present, MAY contain zero or one [0..1] preferenceInd (CONF:1198-28475)."/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization"/>
      <label
             value="If present, this organization represents the provider organization where the person is claiming to be a patient."/>
      <short
             value="If present, this organization represents the provider organization where the person is claiming to be a patient."/>
      <comment
               value="This patientRole MAY contain zero or one [0..1] providerOrganization (CONF:1198-28476)."/>
    </element>
    <element id="ClinicalDocument.author">
      <path value="ClinicalDocument.author"/>
      <short
             value="The author element represents the creator of the clinical document.  The author may be a device, or a person. The person is the patient or the patient's advocate."/>
      <comment
               value="SHALL contain at least one [1..*] author (CONF:1198-28477)."/>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor">
      <path value="ClinicalDocument.author.assignedAuthor"/>
      <comment
               value="Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:1198-28478)."/>
      <constraint>
        <key value="should-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id">
      <path value="ClinicalDocument.author.assignedAuthor.id"/>
      <comment
               value="This assignedAuthor SHALL contain at least one [1..*] id (CONF:1198-28479)."/>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code">
      <path value="ClinicalDocument.author.assignedAuthor.code"/>
      <short
             value="When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient."/>
      <comment
               value="This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:1198-28481)."/>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code.code">
      <path value="ClinicalDocument.author.assignedAuthor.code.code"/>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element id="ClinicalDocument.dataEnterer">
      <path value="ClinicalDocument.dataEnterer"/>
      <short
             value="The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author."/>
      <comment
               value="MAY contain zero or one [0..1] dataEnterer (CONF:1198-28678)."/>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity">
      <path value="ClinicalDocument.dataEnterer.assignedEntity"/>
      <comment
               value="The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28679)."/>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.code">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.code"/>
      <comment
               value="This assignedEntity MAY 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:1198-28680)."/>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:non-provider">
      <path value="ClinicalDocument.informant"/>
      <sliceName value="non-provider"/>
    </element>
    <element id="ClinicalDocument.informant:non-provider.relatedEntity">
      <path value="ClinicalDocument.informant.relatedEntity"/>
      <comment
               value="SHALL contain exactly one [1..1] relatedEntity (CONF:1198-28682)."/>
    </element>
    <element id="ClinicalDocument.informant:non-provider.relatedEntity.code">
      <path value="ClinicalDocument.informant.relatedEntity.code"/>
      <comment
               value="This relatedEntity MAY contain zero or one [0..1] code (CONF:1198-28683)."/>
      <constraint>
        <key value="should-us-code-attr"/>
        <severity value="warning"/>
        <human value="SHOULD contain @code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.informant:non-provider.relatedEntity.code.code">
      <path value="ClinicalDocument.informant.relatedEntity.code.code"/>
      <comment
               value="The code, if present, 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:1198-28684)."/>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element id="ClinicalDocument.custodian">
      <path value="ClinicalDocument.custodian"/>
      <short
             value="The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization."/>
      <comment
               value="SHALL contain exactly one [1..1] custodian (CONF:1198-28685)."/>
    </element>
    <element id="ClinicalDocument.custodian.assignedCustodian">
      <path value="ClinicalDocument.custodian.assignedCustodian"/>
      <comment
               value="This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:1198-28686)."/>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization"/>
      <short
             value="The representedCustodianOrganization may be the person when the document is not maintained by an organization."/>
      <comment
               value="This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:1198-28687)."/>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id"/>
      <short
             value="The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way."/>
      <comment
               value="This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:1198-28688)."/>
    </element>
    <element id="ClinicalDocument.informationRecipient">
      <path value="ClinicalDocument.informationRecipient"/>
      <short
             value="The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart."/>
      <comment
               value="MAY contain zero or more [0..*] informationRecipient (CONF:1198-28690)."/>
    </element>
    <element id="ClinicalDocument.informationRecipient.intendedRecipient">
      <path value="ClinicalDocument.informationRecipient.intendedRecipient"/>
      <comment
               value="The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:1198-28691)."/>
      <constraint>
        <key value="should-id"/>
        <severity value="warning"/>
        <human value="SHOULD contain id"/>
        <expression value="id.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.informationRecipient.intendedRecipient.id">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.id"/>
      <short
             value="The combined @root and @extension  attributes to record the information recipient's identity in a secure, trusted, and unique way."/>
      <comment
               value="This intendedRecipient SHOULD contain zero or more [0..*] id (CONF:1198-28692)."/>
      <constraint>
        <key value="should-root"/>
        <severity value="warning"/>
        <human value="SHOULD contain @root"/>
        <expression value="root.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.id.root">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.id.root"/>
      <short
             value="For a provider, the id/@root =&quot;2.16.840.1.113883.4.6&quot; indicates the National Provider Identifier where id/@extension is the NPI number for the provider.

The ids MAY reference the id of a person or organization entity specified elsewhere in the document."/>
      <comment
               value="The id, if present, SHOULD contain zero or one [0..1] @root (CONF:1198-28693)."/>
    </element>
    <element id="ClinicalDocument.legalAuthenticator">
      <path value="ClinicalDocument.legalAuthenticator"/>
      <short
             value="In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) 

Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored document that does not contain this element has not been legally authenticated.

The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. All patient documents have the potential for legal authentication, given the appropriate legal authority.

Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system.

Note that the legal authenticator, if present, must be a person."/>
      <comment
               value="MAY contain zero or one [0..1] legalAuthenticator (CONF:1198-28694)."/>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity"/>
      <comment
               value="The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28695)."/>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.id">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity.id"/>
      <short
             value="The combined @root and @extension  attributes to record the information recipient's identity in a secure, trusted, and unique way."/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28696)."/>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.code">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity.code"/>
      <comment
               value="This assignedEntity MAY contain zero or one [0..1] code (CONF:1198-28697)."/>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.code.code">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.code.code"/>
      <comment
               value="The code, if present, MAY 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:1198-28698)."/>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authenticator">
      <path value="ClinicalDocument.authenticator"/>
      <comment
               value="MAY contain zero or more [0..*] authenticator (CONF:1198-28699)."/>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity">
      <path value="ClinicalDocument.authenticator.assignedEntity"/>
      <comment
               value="The authenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28700)."/>
      <constraint>
        <key value="should-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.id">
      <path value="ClinicalDocument.authenticator.assignedEntity.id"/>
      <short
             value="The combined @root and @extension  attributes to record the authenticator's identity in a secure, trusted, and unique way."/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28701)."/>
    </element>
    <element id="ClinicalDocument.authenticator.assignedEntity.code">
      <path value="ClinicalDocument.authenticator.assignedEntity.code"/>
      <comment
               value="This assignedEntity 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:1198-28702)."/>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element id="ClinicalDocument.participant">
      <path value="ClinicalDocument.participant"/>
      <short
             value="The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. 

A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin)"/>
      <comment
               value="MAY contain zero or more [0..*] participant (CONF:1198-28703)."/>
    </element>
    <element id="ClinicalDocument.participant.typeCode">
      <path value="ClinicalDocument.participant.typeCode"/>
      <short
             value="Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30"/>
      <comment
               value="The participant, if present, SHALL contain exactly one [1..1] @typeCode (CONF:1198-28704)."/>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity">
      <path value="ClinicalDocument.participant.associatedEntity"/>
      <comment
               value="The participant, if present, SHALL contain exactly one [1..1] associatedEntity (CONF:1198-28705)."/>
      <constraint>
        <key value="should-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.participant.associatedEntity.code">
      <path value="ClinicalDocument.participant.associatedEntity.code"/>
      <comment
               value="This associatedEntity 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:1198-28706)."/>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf">
      <path value="ClinicalDocument.inFulfillmentOf"/>
      <comment
               value="MAY contain zero or more [0..*] inFulfillmentOf (CONF:1198-28707)."/>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order">
      <path value="ClinicalDocument.inFulfillmentOf.order"/>
      <comment
               value="The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:1198-28708)."/>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.id">
      <path value="ClinicalDocument.inFulfillmentOf.order.id"/>
      <short
             value="A scheduled appointment or service event in a practice management system may be represented using this id element."/>
      <comment
               value="This order SHALL contain at least one [1..*] id (CONF:1198-28709)."/>
    </element>
    <element id="ClinicalDocument.documentationOf">
      <path value="ClinicalDocument.documentationOf"/>
      <comment
               value="MAY contain zero or more [0..*] documentationOf (CONF:1198-28710)."/>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent">
      <path value="ClinicalDocument.documentationOf.serviceEvent"/>
      <comment
               value="The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:1198-28711)."/>
      <constraint>
        <key value="should-code"/>
        <severity value="warning"/>
        <human value="SHOULD contain code"/>
        <expression value="code.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
      <constraint>
        <key value="should-performer"/>
        <severity value="warning"/>
        <human value="SHOULD contain performer"/>
        <expression value="performer.exists()"/>
        <source
                value="http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.code">
      <path value="ClinicalDocument.documentationOf.serviceEvent.code"/>
      <short
             value="The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document."/>
      <comment
               value="This serviceEvent SHOULD contain zero or one [0..1] code (CONF:1198-28712)."/>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.performer">
      <path value="ClinicalDocument.documentationOf.serviceEvent.performer"/>
      <comment
               value="This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:1198-28713)."/>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode"/>
      <short
             value="When indicating the performer was the primary care physician, implementers should indicate &quot;PCP&quot; as the functionCode"/>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10267"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity"/>
      <comment
               value="The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28715)."/>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id"/>
      <short
             value="The combined @root and @extension  attributes record the performer's identity in a secure, trusted, and unique way."/>
      <comment
               value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28716)."/>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code"/>
      <short
             value="If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set"/>
      <comment
               value="This assignedEntity MAY 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:1198-28718)."/>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"/>
      </binding>
    </element>
  </differential>
</StructureDefinition>