Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions

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Resource Profile: DiagnosticImagingReport - XML Profile

XML representation of the 2.16.840.1.113883.10.20.22.1.5 resource profile.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="2.16.840.1.113883.10.20.22.1.5"/>
  <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="http://hl7.org/fhir/R4/formats.html#table" 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="http://hl7.org/fhir/R4/formats.html#table" 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="http://hl7.org/fhir/R4/formats.html#table" 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="http://hl7.org/fhir/R4/formats.html#table" 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="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-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-2.16.840.1.113883.10.20.22.1.1.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"/></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"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.templateId">Slices for 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"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:root, value:extension</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.templateId:secondary" title="Slice secondary">templateId:secondary</a><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"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-32937)">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">1198-32937: </span>When asserting this templateId, all C-CDA 2.1 section and entry templates that had a previous version in C-CDA R1.1 **SHALL** include both the C-CDA 2.1 templateId and the C-CDA R1.1 templateId root without an extension. See C-CDA R2.1 Volume 1 - Design Considerations for additional detail (CONF:1198-32937).</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_bck1250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.templateId:secondary.root">root</a><a name="ClinicalDocument.templateId.root"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2.16.840.1.113883.10.20.22.1.5</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_bck1240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.templateId:secondary.extension">extension</a><a name="ClinicalDocument.templateId.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2014-06-09</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_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.id">id</a><a name="ClinicalDocument.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..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="https://build.fhir.org/ig/HL7/CDA-core-2.0//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_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.id.root">root</a><a name="ClinicalDocument.id.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"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-30934, 1198-30935)">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">1198-30934: </span>The ClinicalDocument/id/@root attribute SHALL be a syntactically correct OID, and SHALL NOT be a UUID (CONF:1198-30934).
OIDs SHALL be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID SHALL be in the form of the regular expression: ([0-2])(.([1-9][0-9]*|0))+<br/><span style="font-weight:bold">1198-30935: </span>OIDs SHALL be no more than 64 characters in length (CONF:1198-30935).</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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.code">code</a><a name="ClinicalDocument.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//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">Preferred code is 18748-4 LOINC Diagnostic Imaging Report</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_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.code.code">code</a><a name="ClinicalDocument.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">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5">http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5</a> (<a href="http://hl7.org/fhir/R4/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_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"/> <span style="text-decoration:line-through">informant</span><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"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></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"/></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_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-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"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-8412, 1198-8413)">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//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"><span style="opacity: 0.5">The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart.</span><br/><span style="font-weight:bold">1198-8412: </span>The physician requesting the imaging procedure (ClinicalDocument/participant[@typeCode=REF]/associatedEntity), if present, **SHOULD** also be recorded as an informationRecipient, unless in the local setting another physician (such as the attending physician for an inpatient) is known to be the appropriate recipient of the report (CONF:1198-8412).<br/><span style="font-weight:bold">1198-8413: </span>When no referring physician is present, as in the case of self-referred screening examinations allowed by law, the intendedRecipient **MAY** be absent. The intendedRecipient **MAY** also be the health chart of the patient, in which case the receivedOrganization **SHALL** be the scoping organization of that chart (CONF:1198-8413).<br/></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"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.participant">Slices for 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="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//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"><span style="font-style: italic">If participant is present, the associatedEntity/associatedPerson element SHALL be present and SHALL represent the physician requesting the imaging procedure (the referring physician AssociatedEntity that is the target of ClincalDocument/participant@typeCode=REF).</span><br style="font-style: italic"/><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:ClinicalDocument.associatedEntity</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_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.participant:participant1" title="Slice participant1">participant:participant1</a><a name="ClinicalDocument.participant"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..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="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Participant1.html">Participant1</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_bck1241.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.participant:participant1.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"/><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="https://build.fhir.org/ig/HL7/CDA-core-2.0//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"/></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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.participant:participant1.associatedEntity.associatedPerson">associatedPerson</a><a name="ClinicalDocument.participant.associatedEntity.associatedPerson"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Person.html">Person</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_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_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.name">name</a><a name="ClinicalDocument.participant.associatedEntity.associatedPerson.name"> </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 href="StructureDefinition-2.16.840.1.113883.10.20.22.5.1.1.html" title="http://hl7.org/fhir/cda/StructureDefinition/PN">USRealmPersonNamePNUSFIELDED</a></td><td style="vertical-align: top; text-align : left; background-color: #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_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.inFulfillmentOf">inFulfillmentOf</a><a name="ClinicalDocument.inFulfillmentOf"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-InFulfillmentOf.html">InFulfillmentOf</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">An inFulfillmentOf element represents the Placer Order that is either a group of orders (modeled as PlacerGroup in the Placer Order RMIM of the Orders &amp; Observations domain) or a single order item (modeled as ObservationRequest in the same RMIM). This optionality reflects two major approaches to the grouping of procedures as implemented in the installed base of imaging information systems. These approaches differ in their handling of grouped procedures and how they are mapped to identifiers in the Digital Imaging and Communications in Medicine (DICOM) image and structured reporting data. The example of a CT examination covering chest, abdomen, and pelvis will be used in the discussion below. In the IHE Scheduled Workflow model, the Chest CT, Abdomen CT, and Pelvis CT each represent a Requested Procedure, and all three procedures are grouped under a single Filler Order. The Filler Order number maps directly to the DICOM Accession Number in the DICOM imaging and report data. A widely deployed alternative approach maps the requested procedure identifiers directly to the DICOM Accession Number. The Requested Procedure ID in such implementations may or may not be different from the Accession Number, but is of little identifying importance because there is only one Requested Procedure per Accession Number. There is no identifier that formally connects the requested procedures ordered in this group.<br/></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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.inFulfillmentOf.order">order</a><a name="ClinicalDocument.inFulfillmentOf.order"> </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="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Order.html">Order</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-2.16.840.1.113883.10.20.22.1.5-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: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//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">DICOM Accession Number in the DICOM imaging and report data<br/></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"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.documentationOf">Slices for documentationOf</a><a name="ClinicalDocument.documentationOf"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-DocumentationOf.html">DocumentationOf</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic">Each serviceEvent indicates an imaging procedure that the provider describes and interprets in the content of the DIR. The main activity being described by this document is the interpretation of the imaging procedure. This is shown by setting the value of the @classCode attribute of the serviceEvent element to ACT, and indicating the duration over which care was provided in the effectiveTime element. Within each documentationOf element, there is one serviceEvent element. This event is the unit imaging procedure corresponding to a billable item. The type of imaging procedure may be further described in the serviceEvent/code element. This guide makes no specific recommendations about the vocabulary to use for describing this event. In IHE Scheduled Workflow environments, one serviceEvent/id element contains the DICOM Study Instance UID from the Modality Worklist, and the second serviceEvent/id element contains the DICOM Requested Procedure ID from the Modality Worklist. These two ids are in a single serviceEvent. The effectiveTime for the serviceEvent covers the duration of the imaging procedure being reported. This event should have one or more performers, which may participate at the same or different periods of time. Service events map to DICOM Requested Procedures. That is, serviceEvent/id is the ID of the Requested Procedure.</span><br style="font-style: italic"/><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:ClinicalDocument.serviceEvent</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_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.documentationOf:documentationOf1" title="Slice documentationOf1">documentationOf:documentationOf1</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">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//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_bck1241.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.documentationOf:documentationOf1.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"/><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="https://build.fhir.org/ig/HL7/CDA-core-2.0//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></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_bck12410.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.documentationOf:documentationOf1.serviceEvent.classCode">classCode</a><a name="ClinicalDocument.documentationOf.serviceEvent.classCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">ACT</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_bck12410.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.documentationOf:documentationOf1.serviceEvent.id">id</a><a name="ClinicalDocument.documentationOf.serviceEvent.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">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//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_bck12410.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.documentationOf:documentationOf1.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"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-8420)">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//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">1198-8420: </span>The value of serviceEvent/code **SHALL NOT** conflict with the ClininicalDocument/code. When transforming from DICOM SR documents that do not contain a procedure code, an appropriate nullFlavor **SHALL** be used on serviceEvent/code (CONF:1198-8420).</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_bck12400.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_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.documentationOf:documentationOf1.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">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.1.html" title="http://hl7.org/fhir/cda/StructureDefinition/Performer1">PhysicianReadingStudyPerformer</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 performer is the Physician Reading Study Performer defined in serviceEvent and is usually different from the attending physician. The reading physician interprets the images and evidence of the study (DICOM Definition).<br/></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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.relatedDocument">relatedDocument</a><a name="ClinicalDocument.relatedDocument"> </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="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-8433)">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-RelatedDocument.html">RelatedDocument</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 DIR may have three types of parent document: ? A superseded version that the present document wholly replaces (typeCode = RPLC). DIRs may go through stages of revision prior to being legally authenticated. Such early stages may be drafts from transcription, those created by residents, or other preliminary versions. Policies not covered by this specification may govern requirements for retention of such earlier versions. Except for forensic purposes, the latest version in a chain of revisions represents the complete and current report. ? An original version that the present document appends (typeCode = APND). When a DIR is legally authenticated, it can be amended by a separate addendum document that references the original. ? A source document from which the present document is transformed (typeCode = XFRM). A DIR may be created by transformation from a DICOM Structured Report (SR) document or from another DIR. An example of the latter case is the creation of a derived document for inclusion of imaging results in a clinical document.<br/><span style="font-weight:bold">1198-8433: </span>When a Diagnostic Imaging Report has been transformed from a DICOM SR document, relatedDocument/@typeCode **SHALL** be XFRM, and relatedDocument/parentDocument/id **SHALL** contain the SOP Instance UID of the original DICOM SR document (CONF:1198-8433).</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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.relatedDocument.parentDocument">parentDocument</a><a name="ClinicalDocument.relatedDocument.parentDocument"> </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="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ParentDocument.html">ParentDocument</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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.relatedDocument.parentDocument.id">id</a><a name="ClinicalDocument.relatedDocument.parentDocument.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"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-10031, 1198-10032)">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">1198-10031: </span>OIDs **SHALL** be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID **SHALL** be in the form of the regular expression: ([0-2])(.([1-9][0-9][*]|0))+ (CONF:1198-10031).<br/><span style="font-weight:bold">1198-10032: </span>OIDs **SHALL** be no more than 64 characters in length (CONF:1198-10032).</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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.componentOf">componentOf</a><a name="ClinicalDocument.componentOf"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ComponentOf.html">ComponentOf</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 id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter. The effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used.</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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.componentOf.encompassingEncounter">encompassingEncounter</a><a name="ClinicalDocument.componentOf.encompassingEncounter"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-EncompassingEncounter.html">EncompassingEncounter</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 id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter.

The effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used.</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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.componentOf.encompassingEncounter.id">id</a><a name="ClinicalDocument.componentOf.encompassingEncounter.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"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-30942)">I</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">1198-30942: </span>In the case of transformed DICOM SR documents, an appropriate null flavor **MAY** be used if the id is unavailable (CONF:1198-30942).<br/></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_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_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.componentOf.encompassingEncounter.effectiveTime">effectiveTime</a><a name="ClinicalDocument.componentOf.encompassingEncounter.effectiveTime"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.22.5.3.html" title="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS">USRealmDateandTimeDTUSFIELDED</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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.componentOf.encompassingEncounter.responsibleParty">responsibleParty</a><a name="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></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_bck10100.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: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity">assignedEntity</a><a name="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.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="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-30947)">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//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">1198-30947: </span>**SHOULD** contain zero or one [0..1] assignedPerson *OR* contain zero or one [0..1] representedOrganization (CONF:1198-30947).</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_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_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant">encounterParticipant</a><a name="ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.2.html" title="http://hl7.org/fhir/cda/StructureDefinition/EncounterParticipant">PhysicianofRecordParticipant</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_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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component">component</a><a name="ClinicalDocument.component"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Component2.html">Component2</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-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody">structuredBody</a><a name="ClinicalDocument.component.structuredBody"> </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="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-StructuredBody.html">StructuredBody</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_bck0003.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_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component">Slices for component</a><a name="ClinicalDocument.component.structuredBody.component"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">1</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5; font-style: italic">Element</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:ClinicalDocument.section</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_bck00035.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_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component1" title="Slice component1">component:component1</a><a name="ClinicalDocument.component.structuredBody.component"> </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"><span style="opacity: 0.5">Element</span></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_bck000340.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_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component1.section">section</a><a name="ClinicalDocument.component.structuredBody.component.section"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.6.1.2.html" title="http://hl7.org/fhir/cda/StructureDefinition/Section">FindingsSectionDIR</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_bck00035.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_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component2" title="Slice component2">component:component2</a><a name="ClinicalDocument.component.structuredBody.component"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></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_bck000340.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_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component2.section">section</a><a name="ClinicalDocument.component.structuredBody.component.section"> </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="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-31206)">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.6.1.1.html" title="http://hl7.org/fhir/cda/StructureDefinition/Section">DICOMObjectCatalogSectionDCM121181</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">1198-31206: </span>The DICOM Object Catalog section (templateId 2.16.840.1.113883.10.20.6.1.1), if present, **SHALL** be the first section in the document Body (CONF:1198-31206).</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_bck00025.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_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3" title="Slice component3">component:component3</a><a name="ClinicalDocument.component.structuredBody.component"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></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_bck000241.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_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section">section</a><a name="ClinicalDocument.component.structuredBody.component.section"> </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="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-31211, 1198-31212)">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Section.html">Section</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">1198-31211: </span>All sections defined in the DIR Section Type Codes table **SHALL** be top-level sections (CONF:1198-31211).<br/><span style="font-weight:bold">1198-31212: </span>**SHALL** contain at least one text element or one or more component elements (CONF:1198-31212).</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_bck0002411.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.code">code</a><a name="ClinicalDocument.component.structuredBody.component.section.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//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_bck00024100.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_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: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.code.code">code</a><a name="ClinicalDocument.component.structuredBody.component.section.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">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The section/code SHOULD be selected from LOINC or DICOM for sections not listed in the DIR Section Type Codes table

undefined<br/><span style="font-weight:bold">Binding: </span><a href="http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59">http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59</a> (<a href="http://hl7.org/fhir/R4/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_bck0002410.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.title">title</a><a name="ClinicalDocument.component.structuredBody.component.section.title"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ST.html">ED</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">There is no equivalent to section/title in DICOM SR, so for a CDA to SR transformation, the section/code will be transferred and the title element will be dropped.</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_bck0002410.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.text">text</a><a name="ClinicalDocument.component.structuredBody.component.section.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-31060, 1198-31061, 1198-31062)">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/narrative.html#xhtml">xhtml</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">1198-31060: </span>If clinical statements are present, the section/text **SHALL** represent faithfully all such statements and **MAY** contain additional text (CONF:1198-31060).<br/><span style="font-weight:bold">1198-31061: </span>All text elements **SHALL** contain content. Text elements **SHALL** contain PCDATA or child elements (CONF:1198-31061).<br/><span style="font-weight:bold">1198-31062: </span>The text elements (and their children) **MAY** contain Web Access to DICOM Persistent Object (WADO) references to DICOM objects by including a linkHtml element where @href is a valid WADO URL and the text content of linkHtml is the visible text of the hyperlink (CONF:1198-31062).</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_bck0002411.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.subject">subject</a><a name="ClinicalDocument.component.structuredBody.component.section.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></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_bck00024100.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_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_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.subject.relatedSubject">relatedSubject</a><a name="ClinicalDocument.component.structuredBody.component.section.subject.relatedSubject"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.3.html" title="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject">FetusSubjectContext</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_bck0002413.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.author">Slices for author</a><a name="ClinicalDocument.component.structuredBody.component.section.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="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//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"><span style="font-style: italic">This author element is used when the author of a section is different from the author(s) listed in the Header</span><br style="font-style: italic"/><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:assignedAuthor</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_bck00024125.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_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_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.author:author1" title="Slice author1">author:author1</a><a name="ClinicalDocument.component.structuredBody.component.section.author"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Author.html">Author</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></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_bck000241240.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_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_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.author:author1.assignedAuthor">assignedAuthor</a><a name="ClinicalDocument.component.structuredBody.component.section.author.assignedAuthor"> </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 href="StructureDefinition-2.16.840.1.113883.10.20.6.2.4.html" title="http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor">ObserverContext</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_bck0002412.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.entry">Slices for entry</a><a name="ClinicalDocument.component.structuredBody.component.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5; font-style: italic">Element</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:ClinicalDocument.section.structuredBody.component.section.entry</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_bck0002411.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.entry">entry</a><a name="ClinicalDocument.component.structuredBody.component.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If the service context of a section is different from the value specified in documentationOf/serviceEvent, then the section SHALL contain one or more entries containing Procedure Context (templateId 2.16.840.1.113883.10.20.6.2.5), which will reset the context for any clinical statements nested within those elements<br/></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_bck00024100.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_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_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.entry.act">act</a><a name="ClinicalDocument.component.structuredBody.component.section.entry.act"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.5.html" title="http://hl7.org/fhir/cda/StructureDefinition/Act">ProcedureContext</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_bck0002415.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs" title="Slice textObs">entry:textObs</a><a name="ClinicalDocument.component.structuredBody.component.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></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_bck00024140.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_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_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.observation">observation</a><a name="ClinicalDocument.component.structuredBody.component.section.entry.observation"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.12.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">TextObservation</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_bck0002415.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3" title="Slice entry3">entry:entry3</a><a name="ClinicalDocument.component.structuredBody.component.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></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_bck00024140.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_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_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.observation">observation</a><a name="ClinicalDocument.component.structuredBody.component.section.entry.observation"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.13.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">CodeObservations</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_bck0002415.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4" title="Slice entry4">entry:entry4</a><a name="ClinicalDocument.component.structuredBody.component.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></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_bck00024140.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_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_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.observation">observation</a><a name="ClinicalDocument.component.structuredBody.component.section.entry.observation"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.14.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">QuantityMeasurementObservation</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_bck0002415.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5" title="Slice entry5">entry:entry5</a><a name="ClinicalDocument.component.structuredBody.component.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></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_bck00024140.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_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_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.observation">observation</a><a name="ClinicalDocument.component.structuredBody.component.section.entry.observation"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.6.2.8.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">SOPInstanceObservation</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_bck0002400.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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.1.5-definitions.html#ClinicalDocument.component.structuredBody.component:component3.section.component">component</a><a name="ClinicalDocument.component.structuredBody.component.section.component"> </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="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-31210)">I</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">1198-31210: </span>**SHALL** contain child elements (CONF:1198-31210).<br/></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url
       value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.5"/>
  <identifier>
    <value value="urn:hl7ii:2.16.840.1.113883.10.20.22.1.5:2015-08-01"/>
  </identifier>
  <version value="2.2"/>
  <name value="DiagnosticImagingReport"/>
  <title value="Diagnostic Imaging Report"/>
  <status value="active"/>
  <date value="2022-05-13T15:50:12+00:00"/>
  <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="A Diagnostic Imaging Report (DIR) is a document that contains a consulting specialists interpretation of image data. It conveys the interpretation to the referring (ordering) physician and becomes part of the patients medical record. It is for use in Radiology, Endoscopy, Cardiology, and other imaging specialties."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="ClinicalDocument"/>
  <baseDefinition
                  value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="ClinicalDocument">
      <path value="ClinicalDocument"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.classCode">
      <path value="ClinicalDocument.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="DOCCLIN"/>
      <fixedCode value="DOCCLIN"/>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.moodCode">
      <path value="ClinicalDocument.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="EVN"/>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"/>
      </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"/>
      <requirements
                    value="SHALL contain exactly one [1..1] realmCode=&quot;US&quot; (CONF:1198-16791)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <patternString value="US"/>
    </element>
    <element id="ClinicalDocument.typeId">
      <path value="ClinicalDocument.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."/>
      <requirements
                    value="SHALL contain exactly one [1..1] typeId (CONF:1198-5361)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.typeId"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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"/>
      </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"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId.root">
      <path value="ClinicalDocument.typeId.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."/>
      <requirements
                    value="This typeId SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.1.3&quot; (CONF:1198-5250)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString 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."/>
      <requirements
                    value="This typeId SHALL contain exactly one [1..1] @extension=&quot;POCD_HD000040&quot; (CONF:1198-5251)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString 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="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:primary">
      <path value="ClinicalDocument.templateId"/>
      <sliceName value="primary"/>
      <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"/>
      <requirements
                    value="SHALL contain exactly one [1..1] templateId (CONF:1198-5252) such that it"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:primary.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.templateId:primary.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"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:primary.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"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:primary.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."/>
      <requirements
                    value="SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.10.20.22.1.1&quot; (CONF:1198-10036)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.10.20.22.1.1"/>
    </element>
    <element id="ClinicalDocument.templateId:primary.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."/>
      <requirements
                    value="SHALL contain exactly one [1..1] @extension=&quot;2015-08-01&quot; (CONF:1198-32503)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2015-08-01"/>
    </element>
    <element id="ClinicalDocument.templateId:secondary">
      <path value="ClinicalDocument.templateId"/>
      <sliceName value="secondary"/>
      <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"/>
      <requirements
                    value="SHALL contain exactly one [1..1] templateId (CONF:1198-8404) such that it"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
      <constraint>
        <key value="1198-32937"/>
        <severity value="error"/>
        <human
               value="When asserting this templateId, all C-CDA 2.1 section and entry templates that had a previous version in C-CDA R1.1 **SHALL** include both the C-CDA 2.1 templateId and the C-CDA R1.1 templateId root without an extension. See C-CDA R2.1 Volume 1 - Design Considerations for additional detail (CONF:1198-32937)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.templateId:secondary.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.templateId:secondary.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"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:secondary.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"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId:secondary.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."/>
      <requirements
                    value="SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.10.20.22.1.5&quot; (CONF:1198-10042)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.10.20.22.1.5"/>
    </element>
    <element id="ClinicalDocument.templateId:secondary.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."/>
      <requirements
                    value="SHALL contain exactly one [1..1] @extension=&quot;2014-06-09&quot; (CONF:1198-32515)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2014-06-09"/>
    </element>
    <element id="ClinicalDocument.id">
      <path value="ClinicalDocument.id"/>
      <requirements
                    value="SHALL contain exactly one [1..1] id (CONF:1198-30932)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
      <constraint>
        <key value="1198-9991"/>
        <severity value="warning"/>
        <human
               value="This id **SHALL** be a globally unique identifier for the document (CONF:1198-9991)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.id.nullFlavor">
      <path value="ClinicalDocument.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.id.assigningAuthorityName">
      <path value="ClinicalDocument.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"/>
      </type>
    </element>
    <element id="ClinicalDocument.id.displayable">
      <path value="ClinicalDocument.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"/>
      </type>
    </element>
    <element id="ClinicalDocument.id.root">
      <path value="ClinicalDocument.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."/>
      <requirements
                    value="This id SHALL contain exactly one [1..1] @root (CONF:1198-30933)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="1198-30934"/>
        <severity value="error"/>
        <human
               value="The ClinicalDocument/id/@root attribute SHALL be a syntactically correct OID, and SHALL NOT be a UUID (CONF:1198-30934).
OIDs SHALL be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID SHALL be in the form of the regular expression: ([0-2])(.([1-9][0-9]*|0))+"/>
      </constraint>
      <constraint>
        <key value="1198-30935"/>
        <severity value="error"/>
        <human
               value="OIDs SHALL be no more than 64 characters in length (CONF:1198-30935)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.id.extension">
      <path value="ClinicalDocument.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"/>
      </type>
    </element>
    <element id="ClinicalDocument.code">
      <path value="ClinicalDocument.code"/>
      <short value="Preferred code is 18748-4 LOINC Diagnostic Imaging Report"/>
      <requirements
                    value="SHALL contain exactly one [1..1] code (CONF:1198-14833)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <constraint>
        <key value="1198-9992"/>
        <severity value="error"/>
        <human
               value="This code **SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:1198-9992)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <constraint>
        <key value="1198-32948"/>
        <severity value="error"/>
        <human
               value="This code **SHALL** be drawn from the LOINC document type ontology (LOINC codes where SCALE = DOC) (CONF:1198-32948)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-DocumentType"/>
      </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="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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."/>
      <requirements
                    value="This code SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet LOINC Imaging Document Codes http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5 DYNAMIC (CONF:1198-14834)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5"/>
      </binding>
    </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="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </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"/>
      </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"/>
      </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"/>
      </type>
    </element>
    <element id="ClinicalDocument.code.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </type>
    </element>
    <element id="ClinicalDocument.code.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </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/fhir/cda/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/fhir/cda/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/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.title">
      <path value="ClinicalDocument.title"/>
      <label
             value="The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code"/>
      <short
             value="The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code"/>
      <requirements
                    value="SHALL contain exactly one [1..1] title (CONF:1198-5254)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ST"/>
      </type>
    </element>
    <element id="ClinicalDocument.effectiveTime">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat">
        <valueCode value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
      </extension>
      <path value="ClinicalDocument.effectiveTime"/>
      <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."/>
      <requirements
                    value="SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:1198-5256)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.effectiveTime"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.4"/>
      </type>
      <constraint>
        <key value="81-10127"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to the day (CONF:81-10127)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10128"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to the minute (CONF:81-10128)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10129"/>
        <severity value="warning"/>
        <human value="**MAY** be precise to the second (CONF:81-10129)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10130"/>
        <severity value="warning"/>
        <human
               value="If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.confidentialityCode">
      <path value="ClinicalDocument.confidentialityCode"/>
      <requirements
                    value="SHALL contain exactly one [1..1] confidentialityCode, which SHOULD be selected from ValueSet HL7 BasicConfidentialityKind urn:oid:2.16.840.1.113883.1.11.16926 DYNAMIC (CONF:1198-5259)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.confidentialityCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </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.languageCode">
      <path value="ClinicalDocument.languageCode"/>
      <requirements
                    value="SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language urn:oid:2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:1198-5372)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.languageCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.11526"/>
      </binding>
    </element>
    <element id="ClinicalDocument.setId">
      <path value="ClinicalDocument.setId"/>
      <requirements
                    value="MAY contain zero or one [0..1] setId (CONF:1198-5261)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.setId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
      <constraint>
        <key value="1198-6380"/>
        <severity value="error"/>
        <human
               value="If  setId is present versionNumber **SHALL** be present (CONF:1198-6380)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.versionNumber">
      <path value="ClinicalDocument.versionNumber"/>
      <requirements
                    value="MAY contain zero or one [0..1] versionNumber (CONF:1198-5264)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.versionNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
      </type>
      <constraint>
        <key value="1198-6387"/>
        <severity value="error"/>
        <human
               value="If versionNumber is present setId **SHALL** be present (CONF:1198-6387)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
    </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/fhir/cda/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget">
      <path value="ClinicalDocument.recordTarget"/>
      <short
             value="The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element"/>
      <requirements
                    value="SHALL contain at least one [1..*] recordTarget (CONF:1198-5266)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.recordTarget"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="RecordTarget.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </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"/>
      </type>
      <fixedCode value="RCT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </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"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </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="RecordTarget.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="RecordTarget.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </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="RecordTarget.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole">
      <path value="ClinicalDocument.recordTarget.patientRole"/>
      <requirements
                    value="Such recordTargets SHALL contain exactly one [1..1] patientRole (CONF:1198-5267)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="RecordTarget.patientRole"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PatientRole"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.classCode">
      <path value="ClinicalDocument.recordTarget.patientRole.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="PatientRole.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="PAT"/>
      <fixedCode value="PAT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal"/>
      </binding>
    </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="PatientRole.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.id">
      <path value="ClinicalDocument.recordTarget.patientRole.id"/>
      <requirements
                    value="This patientRole SHALL contain at least one [1..*] id (CONF:1198-5268)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PatientRole.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.addr">
      <path value="ClinicalDocument.recordTarget.patientRole.addr"/>
      <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."/>
      <requirements
                    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:1198-5271)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PatientRole.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2"/>
      </type>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.telecom">
      <path value="ClinicalDocument.recordTarget.patientRole.telecom"/>
      <requirements
                    value="This patientRole SHALL contain at least one [1..*] telecom (CONF:1198-5280)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PatientRole.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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="uri"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="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/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/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."/>
      <requirements
                    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:1198-5375)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </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"/>
      <requirements
                    value="This patientRole SHALL contain exactly one [1..1] patient (CONF:1198-5283)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="PatientRole.patient"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Patient"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.classCode">
      <path value="ClinicalDocument.recordTarget.patientRole.patient.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="PSN"/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </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="Patient.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </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/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.name">
      <path value="ClinicalDocument.recordTarget.patientRole.patient.name"/>
      <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)."/>
      <requirements
                    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:1198-5284)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Patient.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1"/>
      </type>
      <constraint>
        <key value="81-7278"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7278)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.sdtcDesc">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="desc"/>
      </extension>
      <path value="ClinicalDocument.recordTarget.patientRole.patient.sdtcDesc"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcDesc"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode"/>
      <requirements
                    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:1198-6394)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.administrativeGenderCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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">
      <path value="ClinicalDocument.recordTarget.patientRole.patient.birthTime"/>
      <requirements
                    value="This patient SHALL contain exactly one [1..1] birthTime (CONF:1198-5298)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.birthTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
      </type>
      <constraint>
        <key value="1198-5299"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to year (CONF:1198-5299)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <constraint>
        <key value="1198-5300"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to day (CONF:1198-5300)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <constraint>
        <key value="1198-32418"/>
        <severity value="warning"/>
        <human
               value="**MAY** be precise to the minute (CONF:1198-32418).
For cases where information about newborn's time of birth needs to be captured."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="deceasedInd"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcDeceasedInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="deceasedTime"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcDeceasedTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthInd">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthOrderNumber">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/INT-POS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode"/>
      <requirements
                    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:1198-5303)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.maritalStatusCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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"/>
      <requirements
                    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:1198-5317)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.religiousAffiliationCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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">
      <path value="ClinicalDocument.recordTarget.patientRole.patient.raceCode"/>
      <requirements
                    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:1198-5322)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.raceCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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/StructureDefinition/elementdefinition-xml-name">
        <valueString value="raceCode"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode"/>
      <requirements
                    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:1198-7263)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.sdtcRaceCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <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">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode"/>
      <requirements
                    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:1198-5323)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.ethnicGroupCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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/StructureDefinition/elementdefinition-xml-name">
        <valueString value="ethnicGroupCode"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode"/>
      <requirements
                    value="This patient MAY contain zero or more [0..*] sdtc:ethnicGroupCode, which SHALL be selected from ValueSet Detailed Ethnicity urn:oid:2.16.840.1.114222.4.11.877 DYNAMIC (CONF:1198-32901)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.sdtcEthnicGroupCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <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"/>
      <requirements
                    value="This patient MAY contain zero or more [0..*] guardian (CONF:1198-5325)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.guardian"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Guardian"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Guardian.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="GUARD"/>
      <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.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="Guardian.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.guardian.id">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.id"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Guardian.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.code">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.code"/>
      <requirements
                    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:1198-5326)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Guardian.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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"/>
      <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."/>
      <requirements
                    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:1198-5359)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Guardian.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2"/>
      </type>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom"/>
      <requirements
                    value="The guardian, if present, SHOULD contain zero or more [0..*] telecom (CONF:1198-5382)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Guardian.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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="uri"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="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/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/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."/>
      <requirements
                    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:1198-7993)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </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"/>
      <requirements
                    value="The guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:1198-5385)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Guardian.guardianPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Person"/>
      </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="1"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="PSN"/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <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.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="Person.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name"/>
      <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)."/>
      <requirements
                    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:1198-5386)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1"/>
      </type>
      <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)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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/fhir/cda/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.patient.birthplace">
      <path value="ClinicalDocument.recordTarget.patientRole.patient.birthplace"/>
      <requirements
                    value="This patient MAY contain zero or one [0..1] birthplace (CONF:1198-5395)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.birthplace"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Birthplace"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Birthplace.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="BIRTHPL"/>
      <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.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="Birthplace.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place"/>
      <requirements
                    value="The birthplace, if present, SHALL contain exactly one [1..1] place (CONF:1198-5396)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Birthplace.place"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Place"/>
      </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="1"/>
      <max value="1"/>
      <base>
        <path value="Place.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="PLC"/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="Place.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <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.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="Place.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </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/fhir/cda/StructureDefinition/EN"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr"/>
      <requirements
                    value="This place SHALL contain exactly one [1..1] addr (CONF:1198-5397)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Place.addr"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AD"/>
      </type>
      <constraint>
        <key value="1198-5402"/>
        <severity value="warning"/>
        <human
               value="If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet StateValueSet 2.16.840.1.113883.3.88.12.80.1 *DYNAMIC* (CONF:1198-5402)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <constraint>
        <key value="1198-5403"/>
        <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:1198-5403)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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"/>
      </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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.delimiter">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.delimiter"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.delimiter.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.delimiter.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.delimiter.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="DEL"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.country">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.country"/>
      <definition value="Country"/>
      <requirements
                    value="This addr SHOULD contain zero or one [0..1] country, which SHALL be selected from ValueSet Country urn:oid:2.16.840.1.113883.3.88.12.80.63 DYNAMIC (CONF:1198-5404)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.country"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.country.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.country.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.country.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="CNT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.state">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.state"/>
      <definition
                  value="A sub-unit of a country with limited sovereignty in a federally organized country."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.state"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.state.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.state.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.state.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="STA"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.county">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.county"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.county.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.county.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.county.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="CPA"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.city">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.city"/>
      <definition
                  value="The name of the city, town, village, or other community or delivery center"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.city"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.city.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.city.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.city.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="CTY"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postalCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postalCode"/>
      <definition
                  value="A postal code designating a region defined by the postal service."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.postalCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postalCode.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postalCode.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.postalCode.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="ZIP"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetAddressLine">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetAddressLine"/>
      <definition value="Street address line"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.streetAddressLine"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetAddressLine.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetAddressLine.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.streetAddressLine.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="SAL"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumber">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.houseNumber"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumber.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumber.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.houseNumber.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="BNR"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumberNumeric">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumberNumeric"/>
      <definition value="The numeric portion of a building number"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.houseNumberNumeric"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumberNumeric.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumberNumeric.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.houseNumberNumeric.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="BNN"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.direction">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.direction"/>
      <definition value="Direction (e.g., N, S, W, E)"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.direction"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.direction.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.direction.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.direction.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="DIR"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetName">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetName"/>
      <definition
                  value="Name of a roadway or artery recognized by a municipality (including street type and direction)"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.streetName"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetName.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetName.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.streetName.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="STR"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameBase">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.streetNameBase"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameBase.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameBase.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.streetNameBase.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="STB"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameType"/>
      <definition
                  value="The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.streetNameType"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameType.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameType.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.streetNameType.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="STTYP"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.additionalLocator">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.additionalLocator"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.additionalLocator.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.additionalLocator.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.additionalLocator.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="ADL"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitID">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.unitID"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitID.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitID.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.unitID.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="UNID"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitType"/>
      <definition
                  value="Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.unitType"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitType.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitType.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.unitType.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="UNIT"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.careOf">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.careOf"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.careOf.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.careOf.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.careOf.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="CAR"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.censusTract">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.censusTract"/>
      <definition
                  value="A geographic sub-unit delineated for demographic purposes."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.censusTract"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.censusTract.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.censusTract.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.censusTract.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="CEN"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryAddressLine">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.deliveryAddressLine"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryAddressLine.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryAddressLine.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.deliveryAddressLine.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="DAL"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.deliveryInstallationType"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationType.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationType.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.deliveryInstallationType.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="DINST"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationArea">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.deliveryInstallationArea"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationArea.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationArea.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.deliveryInstallationArea.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="DINSTA"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationQualifier">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.deliveryInstallationQualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationQualifier.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationQualifier.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.deliveryInstallationQualifier.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="DINSTQ"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryMode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.deliveryMode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryMode.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryMode.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.deliveryMode.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="DMOD"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryModeIdentifier">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.deliveryModeIdentifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryModeIdentifier.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryModeIdentifier.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.deliveryModeIdentifier.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="DMODID"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.buildingNumberSuffix">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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="*"/>
      <base>
        <path value="AD.buildingNumberSuffix"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.buildingNumberSuffix.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.buildingNumberSuffix.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.buildingNumberSuffix.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="BNS"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postBox">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postBox"/>
      <definition value="A numbered box located in a post station."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.postBox"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postBox.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postBox.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.postBox.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="POB"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.precinct">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.precinct"/>
      <definition value="A subsection of a municipality"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="AD.precinct"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ADXP"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.precinct.partType">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.precinct.partType"/>
      <representation value="xmlAttr"/>
      <definition value="Specifies the type of the address part"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.precinct.partType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="PRE"/>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.other">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.other"/>
      <representation value="xmlText"/>
      <definition value="Textual representation of (part of) the address"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AD.other"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.useablePeriod[x]">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="SXPR-TS"/>
      </extension>
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.useablePeriod[x]"/>
      <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[x]"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication"/>
      <requirements
                    value="This patient SHOULD contain zero or more [0..*] languageCommunication (CONF:1198-5406)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.languageCommunication"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/LanguageCommunication"/>
      </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="LanguageCommunication.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode"/>
      <requirements
                    value="The languageCommunication, if present, SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language urn:oid:2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:1198-5407)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="LanguageCommunication.languageCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.11526"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode"/>
      <requirements
                    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:1198-5409)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LanguageCommunication.modeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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"/>
      <requirements
                    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:1198-9965)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LanguageCommunication.proficiencyLevelCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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"/>
      <requirements
                    value="The languageCommunication, if present, SHOULD contain zero or one [0..1] preferenceInd (CONF:1198-5414)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LanguageCommunication.preferenceInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget.patientRole.providerOrganization">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization"/>
      <requirements
                    value="This patientRole MAY contain zero or one [0..1] providerOrganization (CONF:1198-5416)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="PatientRole.providerOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organization"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Organization.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ORG"/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="Organization.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </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="Organization.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.id">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.id"/>
      <requirements
                    value="The providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:1198-5417)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Organization.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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"/>
      </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"/>
      </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."/>
      <requirements
                    value="Such ids SHOULD contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:1198-16820)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.4.6"/>
    </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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.name">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.name"/>
      <requirements
                    value="The providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:1198-5419)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Organization.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ON"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom">
      <path
            value="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom"/>
      <requirements
                    value="The providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:1198-5420)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Organization.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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="uri"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="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/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/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."/>
      <requirements
                    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:1198-7994)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </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"/>
      <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."/>
      <requirements
                    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:1198-5422)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Organization.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2"/>
      </type>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </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/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <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/fhir/cda/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."/>
      <requirements
                    value="SHALL contain at least one [1..*] author (CONF:1198-5444)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.author"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="Author.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </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"/>
      </type>
      <fixedCode value="AUT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </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"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </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="Author.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="Author.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </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="Author.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </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/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.time">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat">
        <valueCode value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
      </extension>
      <path value="ClinicalDocument.author.time"/>
      <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."/>
      <requirements
                    value="Such authors SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:1198-5445)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Author.time"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.4"/>
      </type>
      <constraint>
        <key value="81-10127"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to the day (CONF:81-10127)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10128"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to the minute (CONF:81-10128)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10129"/>
        <severity value="warning"/>
        <human value="**MAY** be precise to the second (CONF:81-10129)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10130"/>
        <severity value="warning"/>
        <human
               value="If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor">
      <path value="ClinicalDocument.author.assignedAuthor"/>
      <requirements
                    value="Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:1198-5448)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Author.assignedAuthor"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor"/>
      </type>
      <constraint>
        <key value="1198-16790"/>
        <severity value="error"/>
        <human
               value="There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:1198-16790)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.classCode">
      <path value="ClinicalDocument.author.assignedAuthor.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedAuthor.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ASSIGNED"/>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </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="AssignedAuthor.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </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>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedAuthor.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
      <constraint>
        <key value="1198-5449"/>
        <human
               value="If this assignedAuthor is not an assignedPerson, this assignedAuthor SHALL contain at least one [1..*] id (CONF:1198-5449)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id:id1">
      <path value="ClinicalDocument.author.assignedAuthor.id"/>
      <sliceName value="id1"/>
      <requirements
                    value="This assignedAuthor SHOULD contain zero or one [0..1] id (CONF:1198-32882) such that it"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedAuthor.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id:id1.nullFlavor">
      <path value="ClinicalDocument.author.assignedAuthor.id.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <short
             value="If id with @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier is unknown then"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <requirements
                    value="MAY contain zero or one [0..1] @nullFlavor=&quot;UNK&quot; Unknown (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:1198-32883)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <patternCode value="UNK"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.id:id1.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"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id:id1.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"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id:id1.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."/>
      <requirements
                    value="SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:1198-32884)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.4.6"/>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.id:id1.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."/>
      <requirements
                    value="SHOULD contain zero or one [0..1] @extension (CONF:1198-32885)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code">
      <path value="ClinicalDocument.author.assignedAuthor.code"/>
      <short
             value="Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code."/>
      <requirements
                    value="This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:1198-16787)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedAuthor.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleCode"/>
      </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="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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."/>
      <requirements
                    value="The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-16788)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </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.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"/>
      </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"/>
      </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"/>
      </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"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.code.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.code.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </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/fhir/cda/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/fhir/cda/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/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.addr">
      <path value="ClinicalDocument.author.assignedAuthor.addr"/>
      <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."/>
      <requirements
                    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:1198-5452)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedAuthor.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2"/>
      </type>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.telecom">
      <path value="ClinicalDocument.author.assignedAuthor.telecom"/>
      <requirements
                    value="This assignedAuthor SHALL contain at least one [1..*] telecom (CONF:1198-5428)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedAuthor.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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="uri"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="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/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/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."/>
      <requirements
                    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:1198-7995)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </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"/>
      <requirements
                    value="This assignedAuthor SHOULD contain zero or one [0..1] assignedPerson (CONF:1198-5430)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedAuthor.assignedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.classCode">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="PSN"/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </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="Person.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.assignedPerson.name">
      <path value="ClinicalDocument.author.assignedAuthor.assignedPerson.name"/>
      <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)."/>
      <requirements
                    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:1198-16789)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1"/>
      </type>
      <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)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice"/>
      <requirements
                    value="This assignedAuthor SHOULD contain zero or one [0..1] assignedAuthoringDevice (CONF:1198-16783)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedAuthor.assignedAuthoringDevice"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/AuthoringDevice"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AuthoringDevice.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="DEV"/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="AuthoringDevice.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </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="AuthoringDevice.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </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/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityCode"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName"/>
      <requirements
                    value="The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] manufacturerModelName (CONF:1198-16784)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AuthoringDevice.manufacturerModelName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SC"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName">
      <path
            value="ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName"/>
      <requirements
                    value="The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] softwareName (CONF:1198-16785)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AuthoringDevice.softwareName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SC"/>
      </type>
    </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/fhir/cda/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/fhir/cda/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, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system."/>
      <requirements
                    value="MAY contain zero or one [0..1] dataEnterer (CONF:1198-5441)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.dataEnterer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="DataEnterer.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </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"/>
      </type>
      <fixedCode value="ENT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </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"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </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="DataEnterer.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="DataEnterer.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </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="DataEnterer.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.time">
      <path value="ClinicalDocument.dataEnterer.time"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DataEnterer.time"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity">
      <path value="ClinicalDocument.dataEnterer.assignedEntity"/>
      <requirements
                    value="The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-5442)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DataEnterer.assignedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.classCode">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ASSIGNED"/>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </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="AssignedEntity.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.id">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.id"/>
      <requirements
                    value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-5443)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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"/>
      </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"/>
      </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."/>
      <requirements
                    value="Such ids SHOULD contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:1198-16821)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.4.6"/>
    </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"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.code">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.code"/>
      <requirements
                    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:1198-32173)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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.dataEnterer.assignedEntity.addr">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.addr"/>
      <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."/>
      <requirements
                    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:1198-5460)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2"/>
      </type>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.dataEnterer.assignedEntity.telecom">
      <path value="ClinicalDocument.dataEnterer.assignedEntity.telecom"/>
      <requirements
                    value="This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1198-5466)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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="uri"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="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/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/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."/>
      <requirements
                    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:1198-7996)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </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"/>
      <requirements
                    value="This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-5469)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.assignedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="PSN"/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </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="Person.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name">
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name"/>
      <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)."/>
      <requirements
                    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:1198-5470)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1"/>
      </type>
      <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)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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/fhir/cda/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant">
      <path value="ClinicalDocument.informant"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="relatedEntity"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <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."/>
      <requirements value="SHALL NOT contain [0..0] informant (CONF:1198-8410)."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="ClinicalDocument.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant1">
      <path value="ClinicalDocument.informant"/>
      <sliceName value="informant1"/>
      <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."/>
      <requirements
                    value="MAY contain zero or more [0..*] informant (CONF:1198-8001) 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/fhir/cda/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant1.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="Informant.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:informant1.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"/>
      </type>
      <fixedCode value="INF"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:informant1.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"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:informant1.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="Informant.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant1.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="Informant.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant1.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="Informant.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant1.assignedEntity">
      <path value="ClinicalDocument.informant.assignedEntity"/>
      <requirements
                    value="SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8002)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Informant.assignedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant1.assignedEntity.classCode">
      <path value="ClinicalDocument.informant.assignedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ASSIGNED"/>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:informant1.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="AssignedEntity.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant1.assignedEntity.id">
      <path value="ClinicalDocument.informant.assignedEntity.id"/>
      <requirements
                    value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-9945)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
      <constraint>
        <key value="1198-9946"/>
        <severity value="warning"/>
        <human
               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:1198-9946)."/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.informant:informant1.assignedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant1.assignedEntity.code">
      <path value="ClinicalDocument.informant.assignedEntity.code"/>
      <requirements
                    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:1198-32174)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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:informant1.assignedEntity.addr">
      <path value="ClinicalDocument.informant.assignedEntity.addr"/>
      <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."/>
      <requirements
                    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:1198-8220)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2"/>
      </type>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.informant:informant1.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/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:informant1.assignedEntity.assignedPerson">
      <path value="ClinicalDocument.informant.assignedEntity.assignedPerson"/>
      <requirements
                    value="This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-8221)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.assignedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.classCode">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="PSN"/>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.determinerCode">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.informant:informant1.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="Person.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.name">
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.name"/>
      <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)."/>
      <requirements
                    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:1198-8222)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1"/>
      </type>
      <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)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informant:informant1.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/fhir/cda/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant1.relatedEntity">
      <path value="ClinicalDocument.informant.relatedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Informant.relatedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant2">
      <path value="ClinicalDocument.informant"/>
      <sliceName value="informant2"/>
      <requirements
                    value="MAY contain zero or more [0..*] informant (CONF:1198-31355) 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/fhir/cda/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant2.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="Informant.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:informant2.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"/>
      </type>
      <fixedCode value="INF"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:informant2.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"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant:informant2.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="Informant.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant2.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="Informant.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant2.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="Informant.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant2.assignedEntity">
      <path value="ClinicalDocument.informant.assignedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Informant.assignedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant:informant2.relatedEntity">
      <path value="ClinicalDocument.informant.relatedEntity"/>
      <requirements
                    value="SHALL contain exactly one [1..1] relatedEntity (CONF:1198-31356)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Informant.relatedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian">
      <path value="ClinicalDocument.custodian"/>
      <short
             value="The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document.

There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, 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."/>
      <requirements
                    value="SHALL contain exactly one [1..1] custodian (CONF:1198-5519)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.custodian"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="Custodian.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </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"/>
      </type>
      <fixedCode value="ENT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </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="Custodian.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="Custodian.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </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="Custodian.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.assignedCustodian">
      <path value="ClinicalDocument.custodian.assignedCustodian"/>
      <requirements
                    value="This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:1198-5520)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Custodian.assignedCustodian"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/AssignedCustodian"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian.assignedCustodian.classCode">
      <path value="ClinicalDocument.custodian.assignedCustodian.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedCustodian.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ASSIGNED"/>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </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="AssignedCustodian.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization"/>
      <requirements
                    value="This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:1198-5521)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedCustodian.representedCustodianOrganization"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/CustodianOrganization"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CustodianOrganization.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ORG"/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="CustodianOrganization.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </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="CustodianOrganization.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id"/>
      <requirements
                    value="This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:1198-5522)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="CustodianOrganization.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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"/>
      </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"/>
      </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."/>
      <requirements
                    value="Such ids SHOULD contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:1198-16822)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.4.6"/>
    </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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.name">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.name"/>
      <requirements
                    value="This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:1198-5524)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CustodianOrganization.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ON"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom"/>
      <requirements
                    value="This representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:1198-5525)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CustodianOrganization.telecom"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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="uri"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="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/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/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."/>
      <requirements
                    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:1198-7998)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </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.addr">
      <path
            value="ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr"/>
      <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."/>
      <requirements
                    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:1198-5559)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CustodianOrganization.addr"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2"/>
      </type>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </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 was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart."/>
      <requirements
                    value="MAY contain zero or more [0..*] informationRecipient (CONF:1198-8411)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.informationRecipient"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/InformationRecipient"/>
      </type>
      <constraint>
        <key value="1198-8412"/>
        <severity value="warning"/>
        <human
               value="The physician requesting the imaging procedure (ClinicalDocument/participant[@typeCode=REF]/associatedEntity), if present, **SHOULD** also be recorded as an informationRecipient, unless in the local setting another physician (such as the attending physician for an inpatient) is known to be the appropriate recipient of the report (CONF:1198-8412)."/>
      </constraint>
      <constraint>
        <key value="1198-8413"/>
        <severity value="warning"/>
        <human
               value="When no referring physician is present, as in the case of self-referred screening examinations allowed by law, the intendedRecipient **MAY** be absent. The intendedRecipient **MAY** also be the health chart of the patient, in which case the receivedOrganization **SHALL** be the scoping organization of that chart (CONF:1198-8413)."/>
      </constraint>
    </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="InformationRecipient.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </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"/>
      </type>
      <defaultValueCode value="PRCP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </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="InformationRecipient.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="InformationRecipient.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </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="InformationRecipient.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient.intendedRecipient">
      <path value="ClinicalDocument.informationRecipient.intendedRecipient"/>
      <requirements
                    value="The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:1198-5566)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="InformationRecipient.intendedRecipient"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/IntendedRecipient"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.classCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="IntendedRecipient.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ASSIGNED"/>
    </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="IntendedRecipient.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient.intendedRecipient.id">
      <path value="ClinicalDocument.informationRecipient.intendedRecipient.id"/>
      <requirements
                    value="This intendedRecipient MAY contain zero or more [0..*] id (CONF:1198-32399)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="IntendedRecipient.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/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/fhir/cda/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/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient"/>
      <requirements
                    value="This intendedRecipient MAY contain zero or one [0..1] informationRecipient (CONF:1198-5567)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IntendedRecipient.informationRecipient"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="PSN"/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </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="Person.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name"/>
      <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)."/>
      <requirements
                    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:1198-5568)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1"/>
      </type>
      <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)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization"/>
      <requirements
                    value="This intendedRecipient MAY contain zero or one [0..1] receivedOrganization (CONF:1198-5577)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="IntendedRecipient.receivedOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organization"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Organization.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ORG"/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="Organization.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </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="Organization.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </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/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.name">
      <path
            value="ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.name"/>
      <requirements
                    value="The receivedOrganization, if present, SHALL contain exactly one [1..1] name (CONF:1198-5578)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Organization.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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/fhir/cda/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/fhir/cda/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/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <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/fhir/cda/StructureDefinition/OrganizationPartOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator">
      <path value="ClinicalDocument.legalAuthenticator"/>
      <short
             value="The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical 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. Based on local practice, clinical documents may be released before legal authentication.  

All clinical documents have the potential for legal authentication, given the appropriate credentials.

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

Note that the legal authenticator, if present, must be a person."/>
      <requirements
                    value="SHOULD contain zero or one [0..1] legalAuthenticator (CONF:1198-5579)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.legalAuthenticator"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/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="LegalAuthenticator.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </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"/>
      </type>
      <fixedCode value="LA"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </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"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </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="LegalAuthenticator.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="LegalAuthenticator.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </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="LegalAuthenticator.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.time">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat">
        <valueCode value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
      </extension>
      <path value="ClinicalDocument.legalAuthenticator.time"/>
      <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."/>
      <requirements
                    value="The legalAuthenticator, if present, SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:1198-5580)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="LegalAuthenticator.time"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.4"/>
      </type>
      <constraint>
        <key value="81-10127"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to the day (CONF:81-10127)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10128"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to the minute (CONF:81-10128)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10129"/>
        <severity value="warning"/>
        <human value="**MAY** be precise to the second (CONF:81-10129)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10130"/>
        <severity value="warning"/>
        <human
               value="If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.signatureCode">
      <path value="ClinicalDocument.legalAuthenticator.signatureCode"/>
      <requirements
                    value="The legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:1198-5583)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="LegalAuthenticator.signatureCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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."/>
      <requirements
                    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:1198-5584)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString 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"/>
      </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"/>
      </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"/>
      </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"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </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/fhir/cda/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/fhir/cda/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/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.sdtcSignatureText">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="signatureText"/>
      </extension>
      <path value="ClinicalDocument.legalAuthenticator.sdtcSignatureText"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LegalAuthenticator.sdtcSignatureText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity"/>
      <requirements
                    value="The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-5585)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="LegalAuthenticator.assignedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.classCode">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ASSIGNED"/>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </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="AssignedEntity.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.id">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity.id"/>
      <requirements
                    value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-5586)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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"/>
      </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"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.id.root">
      <path value="ClinicalDocument.legalAuthenticator.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."/>
      <requirements
                    value="Such ids MAY contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:1198-16823)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.4.6"/>
    </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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.code">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity.code"/>
      <requirements
                    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:1198-17000)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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.addr">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity.addr"/>
      <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."/>
      <requirements
                    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:1198-5589)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2"/>
      </type>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.legalAuthenticator.assignedEntity.telecom">
      <path value="ClinicalDocument.legalAuthenticator.assignedEntity.telecom"/>
      <requirements
                    value="This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1198-5595)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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="uri"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="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/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/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."/>
      <requirements
                    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:1198-7999)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </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"/>
      <requirements
                    value="This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-5597)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.assignedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="PSN"/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </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="Person.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name">
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name"/>
      <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)."/>
      <requirements
                    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:1198-5598)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1"/>
      </type>
      <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)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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/fhir/cda/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator">
      <path value="ClinicalDocument.authenticator"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="signatureCode"/>
        </discriminator>
        <discriminator>
          <type value="value"/>
          <path value="assignedEntity"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short
             value="The authenticator identifies a participant or participants who attest to the accuracy of the information in the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.authenticator"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Authenticator"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator:authenticator1">
      <path value="ClinicalDocument.authenticator"/>
      <sliceName value="authenticator1"/>
      <requirements
                    value="MAY contain zero or more [0..*] authenticator (CONF:1198-5607) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.authenticator"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Authenticator"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator:authenticator1.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="Authenticator.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
      <fixedCode value="AUTHEN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authenticator:authenticator1.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="Authenticator.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator:authenticator1.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="Authenticator.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator:authenticator1.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="Authenticator.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator:authenticator1.time">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat">
        <valueCode value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
      </extension>
      <path value="ClinicalDocument.authenticator.time"/>
      <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."/>
      <requirements
                    value="SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:1198-5608)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Authenticator.time"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.4"/>
      </type>
      <constraint>
        <key value="81-10127"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to the day (CONF:81-10127)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10128"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to the minute (CONF:81-10128)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10129"/>
        <severity value="warning"/>
        <human value="**MAY** be precise to the second (CONF:81-10129)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-10130"/>
        <severity value="warning"/>
        <human
               value="If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.authenticator:authenticator1.signatureCode">
      <path value="ClinicalDocument.authenticator.signatureCode"/>
      <requirements
                    value="SHALL contain exactly one [1..1] signatureCode (CONF:1198-5610)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Authenticator.signatureCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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."/>
      <requirements
                    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:1198-5611)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="S"/>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.signatureCode.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.signatureCode.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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/fhir/cda/StructureDefinition/CR"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.sdtcSignatureText">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="signatureText"/>
      </extension>
      <path value="ClinicalDocument.authenticator.sdtcSignatureText"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Authenticator.sdtcSignatureText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator:authenticator1.assignedEntity">
      <path value="ClinicalDocument.authenticator.assignedEntity"/>
      <requirements
                    value="SHALL contain exactly one [1..1] assignedEntity (CONF:1198-5612)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Authenticator.assignedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.classCode">
      <path value="ClinicalDocument.authenticator.assignedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ASSIGNED"/>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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="AssignedEntity.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.id">
      <path value="ClinicalDocument.authenticator.assignedEntity.id"/>
      <requirements
                    value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-5613)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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."/>
      <requirements
                    value="Such ids SHOULD contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier  (CONF:1198-16824)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.4.6"/>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.code">
      <path value="ClinicalDocument.authenticator.assignedEntity.code"/>
      <requirements
                    value="This assignedEntity MAY contain zero or one [0..1] code (CONF:1198-16825)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleCode"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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."/>
      <requirements
                    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:1198-16826)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </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:authenticator1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.code.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.code.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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/fhir/cda/StructureDefinition/CR"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.addr">
      <path value="ClinicalDocument.authenticator.assignedEntity.addr"/>
      <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."/>
      <requirements
                    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:1198-5616)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.addr"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AD"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2"/>
      </type>
      <constraint>
        <key value="81-7296"/>
        <severity value="error"/>
        <human
               value="**SHALL NOT** have mixed content except for white space (CONF:81-7296)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom">
      <path value="ClinicalDocument.authenticator.assignedEntity.telecom"/>
      <requirements
                    value="This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1198-5622)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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="uri"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom.useablePeriod">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="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/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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."/>
      <requirements
                    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:1198-8000)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </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:authenticator1.assignedEntity.assignedPerson">
      <path value="ClinicalDocument.authenticator.assignedEntity.assignedPerson"/>
      <requirements
                    value="This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-5624)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.assignedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.classCode">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="PSN"/>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.determinerCode">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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="Person.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.name">
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.name"/>
      <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)."/>
      <requirements
                    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:1198-5625)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1"/>
      </type>
      <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)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <source
                value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authenticator:authenticator1.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/fhir/cda/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant">
      <path value="ClinicalDocument.participant"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="ClinicalDocument.associatedEntity"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short
             value="If participant is present, the associatedEntity/associatedPerson element SHALL be present and SHALL represent the physician requesting the imaging procedure (the referring physician AssociatedEntity that is the target of ClincalDocument/participant@typeCode=REF)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Participant1"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant:participant1">
      <path value="ClinicalDocument.participant"/>
      <sliceName value="participant1"/>
      <requirements
                    value="MAY contain zero or one [0..1] participant (CONF:1198-8414) such that it"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Participant1"/>
      </type>
      <constraint>
        <key value="1198-10006"/>
        <severity value="error"/>
        <human
               value="**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:1198-10006)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <constraint>
        <key value="1198-10007"/>
        <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 *STATIC 2011-09-30* (CONF:1198-10007)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
    </element>
    <element id="ClinicalDocument.participant:participant1.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="Participant1.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.participant:participant1.typeCode">
      <path value="ClinicalDocument.participant.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Participant1.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.participant:participant1.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"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="ClinicalDocument.participant:participant1.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="Participant1.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant:participant1.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="Participant1.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant:participant1.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="Participant1.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant:participant1.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/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant:participant1.time">
      <path value="ClinicalDocument.participant.time"/>
      <requirements
                    value="MAY contain zero or one [0..1] time (CONF:1198-10004)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Participant1.time"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant:participant1.associatedEntity">
      <path value="ClinicalDocument.participant.associatedEntity"/>
      <requirements
                    value="SHALL contain exactly one [1..1] associatedEntity (CONF:1198-31198)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Participant1.associatedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/AssociatedEntity"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssociative"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.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="AssociatedEntity.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant:participant1.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/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.associatedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.associatedEntity.code">
      <path value="ClinicalDocument.participant.associatedEntity.code"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssociatedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleCode"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.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/fhir/cda/StructureDefinition/AD"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.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/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.associatedEntity.associatedPerson">
      <path
            value="ClinicalDocument.participant.associatedEntity.associatedPerson"/>
      <requirements
                    value="This associatedEntity SHALL contain exactly one [1..1] associatedPerson (CONF:1198-31199)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssociatedEntity.associatedPerson"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.classCode">
      <path
            value="ClinicalDocument.participant.associatedEntity.associatedPerson.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="PSN"/>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.determinerCode">
      <path
            value="ClinicalDocument.participant.associatedEntity.associatedPerson.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INSTANCE"/>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.templateId">
      <path
            value="ClinicalDocument.participant.associatedEntity.associatedPerson.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="Person.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.name">
      <path
            value="ClinicalDocument.participant.associatedEntity.associatedPerson.name"/>
      <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)."/>
      <requirements
                    value="This associatedPerson SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-31200)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Person.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1"/>
      </type>
      <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)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <constraint>
        <key value="81-9372"/>
        <severity value="error"/>
        <human
               value="The string **SHALL NOT** contain name parts (CONF:81-9372)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.sdtcAsPatientRelationship">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="asPatientRelationship"/>
      </extension>
      <path
            value="ClinicalDocument.participant.associatedEntity.associatedPerson.sdtcAsPatientRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Person.sdtcAsPatientRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.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/fhir/cda/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf">
      <path value="ClinicalDocument.inFulfillmentOf"/>
      <short
             value="An inFulfillmentOf element represents the Placer Order that is either a group of orders (modeled as PlacerGroup in the Placer Order RMIM of the Orders &amp; Observations domain) or a single order item (modeled as ObservationRequest in the same RMIM). This optionality reflects two major approaches to the grouping of procedures as implemented in the installed base of imaging information systems. These approaches differ in their handling of grouped procedures and how they are mapped to identifiers in the Digital Imaging and Communications in Medicine (DICOM) image and structured reporting data. The example of a CT examination covering chest, abdomen, and pelvis will be used in the discussion below. In the IHE Scheduled Workflow model, the Chest CT, Abdomen CT, and Pelvis CT each represent a Requested Procedure, and all three procedures are grouped under a single Filler Order. The Filler Order number maps directly to the DICOM Accession Number in the DICOM imaging and report data. A widely deployed alternative approach maps the requested procedure identifiers directly to the DICOM Accession Number. The Requested Procedure ID in such implementations may or may not be different from the Accession Number, but is of little identifying importance because there is only one Requested Procedure per Accession Number. There is no identifier that formally connects the requested procedures ordered in this group."/>
      <requirements
                    value="MAY contain zero or more [0..*] inFulfillmentOf (CONF:1198-30936)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.inFulfillmentOf"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/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="InFulfillmentOf.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </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"/>
      </type>
      <fixedCode value="FLFS"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </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="InFulfillmentOf.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="InFulfillmentOf.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </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="InFulfillmentOf.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order">
      <path value="ClinicalDocument.inFulfillmentOf.order"/>
      <requirements
                    value="The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:1198-30937)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="InFulfillmentOf.order"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Order"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.classCode">
      <path value="ClinicalDocument.inFulfillmentOf.order.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Order.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ACT"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.moodCode">
      <path value="ClinicalDocument.inFulfillmentOf.order.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Order.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="RQO"/>
      <fixedCode value="RQO"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMoodIntent"/>
      </binding>
    </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="Order.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.id">
      <path value="ClinicalDocument.inFulfillmentOf.order.id"/>
      <label value="DICOM Accession Number in the DICOM imaging and report data"/>
      <short value="DICOM Accession Number in the DICOM imaging and report data"/>
      <requirements
                    value="This order SHALL contain at least one [1..*] id (CONF:1198-30938)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Order.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <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/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
      </binding>
    </element>
    <element id="ClinicalDocument.documentationOf">
      <path value="ClinicalDocument.documentationOf"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="ClinicalDocument.serviceEvent"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short
             value="Each serviceEvent indicates an imaging procedure that the provider describes and interprets in the content of the DIR. The main activity being described by this document is the interpretation of the imaging procedure. This is shown by setting the value of the @classCode attribute of the serviceEvent element to ACT, and indicating the duration over which care was provided in the effectiveTime element. Within each documentationOf element, there is one serviceEvent element. This event is the unit imaging procedure corresponding to a billable item. The type of imaging procedure may be further described in the serviceEvent/code element. This guide makes no specific recommendations about the vocabulary to use for describing this event. In IHE Scheduled Workflow environments, one serviceEvent/id element contains the DICOM Study Instance UID from the Modality Worklist, and the second serviceEvent/id element contains the DICOM Requested Procedure ID from the Modality Worklist. These two ids are in a single serviceEvent. The effectiveTime for the serviceEvent covers the duration of the imaging procedure being reported. This event should have one or more performers, which may participate at the same or different periods of time. Service events map to DICOM Requested Procedures. That is, serviceEvent/id is the ID of the Requested Procedure."/>
      <requirements
                    value="MAY contain zero or more [0..*] documentationOf (CONF:1198-14835)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.documentationOf"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/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="DocumentationOf.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </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"/>
      </type>
      <fixedCode value="DOC"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </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="DocumentationOf.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="DocumentationOf.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </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="DocumentationOf.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </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."/>
      <requirements
                    value="The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:1198-14836)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentationOf.serviceEvent"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ServiceEvent"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.classCode">
      <path value="ClinicalDocument.documentationOf.serviceEvent.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ACT"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.moodCode">
      <path value="ClinicalDocument.documentationOf.serviceEvent.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="EVN"/>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"/>
      </binding>
    </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="ServiceEvent.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </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/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.code">
      <path value="ClinicalDocument.documentationOf.serviceEvent.code"/>
      <definition value="Drawn from concept domain ActCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime">
      <path value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime"/>
      <requirements
                    value="This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:1198-14837)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.effectiveTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
    </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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.value">
      <extension
                 url="http://www.healthintersections.com.au/fhir/StructureDefinition/elementdefinition-dateformat">
        <valueString value="v3"/>
      </extension>
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.inclusive">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.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="TS.inclusive"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low"/>
      <label value="Low Boundary"/>
      <definition value="This is the low limit of the interval."/>
      <requirements
                    value="This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-14838)."/>
      <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/fhir/cda/StructureDefinition/TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high"/>
      <label value="High Boundary"/>
      <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/fhir/cda/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/fhir/cda/StructureDefinition/PQ"/>
      </type>
    </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/fhir/cda/StructureDefinition/TS"/>
      </type>
    </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."/>
      <requirements
                    value="This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:1198-14839)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ServiceEvent.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="Performer1.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.typeCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.typeCode"/>
      <representation value="xmlAttr"/>
      <requirements
                    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:1198-14840)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Performer1.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="DOC"/>
      <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.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="Performer1.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="Performer1.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </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="Performer1.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode"/>
      <requirements
                    value="The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:1198-16818)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Performer1.functionCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
    </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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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."/>
      <requirements
                    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:1198-32889)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30"/>
      </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"/>
      </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"/>
      </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"/>
      </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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </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/fhir/cda/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/fhir/cda/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/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf.serviceEvent.performer.time">
      <path value="ClinicalDocument.documentationOf.serviceEvent.performer.time"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Performer1.time"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity"/>
      <requirements
                    value="The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-14841)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Performer1.assignedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ASSIGNED"/>
      <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.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="AssignedEntity.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id"/>
      <requirements
                    value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-14846)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </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"/>
      </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"/>
      </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."/>
      <requirements
                    value="Such ids SHOULD contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:1198-14847)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.4.6"/>
    </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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code"/>
      <requirements
                    value="This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-14842)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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.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/fhir/cda/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/fhir/cda/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/fhir/cda/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/fhir/cda/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf:documentationOf1">
      <path value="ClinicalDocument.documentationOf"/>
      <sliceName value="documentationOf1"/>
      <requirements
                    value="SHALL contain exactly one [1..1] documentationOf (CONF:1198-8416) such that it"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.documentationOf"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/DocumentationOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf:documentationOf1.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="DocumentationOf.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
      <fixedCode value="DOC"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.documentationOf:documentationOf1.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="DocumentationOf.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf:documentationOf1.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="DocumentationOf.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf:documentationOf1.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="DocumentationOf.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf:documentationOf1.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."/>
      <requirements
                    value="SHALL contain exactly one [1..1] serviceEvent (CONF:1198-8431) such that it"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DocumentationOf.serviceEvent"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ServiceEvent"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.classCode">
      <path value="ClinicalDocument.documentationOf.serviceEvent.classCode"/>
      <representation value="xmlAttr"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @classCode=&quot;ACT&quot; (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8430)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ACT"/>
      <patternCode value="ACT"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.moodCode">
      <path value="ClinicalDocument.documentationOf.serviceEvent.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="EVN"/>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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="ServiceEvent.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.id">
      <path value="ClinicalDocument.documentationOf.serviceEvent.id"/>
      <requirements
                    value="SHOULD contain zero or more [0..*] id (CONF:1198-8418)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ServiceEvent.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.code">
      <path value="ClinicalDocument.documentationOf.serviceEvent.code"/>
      <definition value="Drawn from concept domain ActCode"/>
      <requirements
                    value="SHALL contain exactly one [1..1] code (CONF:1198-8419)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <constraint>
        <key value="1198-8420"/>
        <severity value="error"/>
        <human
               value="The value of serviceEvent/code **SHALL NOT** conflict with the ClininicalDocument/code. When transforming from DICOM SR documents that do not contain a procedure code, an appropriate nullFlavor **SHALL** be used on serviceEvent/code (CONF:1198-8420)."/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime">
      <path value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime"/>
      <requirements
                    value="This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:1198-14837)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ServiceEvent.effectiveTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.value">
      <extension
                 url="http://www.healthintersections.com.au/fhir/StructureDefinition/elementdefinition-dateformat">
        <valueString value="v3"/>
      </extension>
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.inclusive">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.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="TS.inclusive"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.low">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low"/>
      <label value="Low Boundary"/>
      <definition value="This is the low limit of the interval."/>
      <requirements
                    value="This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-14838)."/>
      <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/fhir/cda/StructureDefinition/TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.high">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high"/>
      <label value="High Boundary"/>
      <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/fhir/cda/StructureDefinition/TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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/fhir/cda/StructureDefinition/PQ"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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/fhir/cda/StructureDefinition/TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer">
      <path value="ClinicalDocument.documentationOf.serviceEvent.performer"/>
      <short
             value="The performer is the Physician Reading Study Performer defined in serviceEvent and is usually different from the attending physician. The reading physician interprets the images and evidence of the study (DICOM Definition)."/>
      <requirements
                    value="SHOULD contain zero or more [0..*] Physician Reading Study Performer (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.6.2.1:2014-06-09) (CONF:1198-8422)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ServiceEvent.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Performer1"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.1"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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="Performer1.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.typeCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.typeCode"/>
      <representation value="xmlAttr"/>
      <requirements
                    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:1198-14840)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Performer1.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="DOC"/>
      <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:documentationOf1.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="Performer1.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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="Performer1.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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="Performer1.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.functionCode"/>
      <requirements
                    value="The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:1198-16818)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Performer1.functionCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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."/>
      <requirements
                    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:1198-32889)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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/fhir/cda/StructureDefinition/CR"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.time">
      <path value="ClinicalDocument.documentationOf.serviceEvent.performer.time"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Performer1.time"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity"/>
      <requirements
                    value="The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-14841)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Performer1.assignedEntity"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.classCode">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ASSIGNED"/>
      <fixedCode value="ASSIGNED"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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="AssignedEntity.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.id">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id"/>
      <requirements
                    value="This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-14846)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="AssignedEntity.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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."/>
      <requirements
                    value="Such ids SHOULD contain zero or one [0..1] @root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:1198-14847)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.4.6"/>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.sdtcIdentifiedBy">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.code">
      <path
            value="ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code"/>
      <requirements
                    value="This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-14842)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="AssignedEntity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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.documentationOf:documentationOf1.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/fhir/cda/StructureDefinition/AD"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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/fhir/cda/StructureDefinition/Person"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.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/fhir/cda/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument">
      <path value="ClinicalDocument.relatedDocument"/>
      <short
             value="A DIR may have three types of parent document: ? A superseded version that the present document wholly replaces (typeCode = RPLC). DIRs may go through stages of revision prior to being legally authenticated. Such early stages may be drafts from transcription, those created by residents, or other preliminary versions. Policies not covered by this specification may govern requirements for retention of such earlier versions. Except for forensic purposes, the latest version in a chain of revisions represents the complete and current report. ? An original version that the present document appends (typeCode = APND). When a DIR is legally authenticated, it can be amended by a separate addendum document that references the original. ? A source document from which the present document is transformed (typeCode = XFRM). A DIR may be created by transformation from a DICOM Structured Report (SR) document or from another DIR. An example of the latter case is the creation of a derived document for inclusion of imaging results in a clinical document."/>
      <requirements
                    value="MAY contain zero or one [0..1] relatedDocument (CONF:1198-8432)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.relatedDocument"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/RelatedDocument"/>
      </type>
      <constraint>
        <key value="1198-8433"/>
        <severity value="warning"/>
        <human
               value="When a Diagnostic Imaging Report has been transformed from a DICOM SR document, relatedDocument/@typeCode **SHALL** be XFRM, and relatedDocument/parentDocument/id **SHALL** contain the SOP Instance UID of the original DICOM SR document (CONF:1198-8433)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.relatedDocument.nullFlavor">
      <path value="ClinicalDocument.relatedDocument.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="RelatedDocument.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.relatedDocument.typeCode">
      <path value="ClinicalDocument.relatedDocument.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RelatedDocument.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.relatedDocument.realmCode">
      <path value="ClinicalDocument.relatedDocument.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="RelatedDocument.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument.typeId">
      <path value="ClinicalDocument.relatedDocument.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="RelatedDocument.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument.templateId">
      <path value="ClinicalDocument.relatedDocument.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="RelatedDocument.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument.parentDocument">
      <path value="ClinicalDocument.relatedDocument.parentDocument"/>
      <requirements
                    value="The relatedDocument, if present, SHALL contain exactly one [1..1] parentDocument (CONF:1198-32089)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="RelatedDocument.parentDocument"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ParentDocument"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument.parentDocument.classCode">
      <path value="ClinicalDocument.relatedDocument.parentDocument.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ParentDocument.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="DOCCLIN"/>
      <fixedCode value="DOCCLIN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ActClassClinicalDocument"/>
      </binding>
    </element>
    <element id="ClinicalDocument.relatedDocument.parentDocument.moodCode">
      <path value="ClinicalDocument.relatedDocument.parentDocument.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ParentDocument.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="EVN"/>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"/>
      </binding>
    </element>
    <element id="ClinicalDocument.relatedDocument.parentDocument.templateId">
      <path value="ClinicalDocument.relatedDocument.parentDocument.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="ParentDocument.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument.parentDocument.id">
      <path value="ClinicalDocument.relatedDocument.parentDocument.id"/>
      <requirements
                    value="This parentDocument SHALL contain exactly one [1..1] id (CONF:1198-32090)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ParentDocument.id"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
      <constraint>
        <key value="1198-10031"/>
        <severity value="error"/>
        <human
               value="OIDs **SHALL** be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID **SHALL** be in the form of the regular expression: ([0-2])(.([1-9][0-9][*]|0))+ (CONF:1198-10031)."/>
      </constraint>
      <constraint>
        <key value="1198-10032"/>
        <severity value="error"/>
        <human
               value="OIDs **SHALL** be no more than 64 characters in length (CONF:1198-10032)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.relatedDocument.parentDocument.code">
      <path value="ClinicalDocument.relatedDocument.parentDocument.code"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ParentDocument.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-DocumentType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.relatedDocument.parentDocument.text">
      <path value="ClinicalDocument.relatedDocument.parentDocument.text"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ParentDocument.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument.parentDocument.setId">
      <path value="ClinicalDocument.relatedDocument.parentDocument.setId"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ParentDocument.setId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument.parentDocument.versionNumber">
      <path
            value="ClinicalDocument.relatedDocument.parentDocument.versionNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ParentDocument.versionNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization">
      <path value="ClinicalDocument.authorization"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="consent"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.authorization"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Authorization"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization:authorization1">
      <path value="ClinicalDocument.authorization"/>
      <sliceName value="authorization1"/>
      <requirements
                    value="MAY contain zero or more [0..*] authorization (CONF:1198-16792) 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/fhir/cda/StructureDefinition/Authorization"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization:authorization1.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="Authorization.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authorization:authorization1.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"/>
      </type>
      <fixedCode value="AUT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authorization:authorization1.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="Authorization.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization:authorization1.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="Authorization.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization:authorization1.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="Authorization.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization:authorization1.consent">
      <path value="ClinicalDocument.authorization.consent"/>
      <requirements
                    value="SHALL contain exactly one [1..1] consent (CONF:1198-16793)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Authorization.consent"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Consent"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.authorization:authorization1.consent.classCode">
      <path value="ClinicalDocument.authorization.consent.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Consent.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="CONS"/>
      <fixedCode value="CONS"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.authorization:authorization1.consent.moodCode">
      <path value="ClinicalDocument.authorization.consent.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Consent.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="EVN"/>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authorization:authorization1.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="Consent.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization:authorization1.consent.id">
      <path value="ClinicalDocument.authorization.consent.id"/>
      <requirements
                    value="This consent MAY contain zero or more [0..*] id (CONF:1198-16794)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Consent.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization:authorization1.consent.code">
      <path value="ClinicalDocument.authorization.consent.code"/>
      <label
             value="The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code."/>
      <short
             value="The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code."/>
      <requirements
                    value="This consent MAY contain zero or one [0..1] code (CONF:1198-16795)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Consent.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authorization:authorization1.consent.statusCode">
      <path value="ClinicalDocument.authorization.consent.statusCode"/>
      <requirements
                    value="This consent SHALL contain exactly one [1..1] statusCode (CONF:1198-16797)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Consent.statusCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.authorization:authorization1.consent.statusCode.code">
      <path value="ClinicalDocument.authorization.consent.statusCode.code"/>
      <representation value="xmlAttr"/>
      <requirements
                    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:1198-16798)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Consent.statusCode.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <defaultValueCode value="completed"/>
      <fixedString value="completed"/>
    </element>
    <element id="ClinicalDocument.componentOf">
      <path value="ClinicalDocument.componentOf"/>
      <short
             value="The id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter. The effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used."/>
      <requirements
                    value="MAY contain zero or one [0..1] componentOf (CONF:1198-30939)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.componentOf"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="ComponentOf.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </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"/>
      </type>
      <fixedCode value="AUT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </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="ComponentOf.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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="ComponentOf.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </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="ComponentOf.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter">
      <path value="ClinicalDocument.componentOf.encompassingEncounter"/>
      <short
             value="The id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter.

The effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used."/>
      <requirements
                    value="The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:1198-30940)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ComponentOf.encompassingEncounter"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/EncompassingEncounter"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter.classCode">
      <path value="ClinicalDocument.componentOf.encompassingEncounter.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="ENC"/>
      <fixedCode value="ENC"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter.moodCode">
      <path value="ClinicalDocument.componentOf.encompassingEncounter.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="EVN"/>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"/>
      </binding>
    </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="EncompassingEncounter.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter.id">
      <path value="ClinicalDocument.componentOf.encompassingEncounter.id"/>
      <requirements
                    value="This encompassingEncounter SHALL contain at least one [1..*] id (CONF:1198-30941)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="EncompassingEncounter.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
      <constraint>
        <key value="1198-30942"/>
        <severity value="warning"/>
        <human
               value="In the case of transformed DICOM SR documents, an appropriate null flavor **MAY** be used if the id is unavailable (CONF:1198-30942)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter.code">
      <path value="ClinicalDocument.componentOf.encompassingEncounter.code"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.effectiveTime">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat">
        <valueCode value="YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"/>
      </extension>
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.effectiveTime"/>
      <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."/>
      <requirements
                    value="This encompassingEncounter SHALL contain exactly one [1..1] US Realm Date and Time (DT.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:1198-30943)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.effectiveTime"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.3"/>
      </type>
      <constraint>
        <key value="81-10078"/>
        <severity value="error"/>
        <human value="**SHALL** be precise to the day (CONF:81-10078)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <constraint>
        <key value="81-10079"/>
        <severity value="warning"/>
        <human value="**SHOULD** be precise to the minute (CONF:81-10079)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <constraint>
        <key value="81-10080"/>
        <severity value="warning"/>
        <human value="**MAY** be precise to the second (CONF:81-10080)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <constraint>
        <key value="81-10081"/>
        <severity value="warning"/>
        <human
               value="If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.sdtcAdmissionReferralSourceCode">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="admissionReferralSourceCode"/>
      </extension>
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.sdtcAdmissionReferralSourceCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.sdtcAdmissionReferralSourceCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/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/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EncounterDischargeDisposition"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty"/>
      <requirements
                    value="This encompassingEncounter MAY contain zero or one [0..1] responsibleParty (CONF:1198-30945)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.responsibleParty"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.responsibleParty.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="RESP"/>
      <fixedCode value="RESP"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity"/>
      <requirements
                    value="The responsibleParty, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-30946)."/>
      <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/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
      <constraint>
        <key value="1198-30947"/>
        <severity value="warning"/>
        <human
               value="**SHOULD** contain zero or one [0..1] assignedPerson *OR* contain zero or one [0..1] representedOrganization (CONF:1198-30947)."/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant"/>
      <requirements
                    value="This encompassingEncounter SHOULD contain zero or one [0..1] Physician of Record Participant (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.6.2.2:2014-06-09) (CONF:1198-30948)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.encounterParticipant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/EncounterParticipant"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.2"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter.location">
      <path value="ClinicalDocument.componentOf.encompassingEncounter.location"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.location"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.location.typeCode">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.location.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EncompassingEncounter.location.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="LOC"/>
      <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/fhir/cda/StructureDefinition/HealthCareFacility"/>
      </type>
    </element>
    <element id="ClinicalDocument.component">
      <path value="ClinicalDocument.component"/>
      <requirements
                    value="SHALL contain exactly one [1..1] component (CONF:1198-14907)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.component"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Component2"/>
      </type>
    </element>
    <element id="ClinicalDocument.component.nullFlavor">
      <path value="ClinicalDocument.component.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="Component2.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.component.typeCode">
      <path value="ClinicalDocument.component.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Component2.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="AUT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </binding>
    </element>
    <element id="ClinicalDocument.component.contextConductionInd">
      <path value="ClinicalDocument.component.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Component2.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="ClinicalDocument.component.realmCode">
      <path value="ClinicalDocument.component.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="Component2.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.component.typeId">
      <path value="ClinicalDocument.component.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="Component2.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.component.templateId">
      <path value="ClinicalDocument.component.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="Component2.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.component.nonXMLBody">
      <path value="ClinicalDocument.component.nonXMLBody"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Component2.nonXMLBody"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/NonXMLBody"/>
      </type>
    </element>
    <element id="ClinicalDocument.component.structuredBody">
      <path value="ClinicalDocument.component.structuredBody"/>
      <requirements
                    value="This component SHALL contain exactly one [1..1] structuredBody (CONF:1198-30695)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Component2.structuredBody"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/StructuredBody"/>
      </type>
    </element>
    <element id="ClinicalDocument.component.structuredBody.classCode">
      <path value="ClinicalDocument.component.structuredBody.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="DOCBODY"/>
      <fixedCode value="DOCBODY"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ActClassOrganizer"/>
      </binding>
    </element>
    <element id="ClinicalDocument.component.structuredBody.moodCode">
      <path value="ClinicalDocument.component.structuredBody.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="EVN"/>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"/>
      </binding>
    </element>
    <element id="ClinicalDocument.component.structuredBody.confidentialityCode">
      <path
            value="ClinicalDocument.component.structuredBody.confidentialityCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.confidentialityCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.component.structuredBody.languageCode">
      <path value="ClinicalDocument.component.structuredBody.languageCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.languageCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-HumanLanguage"/>
      </binding>
    </element>
    <element id="ClinicalDocument.component.structuredBody.component">
      <path value="ClinicalDocument.component.structuredBody.component"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="ClinicalDocument.section"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="StructuredBody.component"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="ClinicalDocument.component.structuredBody.component.typeCode">
      <path value="ClinicalDocument.component.structuredBody.component.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="COMP"/>
      <fixedCode value="COMP"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component.contextConductionInd">
      <path
            value="ClinicalDocument.component.structuredBody.component.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="ClinicalDocument.component.structuredBody.component.section">
      <path value="ClinicalDocument.component.structuredBody.component.section"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.section"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Section"/>
      </type>
    </element>
    <element id="ClinicalDocument.component.structuredBody.component:component1">
      <path value="ClinicalDocument.component.structuredBody.component"/>
      <sliceName value="component1"/>
      <requirements
                    value="This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30696) such that it"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component1.typeCode">
      <path value="ClinicalDocument.component.structuredBody.component.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="COMP"/>
      <fixedCode value="COMP"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component1.contextConductionInd">
      <path
            value="ClinicalDocument.component.structuredBody.component.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component1.section">
      <path value="ClinicalDocument.component.structuredBody.component.section"/>
      <requirements
                    value="SHALL contain exactly one [1..1] Findings Section (DIR) (identifier: urn:oid:2.16.840.1.113883.10.20.6.1.2) (CONF:1198-30697)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.section"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Section"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.1.2"/>
      </type>
      <constraint>
        <key value="81-8532"/>
        <severity value="warning"/>
        <human
               value="This section SHOULD contain only the direct observations in the report, with topics such as Reason for Study, History, and Impression placed in separate sections.  However, in cases where the source of report content provides a single block of text not separated into these sections, that text SHALL be placed in the Findings section (CONF:81-8532)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.component.structuredBody.component:component2">
      <path value="ClinicalDocument.component.structuredBody.component"/>
      <sliceName value="component2"/>
      <requirements
                    value="This structuredBody SHOULD contain zero or one [0..1] component (CONF:1198-30698) such that it"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component2.typeCode">
      <path value="ClinicalDocument.component.structuredBody.component.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="COMP"/>
      <fixedCode value="COMP"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component2.contextConductionInd">
      <path
            value="ClinicalDocument.component.structuredBody.component.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component2.section">
      <path value="ClinicalDocument.component.structuredBody.component.section"/>
      <requirements
                    value="SHALL contain exactly one [1..1] DICOM Object Catalog Section - DCM 121181 (identifier: urn:oid:2.16.840.1.113883.10.20.6.1.1) (CONF:1198-30699)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.section"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Section"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.1.1"/>
      </type>
      <constraint>
        <key value="81-8527"/>
        <severity value="warning"/>
        <human
               value="A DICOM Object Catalog SHALL be present if the document contains references to DICOM Images. If present, it SHALL be the first section in the document (CONF:81-8527)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <constraint>
        <key value="1198-31206"/>
        <severity value="error"/>
        <human
               value="The DICOM Object Catalog section (templateId 2.16.840.1.113883.10.20.6.1.1), if present, **SHALL** be the first section in the document Body (CONF:1198-31206)."/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="ClinicalDocument.component.structuredBody.component:component3">
      <path value="ClinicalDocument.component.structuredBody.component"/>
      <sliceName value="component3"/>
      <requirements
                    value="This structuredBody MAY contain zero or more [0..*] component (CONF:1198-31055) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="StructuredBody.component"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.typeCode">
      <path value="ClinicalDocument.component.structuredBody.component.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="COMP"/>
      <fixedCode value="COMP"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.contextConductionInd">
      <path
            value="ClinicalDocument.component.structuredBody.component.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section">
      <path value="ClinicalDocument.component.structuredBody.component.section"/>
      <requirements
                    value="SHALL contain exactly one [1..1] section (CONF:1198-31056)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="StructuredBody.component.section"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Section"/>
      </type>
      <constraint>
        <key value="1198-31211"/>
        <severity value="error"/>
        <human
               value="All sections defined in the DIR Section Type Codes table **SHALL** be top-level sections (CONF:1198-31211)."/>
      </constraint>
      <constraint>
        <key value="1198-31212"/>
        <severity value="error"/>
        <human
               value="**SHALL** contain at least one text element or one or more component elements (CONF:1198-31212)."/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.ID">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.ID"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.ID"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.nullFlavor">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.nullFlavor"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.classCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="DOCSECT"/>
      <fixedCode value="DOCSECT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ActClassOrganizer"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.moodCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="EVN"/>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.templateId">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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="Section.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.id">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.id"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.code"/>
      <requirements
                    value="This section SHALL contain exactly one [1..1] code (CONF:1198-31057)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-DocumentSectionType"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.nullFlavor">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.code">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.code.code"/>
      <representation value="xmlAttr"/>
      <label
             value="The section/code SHOULD be selected from LOINC or DICOM for sections not listed in the DIR Section Type Codes table"/>
      <short
             value="The section/code SHOULD be selected from LOINC or DICOM for sections not listed in the DIR Section Type Codes table

undefined"/>
      <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."/>
      <requirements
                    value="This code SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet DIRSectionTypeCodes http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59 DYNAMIC (CONF:1198-31207)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.codeSystem">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.codeSystemName">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.codeSystemVersion">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.displayName">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.sdtcValueSet">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.sdtcValueSetVersion">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.originalText">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.qualifier">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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/fhir/cda/StructureDefinition/CR"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.translation">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.title">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.title"/>
      <short
             value="There is no equivalent to section/title in DICOM SR, so for a CDA to SR transformation, the section/code will be transferred and the title element will be dropped."/>
      <requirements
                    value="This section SHOULD contain zero or one [0..1] title (CONF:1198-31058)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ST"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.text">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.text"/>
      <representation value="cdaText"/>
      <requirements
                    value="This section SHOULD contain zero or one [0..1] text (CONF:1198-31059)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="xhtml"/>
      </type>
      <constraint>
        <key value="1198-31060"/>
        <severity value="error"/>
        <human
               value="If clinical statements are present, the section/text **SHALL** represent faithfully all such statements and **MAY** contain additional text (CONF:1198-31060)."/>
      </constraint>
      <constraint>
        <key value="1198-31061"/>
        <severity value="error"/>
        <human
               value="All text elements **SHALL** contain content. Text elements **SHALL** contain PCDATA or child elements (CONF:1198-31061)."/>
      </constraint>
      <constraint>
        <key value="1198-31062"/>
        <severity value="warning"/>
        <human
               value="The text elements (and their children) **MAY** contain Web Access to DICOM Persistent Object (WADO) references to DICOM objects by including a linkHtml element where @href is a valid WADO URL and the text content of linkHtml is the visible text of the hyperlink (CONF:1198-31062)."/>
      </constraint>
      <mustSupport value="true"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.confidentialityCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.confidentialityCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.confidentialityCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.languageCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.languageCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.languageCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-HumanLanguage"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.subject">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.subject"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] subject (CONF:1198-31215) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Section.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.subject.typeCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.subject.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.subject.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="SBJ"/>
      <fixedCode value="SBJ"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.subject.contextControlCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.subject.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.subject.contextControlCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.subject.awarenessCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.subject.awarenessCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.subject.awarenessCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.subject.relatedSubject">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.subject.relatedSubject"/>
      <requirements
                    value="SHALL contain exactly one [1..1] Fetus Subject Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.3) (CONF:1198-31216)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.subject.relatedSubject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.3"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.author"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="assignedAuthor"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short
             value="This author element is used when the author of a section is different from the author(s) listed in the Header"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Section.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.author"/>
      <sliceName value="author1"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] author (CONF:1198-31217) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Section.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1.nullFlavor">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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="Author.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1.typeCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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"/>
      </type>
      <fixedCode value="AUT"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1.contextControlCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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"/>
      </type>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1.realmCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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="Author.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1.typeId">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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="Author.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1.templateId">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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="Author.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1.functionCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.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/fhir/cda/StructureDefinition/CE"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1.time">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.author.time"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Author.time"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1.assignedAuthor">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.author.assignedAuthor"/>
      <requirements
                    value="SHALL contain exactly one [1..1] Observer Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.4) (CONF:1198-31218)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Author.assignedAuthor"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.4"/>
      </type>
      <constraint>
        <key value="81-9198"/>
        <severity value="error"/>
        <human
               value="Either assignedPerson or assignedAuthoringDevice SHALL be present (CONF:81-9198)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.informant">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.informant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Section.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.informant.typeCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.informant.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.informant.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INF"/>
      <fixedCode value="INF"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.informant.contextControlCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.informant.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.informant.contextControlCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.informant.assignedEntity">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.informant.assignedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.informant.assignedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.informant.relatedEntity">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.informant.relatedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.informant.relatedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path
                value="ClinicalDocument.section.structuredBody.component.section.entry"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
      <constraint>
        <key value="only-one-statement"/>
        <severity value="error"/>
        <human
               value="SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act."/>
        <expression
                    value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.typeCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="COMP"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.contextConductionInd">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.observation">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.observation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.observation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.regionOfInterest">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.regionOfInterest"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.regionOfInterest"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.observationMedia">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.observationMedia"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.observationMedia"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.substanceAdministration">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.substanceAdministration"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.substanceAdministration"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.supply">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.supply"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.supply"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.procedure">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.procedure"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.procedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.encounter">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.encounter"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.organizer">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.organizer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.act">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.act"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.act"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry"/>
      <short
             value="If the service context of a section is different from the value specified in documentationOf/serviceEvent, then the section SHALL contain one or more entries containing Procedure Context (templateId 2.16.840.1.113883.10.20.6.2.5), which will reset the context for any clinical statements nested within those elements"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] entry (CONF:1198-31213)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
      <constraint>
        <key value="only-one-statement"/>
        <severity value="error"/>
        <human
               value="SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act."/>
        <expression
                    value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.typeCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="COMP"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.contextConductionInd">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.observation">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.observation"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.observation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.regionOfInterest">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.regionOfInterest"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.regionOfInterest"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.observationMedia">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.observationMedia"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.observationMedia"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.substanceAdministration">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.substanceAdministration"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.substanceAdministration"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.supply">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.supply"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.supply"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.procedure">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.procedure"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.procedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.encounter">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.encounter"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.organizer">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.organizer"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.organizer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.act">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.act"/>
      <requirements
                    value="The entry, if present, SHALL contain exactly one [1..1] Procedure Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.5) (CONF:1198-31214)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.entry.act"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.5"/>
      </type>
      <constraint>
        <key value="81-9199"/>
        <severity value="warning"/>
        <human
               value="Procedure Context SHALL be represented with the procedure or act elements depending on the nature of the procedure (CONF:81-9199)."/>
        <source
                value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry"/>
      <sliceName value="textObs"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] entry (CONF:1198-31357) such that it"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Section.entry"/>
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      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.observationMedia">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.observationMedia"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.observationMedia"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.substanceAdministration">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.substanceAdministration"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.substanceAdministration"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.supply">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.supply"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.supply"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.procedure">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.procedure"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.procedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.encounter">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.encounter"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.organizer">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.organizer"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.organizer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.act">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.act"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Section.entry.act"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.component">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.component"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] component (CONF:1198-31208)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Section.component"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
      <constraint>
        <key value="1198-31210"/>
        <severity value="error"/>
        <human value="**SHALL** contain child elements (CONF:1198-31210)."/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.component.typeCode">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.component.typeCode"/>
      <representation value="xmlAttr"/>
      <definition value="Drawn from concept domain DocumentSectionType"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.component.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="COMP"/>
      <fixedCode value="COMP"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.component.contextConductionInd">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.component.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.component.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.component.section">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.component.section"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Section.component.section"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Section"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="ClinicalDocument">
      <path value="ClinicalDocument"/>
    </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>
    </element>
    <element id="ClinicalDocument.templateId:secondary">
      <path value="ClinicalDocument.templateId"/>
      <sliceName value="secondary"/>
      <requirements
                    value="SHALL contain exactly one [1..1] templateId (CONF:1198-8404) such that it"/>
      <min value="1"/>
      <max value="1"/>
      <constraint>
        <key value="1198-32937"/>
        <severity value="error"/>
        <human
               value="When asserting this templateId, all C-CDA 2.1 section and entry templates that had a previous version in C-CDA R1.1 **SHALL** include both the C-CDA 2.1 templateId and the C-CDA R1.1 templateId root without an extension. See C-CDA R2.1 Volume 1 - Design Considerations for additional detail (CONF:1198-32937)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.templateId:secondary.root">
      <path value="ClinicalDocument.templateId.root"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.10.20.22.1.5&quot; (CONF:1198-10042)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="2.16.840.1.113883.10.20.22.1.5"/>
    </element>
    <element id="ClinicalDocument.templateId:secondary.extension">
      <path value="ClinicalDocument.templateId.extension"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @extension=&quot;2014-06-09&quot; (CONF:1198-32515)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="2014-06-09"/>
    </element>
    <element id="ClinicalDocument.id">
      <path value="ClinicalDocument.id"/>
      <requirements
                    value="SHALL contain exactly one [1..1] id (CONF:1198-30932)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.id.root">
      <path value="ClinicalDocument.id.root"/>
      <requirements
                    value="This id SHALL contain exactly one [1..1] @root (CONF:1198-30933)."/>
      <min value="1"/>
      <max value="1"/>
      <constraint>
        <key value="1198-30934"/>
        <severity value="error"/>
        <human
               value="The ClinicalDocument/id/@root attribute SHALL be a syntactically correct OID, and SHALL NOT be a UUID (CONF:1198-30934).
OIDs SHALL be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID SHALL be in the form of the regular expression: ([0-2])(.([1-9][0-9]*|0))+"/>
      </constraint>
      <constraint>
        <key value="1198-30935"/>
        <severity value="error"/>
        <human
               value="OIDs SHALL be no more than 64 characters in length (CONF:1198-30935)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.code">
      <path value="ClinicalDocument.code"/>
      <short value="Preferred code is 18748-4 LOINC Diagnostic Imaging Report"/>
      <requirements
                    value="SHALL contain exactly one [1..1] code (CONF:1198-14833)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.code.code">
      <path value="ClinicalDocument.code.code"/>
      <requirements
                    value="This code SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet LOINC Imaging Document Codes http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5 DYNAMIC (CONF:1198-14834)."/>
      <min value="1"/>
      <max value="1"/>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5"/>
      </binding>
    </element>
    <element id="ClinicalDocument.informant">
      <path value="ClinicalDocument.informant"/>
      <requirements value="SHALL NOT contain [0..0] informant (CONF:1198-8410)."/>
      <min value="0"/>
      <max value="0"/>
    </element>
    <element id="ClinicalDocument.informationRecipient">
      <path value="ClinicalDocument.informationRecipient"/>
      <requirements
                    value="MAY contain zero or more [0..*] informationRecipient (CONF:1198-8411)."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="1198-8412"/>
        <severity value="warning"/>
        <human
               value="The physician requesting the imaging procedure (ClinicalDocument/participant[@typeCode=REF]/associatedEntity), if present, **SHOULD** also be recorded as an informationRecipient, unless in the local setting another physician (such as the attending physician for an inpatient) is known to be the appropriate recipient of the report (CONF:1198-8412)."/>
      </constraint>
      <constraint>
        <key value="1198-8413"/>
        <severity value="warning"/>
        <human
               value="When no referring physician is present, as in the case of self-referred screening examinations allowed by law, the intendedRecipient **MAY** be absent. The intendedRecipient **MAY** also be the health chart of the patient, in which case the receivedOrganization **SHALL** be the scoping organization of that chart (CONF:1198-8413)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.participant">
      <path value="ClinicalDocument.participant"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="ClinicalDocument.associatedEntity"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short
             value="If participant is present, the associatedEntity/associatedPerson element SHALL be present and SHALL represent the physician requesting the imaging procedure (the referring physician AssociatedEntity that is the target of ClincalDocument/participant@typeCode=REF)."/>
    </element>
    <element id="ClinicalDocument.participant:participant1">
      <path value="ClinicalDocument.participant"/>
      <sliceName value="participant1"/>
      <requirements
                    value="MAY contain zero or one [0..1] participant (CONF:1198-8414) such that it"/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.participant:participant1.associatedEntity">
      <path value="ClinicalDocument.participant.associatedEntity"/>
      <requirements
                    value="SHALL contain exactly one [1..1] associatedEntity (CONF:1198-31198)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.associatedEntity.associatedPerson">
      <path
            value="ClinicalDocument.participant.associatedEntity.associatedPerson"/>
      <requirements
                    value="This associatedEntity SHALL contain exactly one [1..1] associatedPerson (CONF:1198-31199)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element
             id="ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.name">
      <path
            value="ClinicalDocument.participant.associatedEntity.associatedPerson.name"/>
      <requirements
                    value="This associatedPerson SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-31200)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PN"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf">
      <path value="ClinicalDocument.inFulfillmentOf"/>
      <short
             value="An inFulfillmentOf element represents the Placer Order that is either a group of orders (modeled as PlacerGroup in the Placer Order RMIM of the Orders &amp; Observations domain) or a single order item (modeled as ObservationRequest in the same RMIM). This optionality reflects two major approaches to the grouping of procedures as implemented in the installed base of imaging information systems. These approaches differ in their handling of grouped procedures and how they are mapped to identifiers in the Digital Imaging and Communications in Medicine (DICOM) image and structured reporting data. The example of a CT examination covering chest, abdomen, and pelvis will be used in the discussion below. In the IHE Scheduled Workflow model, the Chest CT, Abdomen CT, and Pelvis CT each represent a Requested Procedure, and all three procedures are grouped under a single Filler Order. The Filler Order number maps directly to the DICOM Accession Number in the DICOM imaging and report data. A widely deployed alternative approach maps the requested procedure identifiers directly to the DICOM Accession Number. The Requested Procedure ID in such implementations may or may not be different from the Accession Number, but is of little identifying importance because there is only one Requested Procedure per Accession Number. There is no identifier that formally connects the requested procedures ordered in this group."/>
      <requirements
                    value="MAY contain zero or more [0..*] inFulfillmentOf (CONF:1198-30936)."/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order">
      <path value="ClinicalDocument.inFulfillmentOf.order"/>
      <requirements
                    value="The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:1198-30937)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf.order.id">
      <path value="ClinicalDocument.inFulfillmentOf.order.id"/>
      <label value="DICOM Accession Number in the DICOM imaging and report data"/>
      <short value="DICOM Accession Number in the DICOM imaging and report data"/>
      <requirements
                    value="This order SHALL contain at least one [1..*] id (CONF:1198-30938)."/>
      <min value="1"/>
      <max value="*"/>
    </element>
    <element id="ClinicalDocument.documentationOf">
      <path value="ClinicalDocument.documentationOf"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="ClinicalDocument.serviceEvent"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short
             value="Each serviceEvent indicates an imaging procedure that the provider describes and interprets in the content of the DIR. The main activity being described by this document is the interpretation of the imaging procedure. This is shown by setting the value of the @classCode attribute of the serviceEvent element to ACT, and indicating the duration over which care was provided in the effectiveTime element. Within each documentationOf element, there is one serviceEvent element. This event is the unit imaging procedure corresponding to a billable item. The type of imaging procedure may be further described in the serviceEvent/code element. This guide makes no specific recommendations about the vocabulary to use for describing this event. In IHE Scheduled Workflow environments, one serviceEvent/id element contains the DICOM Study Instance UID from the Modality Worklist, and the second serviceEvent/id element contains the DICOM Requested Procedure ID from the Modality Worklist. These two ids are in a single serviceEvent. The effectiveTime for the serviceEvent covers the duration of the imaging procedure being reported. This event should have one or more performers, which may participate at the same or different periods of time. Service events map to DICOM Requested Procedures. That is, serviceEvent/id is the ID of the Requested Procedure."/>
    </element>
    <element id="ClinicalDocument.documentationOf:documentationOf1">
      <path value="ClinicalDocument.documentationOf"/>
      <sliceName value="documentationOf1"/>
      <requirements
                    value="SHALL contain exactly one [1..1] documentationOf (CONF:1198-8416) such that it"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent">
      <path value="ClinicalDocument.documentationOf.serviceEvent"/>
      <requirements
                    value="SHALL contain exactly one [1..1] serviceEvent (CONF:1198-8431) such that it"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.classCode">
      <path value="ClinicalDocument.documentationOf.serviceEvent.classCode"/>
      <requirements
                    value="SHALL contain exactly one [1..1] @classCode=&quot;ACT&quot; (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8430)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="ACT"/>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.id">
      <path value="ClinicalDocument.documentationOf.serviceEvent.id"/>
      <requirements
                    value="SHOULD contain zero or more [0..*] id (CONF:1198-8418)."/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.code">
      <path value="ClinicalDocument.documentationOf.serviceEvent.code"/>
      <requirements
                    value="SHALL contain exactly one [1..1] code (CONF:1198-8419)."/>
      <min value="1"/>
      <max value="1"/>
      <constraint>
        <key value="1198-8420"/>
        <severity value="error"/>
        <human
               value="The value of serviceEvent/code **SHALL NOT** conflict with the ClininicalDocument/code. When transforming from DICOM SR documents that do not contain a procedure code, an appropriate nullFlavor **SHALL** be used on serviceEvent/code (CONF:1198-8420)."/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer">
      <path value="ClinicalDocument.documentationOf.serviceEvent.performer"/>
      <short
             value="The performer is the Physician Reading Study Performer defined in serviceEvent and is usually different from the attending physician. The reading physician interprets the images and evidence of the study (DICOM Definition)."/>
      <requirements
                    value="SHOULD contain zero or more [0..*] Physician Reading Study Performer (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.6.2.1:2014-06-09) (CONF:1198-8422)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Performer1"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.1"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument">
      <path value="ClinicalDocument.relatedDocument"/>
      <short
             value="A DIR may have three types of parent document: ? A superseded version that the present document wholly replaces (typeCode = RPLC). DIRs may go through stages of revision prior to being legally authenticated. Such early stages may be drafts from transcription, those created by residents, or other preliminary versions. Policies not covered by this specification may govern requirements for retention of such earlier versions. Except for forensic purposes, the latest version in a chain of revisions represents the complete and current report. ? An original version that the present document appends (typeCode = APND). When a DIR is legally authenticated, it can be amended by a separate addendum document that references the original. ? A source document from which the present document is transformed (typeCode = XFRM). A DIR may be created by transformation from a DICOM Structured Report (SR) document or from another DIR. An example of the latter case is the creation of a derived document for inclusion of imaging results in a clinical document."/>
      <requirements
                    value="MAY contain zero or one [0..1] relatedDocument (CONF:1198-8432)."/>
      <min value="0"/>
      <max value="1"/>
      <constraint>
        <key value="1198-8433"/>
        <severity value="warning"/>
        <human
               value="When a Diagnostic Imaging Report has been transformed from a DICOM SR document, relatedDocument/@typeCode **SHALL** be XFRM, and relatedDocument/parentDocument/id **SHALL** contain the SOP Instance UID of the original DICOM SR document (CONF:1198-8433)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.relatedDocument.parentDocument">
      <path value="ClinicalDocument.relatedDocument.parentDocument"/>
      <requirements
                    value="The relatedDocument, if present, SHALL contain exactly one [1..1] parentDocument (CONF:1198-32089)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.relatedDocument.parentDocument.id">
      <path value="ClinicalDocument.relatedDocument.parentDocument.id"/>
      <requirements
                    value="This parentDocument SHALL contain exactly one [1..1] id (CONF:1198-32090)."/>
      <min value="1"/>
      <max value="1"/>
      <constraint>
        <key value="1198-10031"/>
        <severity value="error"/>
        <human
               value="OIDs **SHALL** be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID **SHALL** be in the form of the regular expression: ([0-2])(.([1-9][0-9][*]|0))+ (CONF:1198-10031)."/>
      </constraint>
      <constraint>
        <key value="1198-10032"/>
        <severity value="error"/>
        <human
               value="OIDs **SHALL** be no more than 64 characters in length (CONF:1198-10032)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.componentOf">
      <path value="ClinicalDocument.componentOf"/>
      <short
             value="The id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter. The effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used."/>
      <requirements
                    value="MAY contain zero or one [0..1] componentOf (CONF:1198-30939)."/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter">
      <path value="ClinicalDocument.componentOf.encompassingEncounter"/>
      <short
             value="The id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter.

The effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used."/>
      <requirements
                    value="The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:1198-30940)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.componentOf.encompassingEncounter.id">
      <path value="ClinicalDocument.componentOf.encompassingEncounter.id"/>
      <requirements
                    value="This encompassingEncounter SHALL contain at least one [1..*] id (CONF:1198-30941)."/>
      <min value="1"/>
      <max value="*"/>
      <constraint>
        <key value="1198-30942"/>
        <severity value="warning"/>
        <human
               value="In the case of transformed DICOM SR documents, an appropriate null flavor **MAY** be used if the id is unavailable (CONF:1198-30942)."/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.effectiveTime">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.effectiveTime"/>
      <requirements
                    value="This encompassingEncounter SHALL contain exactly one [1..1] US Realm Date and Time (DT.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:1198-30943)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.3"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty"/>
      <requirements
                    value="This encompassingEncounter MAY contain zero or one [0..1] responsibleParty (CONF:1198-30945)."/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity"/>
      <requirements
                    value="The responsibleParty, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-30946)."/>
      <min value="1"/>
      <max value="1"/>
      <constraint>
        <key value="1198-30947"/>
        <severity value="warning"/>
        <human
               value="**SHOULD** contain zero or one [0..1] assignedPerson *OR* contain zero or one [0..1] representedOrganization (CONF:1198-30947)."/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant">
      <path
            value="ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant"/>
      <requirements
                    value="This encompassingEncounter SHOULD contain zero or one [0..1] Physician of Record Participant (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.6.2.2:2014-06-09) (CONF:1198-30948)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/EncounterParticipant"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.2"/>
      </type>
    </element>
    <element id="ClinicalDocument.component">
      <path value="ClinicalDocument.component"/>
      <requirements
                    value="SHALL contain exactly one [1..1] component (CONF:1198-14907)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.component.structuredBody">
      <path value="ClinicalDocument.component.structuredBody"/>
      <requirements
                    value="This component SHALL contain exactly one [1..1] structuredBody (CONF:1198-30695)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.component.structuredBody.component">
      <path value="ClinicalDocument.component.structuredBody.component"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="ClinicalDocument.section"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
    </element>
    <element id="ClinicalDocument.component.structuredBody.component:component1">
      <path value="ClinicalDocument.component.structuredBody.component"/>
      <sliceName value="component1"/>
      <requirements
                    value="This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30696) such that it"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component1.section">
      <path value="ClinicalDocument.component.structuredBody.component.section"/>
      <requirements
                    value="SHALL contain exactly one [1..1] Findings Section (DIR) (identifier: urn:oid:2.16.840.1.113883.10.20.6.1.2) (CONF:1198-30697)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Section"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.1.2"/>
      </type>
    </element>
    <element id="ClinicalDocument.component.structuredBody.component:component2">
      <path value="ClinicalDocument.component.structuredBody.component"/>
      <sliceName value="component2"/>
      <requirements
                    value="This structuredBody SHOULD contain zero or one [0..1] component (CONF:1198-30698) such that it"/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component2.section">
      <path value="ClinicalDocument.component.structuredBody.component.section"/>
      <requirements
                    value="SHALL contain exactly one [1..1] DICOM Object Catalog Section - DCM 121181 (identifier: urn:oid:2.16.840.1.113883.10.20.6.1.1) (CONF:1198-30699)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Section"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.1.1"/>
      </type>
      <constraint>
        <key value="1198-31206"/>
        <severity value="error"/>
        <human
               value="The DICOM Object Catalog section (templateId 2.16.840.1.113883.10.20.6.1.1), if present, **SHALL** be the first section in the document Body (CONF:1198-31206)."/>
      </constraint>
    </element>
    <element id="ClinicalDocument.component.structuredBody.component:component3">
      <path value="ClinicalDocument.component.structuredBody.component"/>
      <sliceName value="component3"/>
      <requirements
                    value="This structuredBody MAY contain zero or more [0..*] component (CONF:1198-31055) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section">
      <path value="ClinicalDocument.component.structuredBody.component.section"/>
      <requirements
                    value="SHALL contain exactly one [1..1] section (CONF:1198-31056)."/>
      <min value="1"/>
      <max value="1"/>
      <constraint>
        <key value="1198-31211"/>
        <severity value="error"/>
        <human
               value="All sections defined in the DIR Section Type Codes table **SHALL** be top-level sections (CONF:1198-31211)."/>
      </constraint>
      <constraint>
        <key value="1198-31212"/>
        <severity value="error"/>
        <human
               value="**SHALL** contain at least one text element or one or more component elements (CONF:1198-31212)."/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.code"/>
      <requirements
                    value="This section SHALL contain exactly one [1..1] code (CONF:1198-31057)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.code.code">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.code.code"/>
      <label
             value="The section/code SHOULD be selected from LOINC or DICOM for sections not listed in the DIR Section Type Codes table"/>
      <short
             value="The section/code SHOULD be selected from LOINC or DICOM for sections not listed in the DIR Section Type Codes table

undefined"/>
      <requirements
                    value="This code SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet DIRSectionTypeCodes http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59 DYNAMIC (CONF:1198-31207)."/>
      <min value="1"/>
      <max value="1"/>
      <binding>
        <strength value="preferred"/>
        <valueSet
                  value="http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59"/>
      </binding>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.title">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.title"/>
      <short
             value="There is no equivalent to section/title in DICOM SR, so for a CDA to SR transformation, the section/code will be transferred and the title element will be dropped."/>
      <requirements
                    value="This section SHOULD contain zero or one [0..1] title (CONF:1198-31058)."/>
      <min value="0"/>
      <max value="1"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.text">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.text"/>
      <requirements
                    value="This section SHOULD contain zero or one [0..1] text (CONF:1198-31059)."/>
      <min value="0"/>
      <max value="1"/>
      <constraint>
        <key value="1198-31060"/>
        <severity value="error"/>
        <human
               value="If clinical statements are present, the section/text **SHALL** represent faithfully all such statements and **MAY** contain additional text (CONF:1198-31060)."/>
      </constraint>
      <constraint>
        <key value="1198-31061"/>
        <severity value="error"/>
        <human
               value="All text elements **SHALL** contain content. Text elements **SHALL** contain PCDATA or child elements (CONF:1198-31061)."/>
      </constraint>
      <constraint>
        <key value="1198-31062"/>
        <severity value="warning"/>
        <human
               value="The text elements (and their children) **MAY** contain Web Access to DICOM Persistent Object (WADO) references to DICOM objects by including a linkHtml element where @href is a valid WADO URL and the text content of linkHtml is the visible text of the hyperlink (CONF:1198-31062)."/>
      </constraint>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.subject">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.subject"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] subject (CONF:1198-31215) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.subject.relatedSubject">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.subject.relatedSubject"/>
      <requirements
                    value="SHALL contain exactly one [1..1] Fetus Subject Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.3) (CONF:1198-31216)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.3"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.author"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="assignedAuthor"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short
             value="This author element is used when the author of a section is different from the author(s) listed in the Header"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.author"/>
      <sliceName value="author1"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] author (CONF:1198-31217) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.author:author1.assignedAuthor">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.author.assignedAuthor"/>
      <requirements
                    value="SHALL contain exactly one [1..1] Observer Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.4) (CONF:1198-31218)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.4"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path
                value="ClinicalDocument.section.structuredBody.component.section.entry"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry"/>
      <short
             value="If the service context of a section is different from the value specified in documentationOf/serviceEvent, then the section SHALL contain one or more entries containing Procedure Context (templateId 2.16.840.1.113883.10.20.6.2.5), which will reset the context for any clinical statements nested within those elements"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] entry (CONF:1198-31213)."/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry.act">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.act"/>
      <requirements
                    value="The entry, if present, SHALL contain exactly one [1..1] Procedure Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.5) (CONF:1198-31214)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.5"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry"/>
      <sliceName value="textObs"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] entry (CONF:1198-31357) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.observation">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.observation"/>
      <requirements
                    value="SHALL contain exactly one [1..1] Text Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.12) (CONF:1198-31358)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.12"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry"/>
      <sliceName value="entry3"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] entry (CONF:1198-31359) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.observation">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.observation"/>
      <requirements
                    value="SHALL contain exactly one [1..1] Code Observations (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.13) (CONF:1198-31360)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.13"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry"/>
      <sliceName value="entry4"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] entry (CONF:1198-31361) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.observation">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.observation"/>
      <requirements
                    value="SHALL contain exactly one [1..1] Quantity Measurement Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.14) (CONF:1198-31362)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.14"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry"/>
      <sliceName value="entry5"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] entry (CONF:1198-31363) such that it"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.observation">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.entry.observation"/>
      <requirements
                    value="SHALL contain exactly one [1..1] SOP Instance Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.8) (CONF:1198-31364)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
        <profile
                 value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.8"/>
      </type>
    </element>
    <element
             id="ClinicalDocument.component.structuredBody.component:component3.section.component">
      <path
            value="ClinicalDocument.component.structuredBody.component.section.component"/>
      <requirements
                    value="This section MAY contain zero or more [0..*] component (CONF:1198-31208)."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="1198-31210"/>
        <severity value="error"/>
        <human value="**SHALL** contain child elements (CONF:1198-31210)."/>
      </constraint>
    </element>
  </differential>
</StructureDefinition>