2nd DSTU Draft For Comment
This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
Profile for Profile of immunization recommendation for decision support/quality metrics. Indicates which elements must be supported by CQF rules and measure engines. : Clinical Quality Framework (CQF) Immunization Recommendation Profile
{
"resourceType": "Profile",
"id": "cqf-immunizationrecommendation-cqf-immunizationrecommendation",
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"url": "http://hl7.org/fhir/Profile/cqf-immunizationrecommendation-cqf-immunizationrecommendation",
"name": "Clinical Quality Framework (CQF) Immunization Recommendation Profile",
"publisher": "Health Level Seven, Inc. - CQI WG",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.org/special/committees/CQI"
}
]
}
],
"description": "Profile of immunization recommendation for decision support/quality metrics. Indicates which elements must be supported by CQF rules and measure engines. : Clinical Quality Framework (CQF) Immunization Recommendation Profile",
"status": "draft",
"date": "2014-11-03",
"type": "ImmunizationRecommendation",
"base": "http://hl7.org/fhir/Profile/ImmunizationRecommendation",
"snapshot": {
"element": [
{
"path": "ImmunizationRecommendation",
"name": "cqf-immunizationrecommendation",
"short": "Immunization profile",
"definition": "A patient's point-of-time immunization status and recommendation with optional supporting justification.",
"min": 1,
"max": "1",
"mapping": [
{
"identity": "v2",
"map": "VXU_V04"
},
{
"identity": "rim",
"map": "SubstanceAdministration[moodCode=RMD]"
}
]
},
{
"path": "ImmunizationRecommendation.id",
"short": "Logical id of this artefact",
"definition": "The logical id of the resource, as used in the url for the resoure. Once assigned, this value never changes.",
"comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
]
},
{
"path": "ImmunizationRecommendation.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"type": [
{
"code": "Meta"
}
]
},
{
"path": "ImmunizationRecommendation.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comments": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.",
"min": 0,
"max": "1",
"type": [
{
"code": "uri"
}
],
"isModifier": true
},
{
"path": "ImmunizationRecommendation.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comments": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource\n\nNot all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"binding": {
"name": "Language",
"isExtensible": false,
"conformance": "required",
"description": "A human language",
"referenceUri": "http://tools.ietf.org/html/bcp47"
}
},
{
"path": "ImmunizationRecommendation.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"synonym": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"condition": [
"dom-1"
],
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"path": "ImmunizationRecommendation.contained",
"short": "Contained, inline Resources",
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"synonym": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "ImmunizationRecommendation.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "ImmunizationRecommendation.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "ImmunizationRecommendation.identifier",
"short": "Business identifier",
"definition": "A unique identifier assigned to this particular recommendation record.",
"min": 0,
"max": "*",
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "rim",
"map": ".id"
}
]
},
{
"path": "ImmunizationRecommendation.patient",
"short": "Who this profile is for",
"definition": "The patient for whom the recommendations are for.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"profile": "http://hl7.org/fhir/Profile/Patient"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "v2",
"map": "PID-3-patient ID list"
},
{
"identity": "rim",
"map": ".partipication[typeCode=SUBJ].role"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation",
"short": "Vaccine administration recommendations",
"definition": "Vaccine administration recommendations.",
"min": 1,
"max": "*",
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode='COMP'].target[classCode=SBADM, moodCode=RMD]"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"synonym": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.date",
"short": "Date recommendation created",
"definition": "The date the immunization recommendation was created.",
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "v2",
"map": "OBX-15-date/time of the observation"
},
{
"identity": "rim",
"map": ".partipication[typeCode=AUTH].time"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.vaccineType",
"short": "Vaccine recommendation applies to",
"definition": "Vaccine that pertains to the recommendation.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"binding": {
"name": "VaccineType",
"isExtensible": true,
"conformance": "example",
"description": "The type of vaccine administered",
"referenceReference": {
"reference": "http://hl7.org/fhir/v3/vs/VaccineType"
}
},
"mapping": [
{
"identity": "v2",
"map": "OBX-5-observation value : OBX-3-observation identifier e { 30956-7 | 38890-0 }"
},
{
"identity": "rim",
"map": ".partipication[typeCode=CSM].role[classCode=ADMM].code"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.doseNumber",
"short": "Recommended dose number",
"definition": "This indicates the next recommended dose number (e.g. dose 2 is the next recommended dose).",
"comments": "May need other dose concepts such as administered vs. valid.",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "v2",
"map": "OBX-5-observation value : OBX-3-observation identifier = 30973-2"
},
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=INT]].sequenceNumber"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.forecastStatus",
"short": "Vaccine administration status",
"definition": "Vaccine administration status.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"name": "ImmunizationRecommendationStatus",
"isExtensible": true,
"conformance": "example",
"description": "The patient's status with respect to a vaccination protocol",
"referenceReference": {
"reference": "http://hl7.org/fhir/vs/immunization-recommendation-status"
}
},
"mapping": [
{
"identity": "v2",
"map": "OBX-5-observation value : OBX-3-observation identifier = 59783-1"
},
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=SUBJ] .source[classCode=OBS, moodCode=EVN, code=\"Immunization Forecast Status\"].value"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.dateCriterion",
"short": "Dates governing proposed immunization",
"definition": "Vaccine date recommendations - e.g. earliest date to administer, latest date to administer, etc.",
"min": 0,
"max": "*",
"mustSupport": true,
"mapping": [
{
"identity": "v2",
"map": "OBX-3: 30980-7 = Next dose recommended, 59777-3 = Latest next dose should be given, 59778-1 = Dose is overdue"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode='LIMIT'].target[classCode=OBS, moodCode=EVN, isCriterionInd=true]"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.dateCriterion.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.dateCriterion.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"synonym": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.dateCriterion.code",
"short": "Type of date",
"definition": "Date classification of recommendation - e.g. earliest date to give, latest date to give, etc.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"name": "ImmunizationRecommendationDateCriterion",
"isExtensible": true,
"conformance": "example",
"description": "Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.)",
"referenceReference": {
"reference": "http://hl7.org/fhir/vs/immunization-recommendation-date-criterion"
}
},
"mapping": [
{
"identity": "v2",
"map": "OBX-3-observation identifier"
},
{
"identity": "rim",
"map": ".code"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.dateCriterion.value",
"short": "Recommended date",
"definition": "Date recommendation.",
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "v2",
"map": "OBX-5-observation value"
},
{
"identity": "rim",
"map": ".value"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.protocol",
"short": "Protocol used by recommendation",
"definition": "Contains information about the protocol under which the vaccine was administered.",
"min": 0,
"max": "1",
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=INST].source[classCode=SBADM, moodCode=DEF]"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.protocol.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.protocol.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.protocol.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"synonym": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.protocol.doseSequence",
"short": "Number of dose within sequence",
"definition": "Indicates the nominal position in a series of the next dose. This is the recommended dose number as per a specified protocol.",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "v2",
"map": "OBX-5-observation value : OBX-3-observation identifier = 30973-2"
},
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=DEF]].sequenceNumber"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.protocol.description",
"short": "Protocol details",
"definition": "Contains the description about the protocol under which the vaccine was administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "v2",
"map": "OBX-5-observation value : OBX-3-observation identifier = 30956-7"
},
{
"identity": "rim",
"map": ".text"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.protocol.authority",
"short": "Who is responsible for protocol",
"definition": "Indicates the authority who published the protocol? E.g. ACIP.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": "http://hl7.org/fhir/Profile/Organization"
}
],
"mapping": [
{
"identity": "v2",
"map": "OBX-5-observation value : OBX-3-observation identifier = 59779-9"
},
{
"identity": "rim",
"map": ".participation[typeCode=AUT]"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.protocol.series",
"short": "Name of vaccination series",
"definition": "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "v2",
"map": "RXA-5-administered code"
},
{
"identity": "rim",
"map": ".title"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.supportingImmunization",
"short": "Past immunizations supporting recommendation",
"definition": "Immunization event history that supports the status and recommendation.",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"profile": "http://hl7.org/fhir/Profile/Immunization"
}
],
"mapping": [
{
"identity": "v2",
"map": "? No clear way to associate in V2.x or IG"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=RSON].target[classCode=SBADM, moodCode=EVN, code=\"immunization\"]"
}
]
},
{
"path": "ImmunizationRecommendation.recommendation.supportingPatientInformation",
"short": "Patient observations supporting recommendation",
"definition": "Patient Information that supports the status and recommendation. This includes patient observations, adverse reactions and allergy/intolerance information.",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"profile": "http://hl7.org/fhir/Profile/Observation"
},
{
"code": "Reference",
"profile": "http://hl7.org/fhir/Profile/AllergyIntolerance"
}
],
"mapping": [
{
"identity": "v2",
"map": "OBX If OBX is associated with ( RXA : RXA-5-administered code = '998^No vaccine administered^CVX' ), could contain the reason the vaccine was not administered"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=RSON].target[classCode=OBS, moodCode=EVN]"
}
]
}
]
},
"differential": {
"element": [
{
"path": "ImmunizationRecommendation",
"name": "cqf-immunizationrecommendation",
"min": 1,
"max": "1"
},
{
"path": "ImmunizationRecommendation.patient",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"profile": "http://hl7.org/fhir/Profile/Patient"
}
],
"mustSupport": true
},
{
"path": "ImmunizationRecommendation.recommendation",
"min": 1,
"max": "*",
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},
{
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{
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}
],
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},
{
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],
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},
{
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{
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}
],
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},
{
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]
},
{
"path": "ImmunizationRecommendation.recommendation.dateCriterion",
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},
{
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},
{
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}
]
}
}
© HL7.org 2011+. FHIR DSTU (v0.4.0-4167) generated on Mon, Feb 23, 2015 09:20+1100.
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