Clinical Document Architecture V2.0.1
2.1.0 - CI Build
Clinical Document Architecture V2.0.1, published by Health Level 7. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/cda-core-2.0/ and changes regularly. See the Directory of published versions
XML representation of the RegionOfInterest logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="RegionOfInterest"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>A derivative of the RIM Observation class that represents a region of interest on an image, using an overlay shape. RegionOfInterest is used to make reference to specific regions in images, e.g., to specify the site of a physical finding by "circling" a region in a schematic picture of a human body. The units of the coordinate values in RegionOfInterest.value are in pixels, expressed as a list of integers. The origin is in the upper left hand corner, with positive X values going to the right and positive Y values going down. The relationship between a RegionOfInterest and its referenced ObservationMedia or ExternalObservation is specified by traversing the entryRelationship or reference class, respectively, where typeCode equals "SUBJ". A RegionOfInterest must reference exactly one ObservationMedia or one ExternalObservation. If the RegionOfInterest is the target of a <renderMultimedia> reference, then it shall only reference an ObservationMedia and not an ExternalObservation.</p>
<p>An XML attribute "ID" of type XML ID, is added to RegionOfInterest within the CDA Schema. This attribute serves as the target of a renderMultiMedia reference (see renderMultiMedia). All values of attributes of type XML ID must be unique within the document (per the W3C XML specification).</p>
</div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
<valueUri value="urn:hl7-org:v3"/>
</extension>
<url value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
<version value="2.1.0"/>
<name value="CDAR2.RegionOfInterest"/>
<title value="RegionOfInterest (CDA Class)"/>
<status value="active"/>
<experimental value="false"/>
<date value="2021-04-15T20:51:17+00:00"/>
<publisher value="Health Level 7"/>
<description
value="A derivative of the RIM Observation class that represents a region of interest on an image, using an overlay shape. RegionOfInterest is used to make reference to specific regions in images, e.g., to specify the site of a physical finding by "circling" a region in a schematic picture of a human body. The units of the coordinate values in RegionOfInterest.value are in pixels, expressed as a list of integers. The origin is in the upper left hand corner, with positive X values going to the right and positive Y values going down. The relationship between a RegionOfInterest and its referenced ObservationMedia or ExternalObservation is specified by traversing the entryRelationship or reference class, respectively, where typeCode equals "SUBJ". A RegionOfInterest must reference exactly one ObservationMedia or one ExternalObservation. If the RegionOfInterest is the target of a <renderMultimedia> reference, then it shall only reference an ObservationMedia and not an ExternalObservation.
An XML attribute "ID" of type XML ID, is added to RegionOfInterest within the CDA Schema. This attribute serves as the target of a renderMultiMedia reference (see renderMultiMedia). All values of attributes of type XML ID must be unique within the document (per the W3C XML specification)."/>
<fhirVersion value="4.0.1"/>
<kind value="logical"/>
<abstract value="false"/>
<type value="RegionOfInterest"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<element id="RegionOfInterest">
<path value="RegionOfInterest"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="RegionOfInterest.ID">
<path value="RegionOfInterest.ID"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.ID"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="RegionOfInterest.classCode">
<path value="RegionOfInterest.classCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.classCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<defaultValueCode value="ROIOVL"/>
<fixedCode value="ROIOVL"/>
<binding>
<strength value="required"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClassROI"/>
</binding>
</element>
<element id="RegionOfInterest.moodCode">
<path value="RegionOfInterest.moodCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.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="RegionOfInterest.realmCode">
<path value="RegionOfInterest.realmCode"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="RegionOfInterest.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
</type>
</element>
<element id="RegionOfInterest.typeId">
<path value="RegionOfInterest.typeId"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
</type>
</element>
<element id="RegionOfInterest.templateId">
<path value="RegionOfInterest.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="RegionOfInterest.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
</type>
</element>
<element id="RegionOfInterest.id">
<path value="RegionOfInterest.id"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="RegionOfInterest.id"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
</type>
</element>
<element id="RegionOfInterest.code">
<path value="RegionOfInterest.code"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.code"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
</type>
</element>
<element id="RegionOfInterest.value">
<path value="RegionOfInterest.value"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="RegionOfInterest.value"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
</type>
</element>
<element id="RegionOfInterest.subject">
<path value="RegionOfInterest.subject"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.subject"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.subject.typeCode">
<path value="RegionOfInterest.subject.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.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="RegionOfInterest.subject.contextControlCode">
<path value="RegionOfInterest.subject.contextControlCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.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="RegionOfInterest.subject.awarenessCode">
<path value="RegionOfInterest.subject.awarenessCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.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="RegionOfInterest.subject.relatedSubject">
<path value="RegionOfInterest.subject.relatedSubject"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.subject.relatedSubject"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"/>
</type>
</element>
<element id="RegionOfInterest.specimen">
<path value="RegionOfInterest.specimen"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="RegionOfInterest.specimen"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.specimen.typeCode">
<path value="RegionOfInterest.specimen.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.specimen.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<defaultValueCode value="SPC"/>
<fixedCode value="SPC"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetDirect"/>
</binding>
</element>
<element id="RegionOfInterest.specimen.specimenRole">
<path value="RegionOfInterest.specimen.specimenRole"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.specimen.specimenRole"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/SpecimenRole"/>
</type>
</element>
<element id="RegionOfInterest.performer">
<path value="RegionOfInterest.performer"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="RegionOfInterest.performer"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.performer.typeCode">
<path value="RegionOfInterest.performer.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.performer.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<defaultValueCode value="PRF"/>
<fixedCode value="PRF"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer"/>
</binding>
</element>
<element id="RegionOfInterest.performer.time">
<path value="RegionOfInterest.performer.time"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.performer.time"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
</type>
</element>
<element id="RegionOfInterest.performer.modeCode">
<path value="RegionOfInterest.performer.modeCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.performer.modeCode"/>
<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-ParticipationMode"/>
</binding>
</element>
<element id="RegionOfInterest.performer.assignedEntity">
<path value="RegionOfInterest.performer.assignedEntity"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.performer.assignedEntity"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
</type>
</element>
<element id="RegionOfInterest.author">
<path value="RegionOfInterest.author"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="RegionOfInterest.author"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
</type>
</element>
<element id="RegionOfInterest.informant">
<path value="RegionOfInterest.informant"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="RegionOfInterest.informant"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.informant.typeCode">
<path value="RegionOfInterest.informant.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.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="RegionOfInterest.informant.contextControlCode">
<path value="RegionOfInterest.informant.contextControlCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.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="RegionOfInterest.informant.assignedEntity">
<path value="RegionOfInterest.informant.assignedEntity"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.informant.assignedEntity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
</type>
</element>
<element id="RegionOfInterest.informant.relatedEntity">
<path value="RegionOfInterest.informant.relatedEntity"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.informant.relatedEntity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
</type>
</element>
<element id="RegionOfInterest.participant">
<path value="RegionOfInterest.participant"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="RegionOfInterest.participant"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.participant.typeCode">
<path value="RegionOfInterest.participant.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.participant.typeCode"/>
<min value="1"/>
<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="RegionOfInterest.participant.contextControlCode">
<path value="RegionOfInterest.participant.contextControlCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.participant.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="RegionOfInterest.participant.time">
<path value="RegionOfInterest.participant.time"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.participant.time"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
</type>
</element>
<element id="RegionOfInterest.participant.awarenessCode">
<path value="RegionOfInterest.participant.awarenessCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.participant.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="RegionOfInterest.participant.participantRole">
<path value="RegionOfInterest.participant.participantRole"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.participant.participantRole"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship">
<path value="RegionOfInterest.entryRelationship"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="RegionOfInterest.entryRelationship"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
<constraint>
<key value="roi-er-1"/>
<severity value="error"/>
<human
value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
<expression
value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
</constraint>
</element>
<element id="RegionOfInterest.entryRelationship.typeCode">
<path value="RegionOfInterest.entryRelationship.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.inversionInd">
<path value="RegionOfInterest.entryRelationship.inversionInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.inversionInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.contextConductionInd">
<path value="RegionOfInterest.entryRelationship.contextConductionInd"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.contextConductionInd"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<defaultValueBoolean value="true"/>
</element>
<element id="RegionOfInterest.entryRelationship.sequenceNumber">
<path value="RegionOfInterest.entryRelationship.sequenceNumber"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.sequenceNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.negationInd">
<path value="RegionOfInterest.entryRelationship.negationInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.negationInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.seperatableInd">
<path value="RegionOfInterest.entryRelationship.seperatableInd"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.seperatableInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.observation">
<path value="RegionOfInterest.entryRelationship.observation"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.observation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.regionOfInterest">
<path value="RegionOfInterest.entryRelationship.regionOfInterest"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.regionOfInterest"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.observationMedia">
<path value="RegionOfInterest.entryRelationship.observationMedia"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.observationMedia"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.substanceAdministration">
<path value="RegionOfInterest.entryRelationship.substanceAdministration"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.substanceAdministration"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.supply">
<path value="RegionOfInterest.entryRelationship.supply"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.supply"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.procedure">
<path value="RegionOfInterest.entryRelationship.procedure"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.procedure"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.encounter">
<path value="RegionOfInterest.entryRelationship.encounter"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.encounter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.organizer">
<path value="RegionOfInterest.entryRelationship.organizer"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.organizer"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.act">
<path value="RegionOfInterest.entryRelationship.act"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.entryRelationship.act"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
</type>
</element>
<element id="RegionOfInterest.reference">
<path value="RegionOfInterest.reference"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="RegionOfInterest.reference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.reference.typeCode">
<path value="RegionOfInterest.reference.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.reference.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
</element>
<element id="RegionOfInterest.reference.seperatableInd">
<path value="RegionOfInterest.reference.seperatableInd"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.reference.seperatableInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
</type>
</element>
<element id="RegionOfInterest.reference.externalAct">
<path value="RegionOfInterest.reference.externalAct"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.reference.externalAct"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"/>
</type>
</element>
<element id="RegionOfInterest.reference.externalObservation">
<path value="RegionOfInterest.reference.externalObservation"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.reference.externalObservation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"/>
</type>
</element>
<element id="RegionOfInterest.reference.externalProcedure">
<path value="RegionOfInterest.reference.externalProcedure"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.reference.externalProcedure"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"/>
</type>
</element>
<element id="RegionOfInterest.reference.externalDocument">
<path value="RegionOfInterest.reference.externalDocument"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.reference.externalDocument"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"/>
</type>
</element>
<element id="RegionOfInterest.precondition">
<path value="RegionOfInterest.precondition"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="RegionOfInterest.precondition"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.precondition.typeCode">
<path value="RegionOfInterest.precondition.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.precondition.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<defaultValueCode value="PRCN"/>
<fixedCode value="PRCN"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipConditional"/>
</binding>
</element>
<element id="RegionOfInterest.precondition.criterion">
<path value="RegionOfInterest.precondition.criterion"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="RegionOfInterest.precondition.criterion"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Criterion"/>
</type>
</element>
</snapshot>
<differential>
<element id="RegionOfInterest">
<path value="RegionOfInterest"/>
<min value="1"/>
<max value="1"/>
</element>
<element id="RegionOfInterest.ID">
<path value="RegionOfInterest.ID"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
<element id="RegionOfInterest.classCode">
<path value="RegionOfInterest.classCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<defaultValueCode value="ROIOVL"/>
<fixedCode value="ROIOVL"/>
<binding>
<strength value="required"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClassROI"/>
</binding>
</element>
<element id="RegionOfInterest.moodCode">
<path value="RegionOfInterest.moodCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<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="RegionOfInterest.realmCode">
<path value="RegionOfInterest.realmCode"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
</type>
</element>
<element id="RegionOfInterest.typeId">
<path value="RegionOfInterest.typeId"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
</type>
</element>
<element id="RegionOfInterest.templateId">
<path value="RegionOfInterest.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="*"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
</type>
</element>
<element id="RegionOfInterest.id">
<path value="RegionOfInterest.id"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
</type>
</element>
<element id="RegionOfInterest.code">
<path value="RegionOfInterest.code"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
</type>
</element>
<element id="RegionOfInterest.value">
<path value="RegionOfInterest.value"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
</type>
</element>
<element id="RegionOfInterest.subject">
<path value="RegionOfInterest.subject"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.subject.typeCode">
<path value="RegionOfInterest.subject.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<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="RegionOfInterest.subject.contextControlCode">
<path value="RegionOfInterest.subject.contextControlCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<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="RegionOfInterest.subject.awarenessCode">
<path value="RegionOfInterest.subject.awarenessCode"/>
<min value="0"/>
<max value="1"/>
<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="RegionOfInterest.subject.relatedSubject">
<path value="RegionOfInterest.subject.relatedSubject"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"/>
</type>
</element>
<element id="RegionOfInterest.specimen">
<path value="RegionOfInterest.specimen"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.specimen.typeCode">
<path value="RegionOfInterest.specimen.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<defaultValueCode value="SPC"/>
<fixedCode value="SPC"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetDirect"/>
</binding>
</element>
<element id="RegionOfInterest.specimen.specimenRole">
<path value="RegionOfInterest.specimen.specimenRole"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/SpecimenRole"/>
</type>
</element>
<element id="RegionOfInterest.performer">
<path value="RegionOfInterest.performer"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.performer.typeCode">
<path value="RegionOfInterest.performer.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<defaultValueCode value="PRF"/>
<fixedCode value="PRF"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer"/>
</binding>
</element>
<element id="RegionOfInterest.performer.time">
<path value="RegionOfInterest.performer.time"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
</type>
</element>
<element id="RegionOfInterest.performer.modeCode">
<path value="RegionOfInterest.performer.modeCode"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ParticipationMode"/>
</binding>
</element>
<element id="RegionOfInterest.performer.assignedEntity">
<path value="RegionOfInterest.performer.assignedEntity"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
</type>
</element>
<element id="RegionOfInterest.author">
<path value="RegionOfInterest.author"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
</type>
</element>
<element id="RegionOfInterest.informant">
<path value="RegionOfInterest.informant"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.informant.typeCode">
<path value="RegionOfInterest.informant.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<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="RegionOfInterest.informant.contextControlCode">
<path value="RegionOfInterest.informant.contextControlCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<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="RegionOfInterest.informant.assignedEntity">
<path value="RegionOfInterest.informant.assignedEntity"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
</type>
</element>
<element id="RegionOfInterest.informant.relatedEntity">
<path value="RegionOfInterest.informant.relatedEntity"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
</type>
</element>
<element id="RegionOfInterest.participant">
<path value="RegionOfInterest.participant"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.participant.typeCode">
<path value="RegionOfInterest.participant.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/>
</binding>
</element>
<element id="RegionOfInterest.participant.contextControlCode">
<path value="RegionOfInterest.participant.contextControlCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<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="RegionOfInterest.participant.time">
<path value="RegionOfInterest.participant.time"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
</type>
</element>
<element id="RegionOfInterest.participant.awarenessCode">
<path value="RegionOfInterest.participant.awarenessCode"/>
<min value="0"/>
<max value="1"/>
<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="RegionOfInterest.participant.participantRole">
<path value="RegionOfInterest.participant.participantRole"/>
<min value="1"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship">
<path value="RegionOfInterest.entryRelationship"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Element"/>
</type>
<constraint>
<key value="roi-er-1"/>
<severity value="error"/>
<human
value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
<expression
value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
</constraint>
</element>
<element id="RegionOfInterest.entryRelationship.typeCode">
<path value="RegionOfInterest.entryRelationship.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.inversionInd">
<path value="RegionOfInterest.entryRelationship.inversionInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.contextConductionInd">
<path value="RegionOfInterest.entryRelationship.contextConductionInd"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
<defaultValueBoolean value="true"/>
</element>
<element id="RegionOfInterest.entryRelationship.sequenceNumber">
<path value="RegionOfInterest.entryRelationship.sequenceNumber"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.negationInd">
<path value="RegionOfInterest.entryRelationship.negationInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.seperatableInd">
<path value="RegionOfInterest.entryRelationship.seperatableInd"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.observation">
<path value="RegionOfInterest.entryRelationship.observation"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.regionOfInterest">
<path value="RegionOfInterest.entryRelationship.regionOfInterest"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.observationMedia">
<path value="RegionOfInterest.entryRelationship.observationMedia"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.substanceAdministration">
<path value="RegionOfInterest.entryRelationship.substanceAdministration"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.supply">
<path value="RegionOfInterest.entryRelationship.supply"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.procedure">
<path value="RegionOfInterest.entryRelationship.procedure"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.encounter">
<path value="RegionOfInterest.entryRelationship.encounter"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.organizer">
<path value="RegionOfInterest.entryRelationship.organizer"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
</type>
</element>
<element id="RegionOfInterest.entryRelationship.act">
<path value="RegionOfInterest.entryRelationship.act"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
</type>
</element>
<element id="RegionOfInterest.reference">
<path value="RegionOfInterest.reference"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.reference.typeCode">
<path value="RegionOfInterest.reference.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
</element>
<element id="RegionOfInterest.reference.seperatableInd">
<path value="RegionOfInterest.reference.seperatableInd"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
</type>
</element>
<element id="RegionOfInterest.reference.externalAct">
<path value="RegionOfInterest.reference.externalAct"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"/>
</type>
</element>
<element id="RegionOfInterest.reference.externalObservation">
<path value="RegionOfInterest.reference.externalObservation"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"/>
</type>
</element>
<element id="RegionOfInterest.reference.externalProcedure">
<path value="RegionOfInterest.reference.externalProcedure"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"/>
</type>
</element>
<element id="RegionOfInterest.reference.externalDocument">
<path value="RegionOfInterest.reference.externalDocument"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"/>
</type>
</element>
<element id="RegionOfInterest.precondition">
<path value="RegionOfInterest.precondition"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Element"/>
</type>
</element>
<element id="RegionOfInterest.precondition.typeCode">
<path value="RegionOfInterest.precondition.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<defaultValueCode value="PRCN"/>
<fixedCode value="PRCN"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipConditional"/>
</binding>
</element>
<element id="RegionOfInterest.precondition.criterion">
<path value="RegionOfInterest.precondition.criterion"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Criterion"/>
</type>
</element>
</differential>
</StructureDefinition>