Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build

Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions

## Logical Model: NoteActivity - JSON Profile

Draft as of 2023-09-29

JSON representation of the NoteActivity logical model.

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    {
      "resourceType" : "StructureDefinition",
      "id" : "NoteActivity",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2023-07-11T23:41:34.630Z"
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" 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-NoteActivity-definitions.html#Act\">Act</a><a name=\"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\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">CDAR2.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\"><span style=\"font-weight:bold\">XML Namespace: </span>urn:hl7-org:v3<br/>Elements defined in Ancestors: <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\" title=\"If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.\">@nullFlavor</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\" title=\"Element Act.classCode\">@classCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">@moodCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">realmCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">typeId</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\" title=\"When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question\">templateId</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">id</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">code</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">@negationInd</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">text</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">statusCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">effectiveTime</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">priorityCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">languageCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">subject</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">specimen</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">performer</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">author</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">informant</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">participant</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">entryRelationship</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">reference</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html\">precondition</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.classCode\">classCode</a><a name=\"Act.classCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">ACT</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.moodCode\">moodCode</a><a name=\"Act.moodCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">EVN</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-NoteActivity-definitions.html#Act.templateId\">Slices for templateId</a><a name=\"Act.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=\"font-style: italic\">1</span><span style=\"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>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.templateId:templateId1\" title=\"Slice templateId1\">templateId:templateId1</a><a name=\"Act.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"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\">templateId</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-NoteActivity-definitions.html#Act.templateId:templateId1.root\">root</a><a name=\"Act.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..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-oid.html\" title=\"string\">oid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-uuid.html\" title=\"string\">uuid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ruid.html\" title=\"string\">ruid</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.10.20.22.4.202</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.templateId:templateId1.extension\">extension</a><a name=\"Act.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..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-st-simple.html\" title=\"string\">st</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\">2016-11-01</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-NoteActivity-definitions.html#Act.code\">code</a><a name=\"Act.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.code.code\">code</a><a name=\"Act.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..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">34109-9</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.code.codeSystem\">codeSystem</a><a name=\"Act.code.codeSystem\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-oid.html\" title=\"string\">oid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-uuid.html\" title=\"string\">uuid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ruid.html\" title=\"string\">ruid</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.6.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: 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-NoteActivity-definitions.html#Act.code.translation\">translation</a><a name=\"Act.code.translation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (3250-16942, 3250-16943)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.68/expansion\">Note Types</a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)<br/><span style=\"font-weight:bold\">3250-16942: </span>If the Note Activity is within a Note Section, the translation SHOULD match or specialize the section code (CONF:3250-16942).<br/><span style=\"font-weight:bold\">3250-16943: </span>If the Note Activity is within a narrative-only section (e.g. Hospital Course), the translation MAY match the section code (CONF:3250-16943).</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.text\">text</a><a name=\"Act.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ED.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\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.text.mediaType\">mediaType</a><a name=\"Act.text.mediaType\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (3250-16912)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.7.1/expansion\">SupportedFileFormats</a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)<br/><span style=\"font-weight:bold\">3250-16912: </span>If @mediaType is present, the text SHALL contain exactly one [1..1] @representation=&quot;B64&quot; and mixed content corresponding to the contents of the note (CONF:3250-16912).</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-NoteActivity-definitions.html#Act.text.reference\">reference</a><a name=\"Act.text.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-TEL.html\">TEL</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"text-decoration:line-through\">nullFlavor</span><a name=\"Act.text.reference.nullFlavor\"> </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=\"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: 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\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.text.reference.value\">value</a><a name=\"Act.text.reference.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (3250-16902)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-url.html\" title=\"url\">url</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\">3250-16902: </span>This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:3250-16902).</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.statusCode\">statusCode</a><a name=\"Act.statusCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CS.html\">CS</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.effectiveTime\">effectiveTime</a><a name=\"Act.effectiveTime\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-IVL-TS.html\">IVL_TS</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-NoteActivity-definitions.html#Act.effectiveTime.value\">value</a><a name=\"Act.effectiveTime.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ts-simple.html\" title=\"string\">ts</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.author\">author</a><a name=\"Act.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\">1..<span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-AuthorParticipation.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Author\">AuthorParticipation</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\">Base for all types and resources</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-NoteActivity-definitions.html#Act.participant\">Slices for participant</a><a name=\"Act.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\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Participant2.html\">Participant2</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:participantRole, value:typeCode</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.participant:participant1\" title=\"Slice participant1\">participant:participant1</a><a name=\"Act.participant\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Participant2.html\">Participant2</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">participant<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.participant:participant1.typeCode\">typeCode</a><a name=\"Act.participant.typeCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">LA</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.participant:participant1.time\">time</a><a name=\"Act.participant.time\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-USRealmDateandTimeDTUSFIELDED.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS\">USRealmDateandTimeDTUSFIELDED</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\">Base for all types and resources</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.participant:participant1.participantRole\">participantRole</a><a name=\"Act.participant.participantRole\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (3250-16930)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ParticipantRole.html\">ParticipantRole</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">3250-16930: </span>If no id matches an author or participant elsewhere in the document, then playingEntity SHALL be present (CONF:3250-16930).</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.participant:participant1.participantRole.id\">id</a><a name=\"Act.participant.participantRole.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..<span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"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>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12401.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.participant:participant1.participantRole.playingEntity\">playingEntity</a><a name=\"Act.participant.participantRole.playingEntity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-PlayingEntity.html\">PlayingEntity</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-NoteActivity-definitions.html#Act.participant:participant1.participantRole.playingEntity.name\">name</a><a name=\"Act.participant.participantRole.playingEntity.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..<span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-USRealmPersonNamePNUSFIELDED.html\" title=\"http://hl7.org/cda/stds/core/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\"><span style=\"opacity: 0.5\">Base for all types and resources</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-NoteActivity-definitions.html#Act.entryRelationship\">Slices for entryRelationship</a><a name=\"Act.entryRelationship\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:encounter, value:typeCode, value:inversionInd</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.entryRelationship:entryRelationship1\" title=\"Slice entryRelationship1\">entryRelationship:entryRelationship1</a><a name=\"Act.entryRelationship\"> </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-EntryRelationship.html\">EntryRelationship</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">entryRelationship<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.entryRelationship:entryRelationship1.typeCode\">typeCode</a><a name=\"Act.entryRelationship.typeCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">COMP</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-NoteActivity-definitions.html#Act.entryRelationship:entryRelationship1.inversionInd\">inversionInd</a><a name=\"Act.entryRelationship.inversionInd\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-bl-simple.html\" title=\"boolean\">bl</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.entryRelationship:entryRelationship1.negationInd\">negationInd</a><a name=\"Act.entryRelationship.negationInd\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-bl-simple.html\" title=\"boolean\">bl</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-NoteActivity-definitions.html#Act.entryRelationship:entryRelationship1.encounter\">encounter</a><a name=\"Act.entryRelationship.encounter\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Encounter.html\">Encounter</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.entryRelationship:entryRelationship1.encounter.id\">id</a><a name=\"Act.entryRelationship.encounter.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (3250-16914)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"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\">3250-16914: </span>If the id does not match an encounter/id from the Encounters Section or encompassingEncounter within the same document and the id does not contain @nullFlavor=&quot;NA&quot;, then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:3250-16914).</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-NoteActivity-definitions.html#Act.reference\">Slices for reference</a><a name=\"Act.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Reference.html\">Reference</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:externalDocument</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.reference:reference1\" title=\"Slice reference1\">reference:reference1</a><a name=\"Act.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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-Reference.html\">Reference</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">reference<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0241.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.reference:reference1.externalDocument\">externalDocument</a><a name=\"Act.reference.externalDocument\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ExternalDocument.html\">ExternalDocument</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.reference:reference1.externalDocument.id\">id</a><a name=\"Act.reference.externalDocument.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..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\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02400.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-NoteActivity-definitions.html#Act.reference:reference1.externalDocument.code\">code</a><a name=\"Act.reference.externalDocument.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html\">CD</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
          "_valueBoolean" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "not-applicable"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
          "valueUri" : "urn:hl7-org:v3"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
          "valueUri" : "act"
        }
      ],
      "url" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity",
      "identifier" : [
        {
          "value" : "urn:hl7ii:2.16.840.1.113883.10.20.22.4.202:2016-11-01"
        }
      ],
      "version" : "2.1",
      "name" : "NoteActivity",
      "title" : "Note Activity",
      "status" : "draft",
      "date" : "2023-09-29T16:20:44+00:00",
      "publisher" : "Health Level Seven",
      "contact" : [
        {
          "name" : "HL7 International - Structured Documents",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/structure"
            }
          ]
        }
      ],
      "description" : "The Note Activity represents a clinical note. Notes require authorship, authentication, timing information, and references to other discrete data such as encounters. Similar to the Comment Activity, the Note Activity permits a more specific code to characterize the type of information available in the note. The Note Activity template SHOULD NOT be used in place of a more specific C-CDA entry. Note information included needs to be relevant and pertinent to the information being communicated in the document.\nWhen the note information augments data represented in a more specific entry template, the Note Activity can be used in an entryRelationship to the associated standard C-CDA entry. For example, a Procedure Note added as an entryRelationship to a Procedure Activity Procedure entry). \nThe Note Activity template can be used as a standalone entry within a standard C-CDA section (e.g., a note about various procedures which have occurred during a visit as an entry in the Procedures Section) when it does not augment another standard entry. It may also be used to provide additional data about the source of a currently narrative-only section, such as Hospital Course.\nFinally, if the type of data in the note is not known or no single C-CDA section is appropriate enough, the Note Activity should be placed in a Notes Section. (e.g., a free-text consultation note or a note which includes subjective, objective, assessment, and plan information combined).\nAn alternative is to place the Note Activity as an entryRelationship to an Encounter Activity entry in the Encounters Section, but implementers may wish to group notes categorically into a separate location in CDA documents rather than overloading the Encounters Section.",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US"
            }
          ]
        }
      ],
      "fhirVersion" : "5.0.0",
      "mapping" : [
        {
          "identity" : "rim",
          "uri" : "http://hl7.org/v3",
          "name" : "RIM Mapping"
        }
      ],
      "kind" : "logical",
      "abstract" : false,
      "type" : "http://hl7.org/cda/stds/core/StructureDefinition/Act",
      "baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/Act",
      "derivation" : "constraint",
      "snapshot" : {
        "element" : [
          {
            "id" : "Act",
            "path" : "Act",
            "short" : "Base for all types and resources",
            "definition" : "Base definition for all types defined in FHIR type system.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Base",
              "min" : 0,
              "max" : "*"
            },
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Act.nullFlavor",
            "path" : "Act.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Act.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Act.classCode",
            "path" : "Act.classCode",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "Element Act.classCode",
            "comment" : "SHALL contain exactly one [1..1] @classCode=\"ACT\" Act (CONF:3250-16899).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Act.classCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "fixedCode" : "ACT"
          },
          {
            "id" : "Act.moodCode",
            "path" : "Act.moodCode",
            "representation" : [
              "xmlAttr"
            ],
            "comment" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CONF:3250-16900).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Act.moodCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "fixedCode" : "EVN"
          },
          {
            "id" : "Act.realmCode",
            "path" : "Act.realmCode",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.realmCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
              }
            ]
          },
          {
            "id" : "Act.typeId",
            "path" : "Act.typeId",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Act.typeId",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.templateId",
            "path" : "Act.templateId",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "root"
                },
                {
                  "type" : "value",
                  "path" : "extension"
                }
              ],
              "rules" : "open"
            },
            "definition" : "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",
            "comment" : "SHALL contain exactly one [1..1] templateId (CONF:3250-16933) such that it",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "Act.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.templateId:templateId1",
            "path" : "Act.templateId",
            "sliceName" : "templateId1",
            "short" : "templateId",
            "definition" : "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" : 1,
            "max" : "1",
            "base" : {
              "path" : "Act.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.templateId:templateId1.nullFlavor",
            "path" : "Act.templateId.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ANY.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Act.templateId:templateId1.assigningAuthorityName",
            "path" : "Act.templateId.assigningAuthorityName",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Assigning Authority Name",
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "II.assigningAuthorityName",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.templateId:templateId1.displayable",
            "path" : "Act.templateId.displayable",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Displayable",
            "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "II.displayable",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.templateId:templateId1.root",
            "path" : "Act.templateId.root",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Root",
            "definition" : "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
            "comment" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.202\" (CONF:3250-16934).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "II.root",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/oid",
                  "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
                  "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
                ]
              }
            ],
            "patternString" : "2.16.840.1.113883.10.20.22.4.202"
          },
          {
            "id" : "Act.templateId:templateId1.extension",
            "path" : "Act.templateId.extension",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Extension",
            "definition" : "A character string as a unique identifier within the scope of the identifier root.",
            "comment" : "SHALL contain exactly one [1..1] @extension=\"2016-11-01\" (CONF:3250-16937).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "II.extension",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
                ]
              }
            ],
            "patternString" : "2016-11-01"
          },
          {
            "id" : "Act.id",
            "path" : "Act.id",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.id",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.code",
            "path" : "Act.code",
            "comment" : "SHALL contain exactly one [1..1] code (CONF:3250-16895).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Act.code",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
            }
          },
          {
            "id" : "Act.code.nullFlavor",
            "path" : "Act.code.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ANY.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Act.code.code",
            "path" : "Act.code.code",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code",
            "definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
            "comment" : "This code SHALL contain exactly one [1..1] @code=\"34109-9\" Note (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3250-16940).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "CD.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "patternCode" : "34109-9"
          },
          {
            "id" : "Act.code.codeSystem",
            "path" : "Act.code.codeSystem",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System",
            "definition" : "Specifies the code system that defines the code.",
            "comment" : "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" LOINC (CONF:3250-16941).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "CD.codeSystem",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/oid",
                  "http://hl7.org/cda/stds/core/StructureDefinition/uuid",
                  "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
                ]
              }
            ],
            "patternString" : "2.16.840.1.113883.6.1"
          },
          {
            "id" : "Act.code.codeSystemName",
            "path" : "Act.code.codeSystemName",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System Name",
            "definition" : "The common name of the coding system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.codeSystemName",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.code.codeSystemVersion",
            "path" : "Act.code.codeSystemVersion",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Code System Version",
            "definition" : "If applicable, a version descriptor defined specifically for the given code system.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.codeSystemVersion",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.code.displayName",
            "path" : "Act.code.displayName",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Display Name",
            "definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.displayName",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.code.sdtcValueSet",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueString" : "valueSet"
              }
            ],
            "path" : "Act.code.sdtcValueSet",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.valueSet",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/oid"
                ]
              }
            ]
          },
          {
            "id" : "Act.code.sdtcValueSetVersion",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueString" : "valueSetVersion"
              }
            ],
            "path" : "Act.code.sdtcValueSetVersion",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.sdtcValueSetVersion",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.code.originalText",
            "path" : "Act.code.originalText",
            "label" : "Original Text",
            "definition" : "The text or phrase used as the basis for the coding.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "CD.originalText",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
              }
            ]
          },
          {
            "id" : "Act.code.qualifier",
            "path" : "Act.code.qualifier",
            "label" : "Qualifier",
            "definition" : "Specifies additional codes that increase the specificity of the the primary code.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "CD.qualifier",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CR"
              }
            ]
          },
          {
            "id" : "Act.code.translation",
            "path" : "Act.code.translation",
            "representation" : [
              "typeAttr"
            ],
            "label" : "Translation",
            "definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
            "comment" : "This code SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Note Types urn:oid:2.16.840.1.113883.11.20.9.68 DYNAMIC (CONF:3250-16939).",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "CD.translation",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
              }
            ],
            "constraint" : [
              {
                "key" : "3250-16942",
                "severity" : "warning",
                "human" : "If the Note Activity is within a Note Section, the translation SHOULD match or specialize the section code (CONF:3250-16942).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              },
              {
                "key" : "3250-16943",
                "severity" : "warning",
                "human" : "If the Note Activity is within a narrative-only section (e.g. Hospital Course), the translation MAY match the section code (CONF:3250-16943).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              }
            ],
            "binding" : {
              "strength" : "preferred",
              "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.68"
            }
          },
          {
            "id" : "Act.negationInd",
            "path" : "Act.negationInd",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Act.negationInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.text",
            "path" : "Act.text",
            "comment" : "SHALL contain exactly one [1..1] text (CONF:3250-16896).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Act.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
              }
            ]
          },
          {
            "id" : "Act.text.nullFlavor",
            "path" : "Act.text.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ANY.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Act.text.charset",
            "path" : "Act.text.charset",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Charset",
            "definition" : "For character-based encoding types, this property specifies the character set and character encoding used. The charset shall be identified by an Internet Assigned Numbers Authority (IANA) Charset Registration [] in accordance with RFC 2978 [].",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ED.charset",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.text.compression",
            "path" : "Act.text.compression",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Compression",
            "definition" : "Indicates whether the raw byte data is compressed, and what compression algorithm was used.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ED.compression",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-CompressionAlgorithm"
            }
          },
          {
            "id" : "Act.text.integrityCheck",
            "path" : "Act.text.integrityCheck",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Integrity Check",
            "definition" : "The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ED.integrityCheck",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "base64Binary",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/bin"
                ]
              }
            ]
          },
          {
            "id" : "Act.text.integrityCheckAlgorithm",
            "path" : "Act.text.integrityCheckAlgorithm",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Integrity Check Algorithm",
            "definition" : "Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ED.integrityCheckAlgorithm",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm"
            }
          },
          {
            "id" : "Act.text.language",
            "path" : "Act.text.language",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Language",
            "definition" : "For character based information the language property specifies the human language of the text.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ED.language",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.text.mediaType",
            "path" : "Act.text.mediaType",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Media Type",
            "definition" : "Identifies the type of the encapsulated data and identifies a method to interpret or render the data.",
            "comment" : "This text MAY contain zero or one [0..1] @mediaType, which SHOULD be selected from ValueSet SupportedFileFormats urn:oid:2.16.840.1.113883.11.20.7.1 DYNAMIC (CONF:3250-16906).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ED.mediaType",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "3250-16912",
                "severity" : "error",
                "human" : "If @mediaType is present, the text SHALL contain exactly one [1..1] @representation=\"B64\" and mixed content corresponding to the contents of the note (CONF:3250-16912).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              }
            ],
            "binding" : {
              "strength" : "preferred",
              "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.7.1"
            }
          },
          {
            "id" : "Act.text.representation",
            "path" : "Act.text.representation",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ED.representation",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.text.data[x]",
            "path" : "Act.text.data[x]",
            "representation" : [
              "xmlText"
            ],
            "definition" : "Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ED.data[x]",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
                ]
              },
              {
                "code" : "base64Binary",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/bin"
                ]
              }
            ]
          },
          {
            "id" : "Act.text.reference",
            "path" : "Act.text.reference",
            "label" : "Reference",
            "definition" : "A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.",
            "comment" : "This text SHALL contain exactly one [1..1] reference (CONF:3250-16897).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "ED.reference",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
              }
            ]
          },
          {
            "id" : "Act.text.reference.nullFlavor",
            "path" : "Act.text.reference.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "comment" : "This reference SHALL NOT contain [0..0] @nullFlavor (CONF:3250-16920).",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "ANY.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Act.text.reference.value",
            "path" : "Act.text.reference.value",
            "representation" : [
              "xmlAttr"
            ],
            "comment" : "This reference SHALL contain exactly one [1..1] @value (CONF:3250-16898).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "TEL.value",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "url",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/url"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "3250-16902",
                "severity" : "error",
                "human" : "This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:3250-16902).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              }
            ]
          },
          {
            "id" : "Act.text.reference.useablePeriod",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype",
                "valueCanonical" : "http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"
              }
            ],
            "path" : "Act.text.reference.useablePeriod",
            "representation" : [
              "typeAttr"
            ],
            "label" : "Useable Period",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "TEL.useablePeriod",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"
              }
            ]
          },
          {
            "id" : "Act.text.reference.use",
            "path" : "Act.text.reference.use",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Use Code",
            "definition" : "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.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "TEL.use",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-AddressUse"
            }
          },
          {
            "id" : "Act.text.thumbnail",
            "path" : "Act.text.thumbnail",
            "label" : "Thumbnail",
            "definition" : "An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ED.thumbnail",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
              }
            ]
          },
          {
            "id" : "Act.statusCode",
            "path" : "Act.statusCode",
            "comment" : "SHALL contain exactly one [1..1] statusCode (CONF:3250-16916).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Act.statusCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActStatus"
            }
          },
          {
            "id" : "Act.effectiveTime",
            "path" : "Act.effectiveTime",
            "comment" : "SHALL contain exactly one [1..1] effectiveTime (CONF:3250-16903).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Act.effectiveTime",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
              }
            ]
          },
          {
            "id" : "Act.effectiveTime.nullFlavor",
            "path" : "Act.effectiveTime.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ANY.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Act.effectiveTime.value",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format",
                "valueString" : "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"
              }
            ],
            "path" : "Act.effectiveTime.value",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.",
            "comment" : "This effectiveTime SHOULD contain zero or one [0..1] @value (CONF:3250-16917).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "TS.value",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.effectiveTime.operator",
            "path" : "Act.effectiveTime.operator",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "SXCM_TS.operator",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "defaultValueCode" : "I",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-SetOperator"
            }
          },
          {
            "id" : "Act.effectiveTime.low",
            "path" : "Act.effectiveTime.low",
            "label" : "Low Boundary",
            "definition" : "This is the low limit of the interval.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "IVL_TS.low",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"
              }
            ]
          },
          {
            "id" : "Act.effectiveTime.center",
            "path" : "Act.effectiveTime.center",
            "label" : "Central Value",
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "IVL_TS.center",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
              }
            ]
          },
          {
            "id" : "Act.effectiveTime.width",
            "path" : "Act.effectiveTime.width",
            "label" : "Width",
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "IVL_TS.width",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PQ"
              }
            ]
          },
          {
            "id" : "Act.effectiveTime.high",
            "path" : "Act.effectiveTime.high",
            "label" : "High Boundary",
            "definition" : "This is the high limit of the interval.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "IVL_TS.high",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"
              }
            ]
          },
          {
            "id" : "Act.priorityCode",
            "path" : "Act.priorityCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Act.priorityCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPriority"
            }
          },
          {
            "id" : "Act.languageCode",
            "path" : "Act.languageCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Act.languageCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-HumanLanguage"
            }
          },
          {
            "id" : "Act.subject",
            "path" : "Act.subject",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Act.subject",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
              }
            ]
          },
          {
            "id" : "Act.specimen",
            "path" : "Act.specimen",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.specimen",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Specimen"
              }
            ]
          },
          {
            "id" : "Act.performer",
            "path" : "Act.performer",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.performer",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Performer2"
              }
            ]
          },
          {
            "id" : "Act.author",
            "path" : "Act.author",
            "short" : "Base for all types and resources",
            "definition" : "Base definition for all types defined in FHIR type system.",
            "comment" : "SHALL contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:3250-16913).",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "Act.author",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Author",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Act.informant",
            "path" : "Act.informant",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.informant",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
              }
            ]
          },
          {
            "id" : "Act.participant",
            "path" : "Act.participant",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "participantRole"
                },
                {
                  "type" : "value",
                  "path" : "typeCode"
                }
              ],
              "rules" : "open"
            },
            "comment" : "MAY contain zero or more [0..*] participant (CONF:3250-16923) such that it",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.participant",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1",
            "path" : "Act.participant",
            "sliceName" : "participant1",
            "short" : "participant",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.participant",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.nullFlavor",
            "path" : "Act.participant.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Participant2.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Act.participant:participant1.typeCode",
            "path" : "Act.participant.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "comment" : "SHALL contain exactly one [1..1] @typeCode=\"LA\" Legal Authenticator (CONF:3250-16925).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Participant2.typeCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "fixedCode" : "LA",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationType"
            }
          },
          {
            "id" : "Act.participant:participant1.contextControlCode",
            "path" : "Act.participant.contextControlCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Participant2.contextControlCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "fixedCode" : "OP",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
            }
          },
          {
            "id" : "Act.participant:participant1.realmCode",
            "path" : "Act.participant.realmCode",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "Participant2.realmCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.typeId",
            "path" : "Act.participant.typeId",
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "Participant2.typeId",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.templateId",
            "path" : "Act.participant.templateId",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "Participant2.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.sdtcFunctionCode",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueString" : "functionCode"
              }
            ],
            "path" : "Act.participant.sdtcFunctionCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Participant2.sdtcFunctionCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.time",
            "path" : "Act.participant.time",
            "short" : "Base for all types and resources",
            "definition" : "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.",
            "comment" : "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:3250-16926).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Participant2.time",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateandTimeDTUSFIELDED"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ivl-ts-center",
                "severity" : "error",
                "human" : "Center cannot co-exist with low or high",
                "expression" : "center.empty() or (low.empty() and high.empty())",
                "source" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
              },
              {
                "key" : "81-10078",
                "severity" : "error",
                "human" : "**SHALL** be precise to the day (CONF:81-10078).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateandTimeDTUSFIELDED"
              },
              {
                "key" : "81-10079",
                "severity" : "warning",
                "human" : "**SHOULD** be precise to the minute (CONF:81-10079).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateandTimeDTUSFIELDED"
              },
              {
                "key" : "81-10080",
                "severity" : "warning",
                "human" : "**MAY** be precise to the second (CONF:81-10080).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateandTimeDTUSFIELDED"
              },
              {
                "key" : "81-10081",
                "severity" : "warning",
                "human" : "If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateandTimeDTUSFIELDED"
              }
            ],
            "isModifier" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.awarenessCode",
            "path" : "Act.participant.awarenessCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Participant2.awarenessCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole",
            "path" : "Act.participant.participantRole",
            "comment" : "SHALL contain exactly one [1..1] participantRole (CONF:3250-16924).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Participant2.participantRole",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole"
              }
            ],
            "constraint" : [
              {
                "key" : "3250-16930",
                "severity" : "error",
                "human" : "If no id matches an author or participant elsewhere in the document, then playingEntity SHALL be present (CONF:3250-16930).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.classCode",
            "path" : "Act.participant.participantRole.classCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "ParticipantRole.classCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "defaultValueCode" : "ROL",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-RoleClassRoot"
            }
          },
          {
            "id" : "Act.participant:participant1.participantRole.templateId",
            "path" : "Act.participant.participantRole.templateId",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "ParticipantRole.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.id",
            "path" : "Act.participant.participantRole.id",
            "comment" : "This participantRole SHALL contain at least one [1..*] id (CONF:3250-16927).",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "ParticipantRole.id",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.sdtcIdentifiedBy",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueString" : "identifiedBy"
              }
            ],
            "path" : "Act.participant.participantRole.sdtcIdentifiedBy",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "ParticipantRole.sdtcIdentifiedBy",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.code",
            "path" : "Act.participant.participantRole.code",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ParticipantRole.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-RoleCode"
            }
          },
          {
            "id" : "Act.participant:participant1.participantRole.addr",
            "path" : "Act.participant.participantRole.addr",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "ParticipantRole.addr",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/AD"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.telecom",
            "path" : "Act.participant.participantRole.telecom",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "ParticipantRole.telecom",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingDevice",
            "path" : "Act.participant.participantRole.playingDevice",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ParticipantRole.playingDevice",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Device"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingEntity",
            "path" : "Act.participant.participantRole.playingEntity",
            "comment" : "This participantRole MAY contain zero or one [0..1] playingEntity (CONF:3250-16928).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ParticipantRole.playingEntity",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingEntity.classCode",
            "path" : "Act.participant.participantRole.playingEntity.classCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "PlayingEntity.classCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "defaultValueCode" : "ENT",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityClassRoot"
            }
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingEntity.determinerCode",
            "path" : "Act.participant.participantRole.playingEntity.determinerCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "PlayingEntity.determinerCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "fixedCode" : "INSTANCE",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"
            }
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingEntity.templateId",
            "path" : "Act.participant.participantRole.playingEntity.templateId",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "PlayingEntity.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingEntity.code",
            "path" : "Act.participant.participantRole.playingEntity.code",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "PlayingEntity.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityCode"
            }
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingEntity.quantity",
            "path" : "Act.participant.participantRole.playingEntity.quantity",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "PlayingEntity.quantity",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PQ"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingEntity.name",
            "path" : "Act.participant.participantRole.playingEntity.name",
            "short" : "Base for all types and resources",
            "definition" : "A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are \"Jim Bob Walton, Jr.\", \"Adam Everyman\", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, \"Jim\", \"Bob\", \"Walton\", and \"Jr.\". PN differs from EN because the qualifier type cannot include LS (Legal Status).",
            "comment" : "The playingEntity, 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:3250-16929).",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "PlayingEntity.name",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PN",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "pn-no-ls",
                "severity" : "error",
                "human" : "No PN name part may have a qualifier of LS.",
                "expression" : "(delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty()",
                "source" : "http://hl7.org/cda/stds/core/StructureDefinition/PN"
              },
              {
                "key" : "81-9371",
                "severity" : "error",
                "human" : "The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"
              },
              {
                "key" : "81-9372",
                "severity" : "error",
                "human" : "The string **SHALL NOT** contain name parts (CONF:81-9372).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"
              }
            ],
            "isModifier" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingEntity.sdtcBirthTime",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueUri" : "birthTime"
              }
            ],
            "path" : "Act.participant.participantRole.playingEntity.sdtcBirthTime",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "PlayingEntity.sdtcBirthTime",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingEntity.desc",
            "path" : "Act.participant.participantRole.playingEntity.desc",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "PlayingEntity.desc",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.scopingEntity",
            "path" : "Act.participant.participantRole.scopingEntity",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ParticipantRole.scopingEntity",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Entity"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship",
            "path" : "Act.entryRelationship",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "encounter"
                },
                {
                  "type" : "value",
                  "path" : "typeCode"
                },
                {
                  "type" : "value",
                  "path" : "inversionInd"
                }
              ],
              "rules" : "open"
            },
            "comment" : "SHOULD contain zero or more [0..*] entryRelationship (CONF:3250-16907) such that it",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.entryRelationship",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1",
            "path" : "Act.entryRelationship",
            "sliceName" : "entryRelationship1",
            "short" : "entryRelationship",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.entryRelationship",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.nullFlavor",
            "path" : "Act.entryRelationship.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ANY.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.realmCode",
            "path" : "Act.entryRelationship.realmCode",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "InfrastructureRoot.realmCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.typeId",
            "path" : "Act.entryRelationship.typeId",
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "InfrastructureRoot.typeId",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.templateId",
            "path" : "Act.entryRelationship.templateId",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "InfrastructureRoot.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.typeCode",
            "path" : "Act.entryRelationship.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "comment" : "SHALL contain exactly one [1..1] @typeCode=\"COMP\" (CONF:3250-16921).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.typeCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "fixedCode" : "COMP",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"
            }
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.inversionInd",
            "path" : "Act.entryRelationship.inversionInd",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "The entryRelationship.inversionInd can be set to \"true\" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.",
            "comment" : "SHALL contain exactly one [1..1] @inversionInd=\"true\" (CONF:3250-16922).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.inversionInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
                ]
              }
            ],
            "fixedBoolean" : true
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.contextConductionInd",
            "path" : "Act.entryRelationship.contextConductionInd",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at \"true\", whereas here the value is defaulted to \"true\", and can be changed to \"false\" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.contextConductionInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
                ]
              }
            ],
            "defaultValueBoolean" : true
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.negationInd",
            "path" : "Act.entryRelationship.negationInd",
            "representation" : [
              "xmlAttr"
            ],
            "comment" : "MAY contain zero or one [0..1] @negationInd (CONF:3250-16931).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.negationInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.sequenceNumber",
            "path" : "Act.entryRelationship.sequenceNumber",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.sequenceNumber",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/INT"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.seperatableInd",
            "path" : "Act.entryRelationship.seperatableInd",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.seperatableInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/BL"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.act",
            "path" : "Act.entryRelationship.act",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.act",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Act"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter",
            "path" : "Act.entryRelationship.encounter",
            "comment" : "SHALL contain exactly one [1..1] encounter (CONF:3250-16908).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.encounter",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.classCode",
            "path" : "Act.entryRelationship.encounter.classCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Encounter.classCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "fixedCode" : "ENC",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActClass"
            }
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.moodCode",
            "path" : "Act.entryRelationship.encounter.moodCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Encounter.moodCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.realmCode",
            "path" : "Act.entryRelationship.encounter.realmCode",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Encounter.realmCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.typeId",
            "path" : "Act.entryRelationship.encounter.typeId",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Encounter.typeId",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.templateId",
            "path" : "Act.entryRelationship.encounter.templateId",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "Encounter.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.id",
            "path" : "Act.entryRelationship.encounter.id",
            "comment" : "This encounter SHALL contain at least one [1..*] id (CONF:3250-16909).",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "Encounter.id",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ],
            "constraint" : [
              {
                "key" : "3250-16914",
                "severity" : "error",
                "human" : "If the id does not match an encounter/id from the Encounters Section or encompassingEncounter within the same document and the id does not contain @nullFlavor=\"NA\", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:3250-16914).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.code",
            "path" : "Act.entryRelationship.encounter.code",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Encounter.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"
            }
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.text",
            "path" : "Act.entryRelationship.encounter.text",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Encounter.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.statusCode",
            "path" : "Act.entryRelationship.encounter.statusCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Encounter.statusCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActStatus"
            }
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.effectiveTime",
            "path" : "Act.entryRelationship.encounter.effectiveTime",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Encounter.effectiveTime",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.sdtcDischargeDispositionCode",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueUri" : "dischargeDispositionCode"
              }
            ],
            "path" : "Act.entryRelationship.encounter.sdtcDischargeDispositionCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Encounter.sdtcDischargeDispositionCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.priorityCode",
            "path" : "Act.entryRelationship.encounter.priorityCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Encounter.priorityCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPriority"
            }
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.subject",
            "path" : "Act.entryRelationship.encounter.subject",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Encounter.subject",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.specimen",
            "path" : "Act.entryRelationship.encounter.specimen",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Encounter.specimen",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Specimen"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.performer",
            "path" : "Act.entryRelationship.encounter.performer",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Encounter.performer",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Performer2"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.author",
            "path" : "Act.entryRelationship.encounter.author",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Encounter.author",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Author"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.informant",
            "path" : "Act.entryRelationship.encounter.informant",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Encounter.informant",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.participant",
            "path" : "Act.entryRelationship.encounter.participant",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Encounter.participant",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.entryRelationship",
            "path" : "Act.entryRelationship.encounter.entryRelationship",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Encounter.entryRelationship",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.reference",
            "path" : "Act.entryRelationship.encounter.reference",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Encounter.reference",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.precondition",
            "path" : "Act.entryRelationship.encounter.precondition",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Encounter.precondition",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Precondition"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.observation",
            "path" : "Act.entryRelationship.observation",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.observation",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.observationMedia",
            "path" : "Act.entryRelationship.observationMedia",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.observationMedia",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.organizer",
            "path" : "Act.entryRelationship.organizer",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.organizer",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Organizer"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.procedure",
            "path" : "Act.entryRelationship.procedure",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.procedure",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Procedure"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.regionOfInterest",
            "path" : "Act.entryRelationship.regionOfInterest",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.regionOfInterest",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.substanceAdministration",
            "path" : "Act.entryRelationship.substanceAdministration",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.substanceAdministration",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"
              }
            ]
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.supply",
            "path" : "Act.entryRelationship.supply",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.supply",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Supply"
              }
            ]
          },
          {
            "id" : "Act.reference",
            "path" : "Act.reference",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "externalDocument"
                }
              ],
              "rules" : "open"
            },
            "comment" : "MAY contain zero or more [0..*] reference (CONF:3250-16910) such that it",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.reference",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1",
            "path" : "Act.reference",
            "sliceName" : "reference1",
            "short" : "reference",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.reference",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.nullFlavor",
            "path" : "Act.reference.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ANY.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Act.reference:reference1.realmCode",
            "path" : "Act.reference.realmCode",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "InfrastructureRoot.realmCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.typeId",
            "path" : "Act.reference.typeId",
            "definition" : "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" : 0,
            "max" : "1",
            "base" : {
              "path" : "InfrastructureRoot.typeId",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.templateId",
            "path" : "Act.reference.templateId",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "InfrastructureRoot.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.typeCode",
            "path" : "Act.reference.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "Element Act.typeCode",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Reference.typeCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference"
            }
          },
          {
            "id" : "Act.reference:reference1.seperatableInd",
            "path" : "Act.reference.seperatableInd",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.seperatableInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/BL"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.externalAct",
            "path" : "Act.reference.externalAct",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.externalAct",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalAct"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.externalObservation",
            "path" : "Act.reference.externalObservation",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.externalObservation",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalObservation"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.externalProcedure",
            "path" : "Act.reference.externalProcedure",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Reference.externalProcedure",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalProcedure"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.externalDocument",
            "path" : "Act.reference.externalDocument",
            "comment" : "SHALL contain exactly one [1..1] externalDocument (CONF:3250-16911).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Reference.externalDocument",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.externalDocument.classCode",
            "path" : "Act.reference.externalDocument.classCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "ExternalDocument.classCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "defaultValueCode" : "DOC",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActClassDocument"
            }
          },
          {
            "id" : "Act.reference:reference1.externalDocument.moodCode",
            "path" : "Act.reference.externalDocument.moodCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ExternalDocument.moodCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "fixedCode" : "EVN",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActMood"
            }
          },
          {
            "id" : "Act.reference:reference1.externalDocument.templateId",
            "path" : "Act.reference.externalDocument.templateId",
            "definition" : "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" : 0,
            "max" : "*",
            "base" : {
              "path" : "ExternalDocument.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.externalDocument.id",
            "path" : "Act.reference.externalDocument.id",
            "comment" : "This externalDocument SHALL contain exactly one [1..1] id (CONF:3250-16915).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "ExternalDocument.id",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.externalDocument.code",
            "path" : "Act.reference.externalDocument.code",
            "comment" : "This externalDocument SHOULD contain zero or one [0..1] code (CONF:3250-16918).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ExternalDocument.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://hl7.org/fhir/ValueSet/doc-typecodes"
            }
          },
          {
            "id" : "Act.reference:reference1.externalDocument.text",
            "path" : "Act.reference.externalDocument.text",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ExternalDocument.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.externalDocument.setId",
            "path" : "Act.reference.externalDocument.setId",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ExternalDocument.setId",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Act.reference:reference1.externalDocument.versionNumber",
            "path" : "Act.reference.externalDocument.versionNumber",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ExternalDocument.versionNumber",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/INT"
              }
            ]
          },
          {
            "id" : "Act.precondition",
            "path" : "Act.precondition",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Act.precondition",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Precondition"
              }
            ]
          }
        ]
      },
      "differential" : {
        "element" : [
          {
            "id" : "Act.classCode",
            "path" : "Act.classCode",
            "comment" : "SHALL contain exactly one [1..1] @classCode=\"ACT\" Act (CONF:3250-16899).",
            "fixedCode" : "ACT"
          },
          {
            "id" : "Act.moodCode",
            "path" : "Act.moodCode",
            "comment" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CONF:3250-16900).",
            "fixedCode" : "EVN"
          },
          {
            "id" : "Act.templateId",
            "path" : "Act.templateId",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "root"
                },
                {
                  "type" : "value",
                  "path" : "extension"
                }
              ],
              "rules" : "open"
            },
            "comment" : "SHALL contain exactly one [1..1] templateId (CONF:3250-16933) such that it",
            "min" : 1
          },
          {
            "id" : "Act.templateId:templateId1",
            "path" : "Act.templateId",
            "sliceName" : "templateId1",
            "short" : "templateId",
            "min" : 1,
            "max" : "1"
          },
          {
            "id" : "Act.templateId:templateId1.root",
            "path" : "Act.templateId.root",
            "comment" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.202\" (CONF:3250-16934).",
            "min" : 1,
            "patternString" : "2.16.840.1.113883.10.20.22.4.202"
          },
          {
            "id" : "Act.templateId:templateId1.extension",
            "path" : "Act.templateId.extension",
            "comment" : "SHALL contain exactly one [1..1] @extension=\"2016-11-01\" (CONF:3250-16937).",
            "min" : 1,
            "patternString" : "2016-11-01"
          },
          {
            "id" : "Act.code",
            "path" : "Act.code",
            "comment" : "SHALL contain exactly one [1..1] code (CONF:3250-16895)."
          },
          {
            "id" : "Act.code.code",
            "path" : "Act.code.code",
            "comment" : "This code SHALL contain exactly one [1..1] @code=\"34109-9\" Note (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3250-16940).",
            "min" : 1,
            "patternCode" : "34109-9"
          },
          {
            "id" : "Act.code.codeSystem",
            "path" : "Act.code.codeSystem",
            "comment" : "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" LOINC (CONF:3250-16941).",
            "min" : 1,
            "patternString" : "2.16.840.1.113883.6.1"
          },
          {
            "id" : "Act.code.translation",
            "path" : "Act.code.translation",
            "comment" : "This code SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Note Types urn:oid:2.16.840.1.113883.11.20.9.68 DYNAMIC (CONF:3250-16939).",
            "constraint" : [
              {
                "key" : "3250-16942",
                "severity" : "warning",
                "human" : "If the Note Activity is within a Note Section, the translation SHOULD match or specialize the section code (CONF:3250-16942).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              },
              {
                "key" : "3250-16943",
                "severity" : "warning",
                "human" : "If the Note Activity is within a narrative-only section (e.g. Hospital Course), the translation MAY match the section code (CONF:3250-16943).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              }
            ],
            "binding" : {
              "strength" : "preferred",
              "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.68"
            }
          },
          {
            "id" : "Act.text",
            "path" : "Act.text",
            "comment" : "SHALL contain exactly one [1..1] text (CONF:3250-16896).",
            "min" : 1
          },
          {
            "id" : "Act.text.mediaType",
            "path" : "Act.text.mediaType",
            "comment" : "This text MAY contain zero or one [0..1] @mediaType, which SHOULD be selected from ValueSet SupportedFileFormats urn:oid:2.16.840.1.113883.11.20.7.1 DYNAMIC (CONF:3250-16906).",
            "constraint" : [
              {
                "key" : "3250-16912",
                "severity" : "error",
                "human" : "If @mediaType is present, the text SHALL contain exactly one [1..1] @representation=\"B64\" and mixed content corresponding to the contents of the note (CONF:3250-16912).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              }
            ],
            "binding" : {
              "strength" : "preferred",
              "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.7.1"
            }
          },
          {
            "id" : "Act.text.reference",
            "path" : "Act.text.reference",
            "comment" : "This text SHALL contain exactly one [1..1] reference (CONF:3250-16897).",
            "min" : 1
          },
          {
            "id" : "Act.text.reference.nullFlavor",
            "path" : "Act.text.reference.nullFlavor",
            "comment" : "This reference SHALL NOT contain [0..0] @nullFlavor (CONF:3250-16920).",
            "max" : "0"
          },
          {
            "id" : "Act.text.reference.value",
            "path" : "Act.text.reference.value",
            "comment" : "This reference SHALL contain exactly one [1..1] @value (CONF:3250-16898).",
            "min" : 1,
            "constraint" : [
              {
                "key" : "3250-16902",
                "severity" : "error",
                "human" : "This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:3250-16902).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              }
            ]
          },
          {
            "id" : "Act.statusCode",
            "path" : "Act.statusCode",
            "comment" : "SHALL contain exactly one [1..1] statusCode (CONF:3250-16916).",
            "min" : 1
          },
          {
            "id" : "Act.effectiveTime",
            "path" : "Act.effectiveTime",
            "comment" : "SHALL contain exactly one [1..1] effectiveTime (CONF:3250-16903).",
            "min" : 1
          },
          {
            "id" : "Act.effectiveTime.value",
            "path" : "Act.effectiveTime.value",
            "comment" : "This effectiveTime SHOULD contain zero or one [0..1] @value (CONF:3250-16917)."
          },
          {
            "id" : "Act.author",
            "path" : "Act.author",
            "comment" : "SHALL contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:3250-16913).",
            "min" : 1,
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Author",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation"
                ]
              }
            ]
          },
          {
            "id" : "Act.participant",
            "path" : "Act.participant",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "participantRole"
                },
                {
                  "type" : "value",
                  "path" : "typeCode"
                }
              ],
              "rules" : "open"
            },
            "comment" : "MAY contain zero or more [0..*] participant (CONF:3250-16923) such that it"
          },
          {
            "id" : "Act.participant:participant1",
            "path" : "Act.participant",
            "sliceName" : "participant1",
            "short" : "participant",
            "min" : 0,
            "max" : "*"
          },
          {
            "id" : "Act.participant:participant1.typeCode",
            "path" : "Act.participant.typeCode",
            "comment" : "SHALL contain exactly one [1..1] @typeCode=\"LA\" Legal Authenticator (CONF:3250-16925).",
            "min" : 1,
            "fixedCode" : "LA"
          },
          {
            "id" : "Act.participant:participant1.time",
            "path" : "Act.participant.time",
            "comment" : "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:3250-16926).",
            "min" : 1,
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateandTimeDTUSFIELDED"
                ]
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole",
            "path" : "Act.participant.participantRole",
            "comment" : "SHALL contain exactly one [1..1] participantRole (CONF:3250-16924).",
            "constraint" : [
              {
                "key" : "3250-16930",
                "severity" : "error",
                "human" : "If no id matches an author or participant elsewhere in the document, then playingEntity SHALL be present (CONF:3250-16930).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              }
            ]
          },
          {
            "id" : "Act.participant:participant1.participantRole.id",
            "path" : "Act.participant.participantRole.id",
            "comment" : "This participantRole SHALL contain at least one [1..*] id (CONF:3250-16927).",
            "min" : 1
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingEntity",
            "path" : "Act.participant.participantRole.playingEntity",
            "comment" : "This participantRole MAY contain zero or one [0..1] playingEntity (CONF:3250-16928)."
          },
          {
            "id" : "Act.participant:participant1.participantRole.playingEntity.name",
            "path" : "Act.participant.participantRole.playingEntity.name",
            "comment" : "The playingEntity, 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:3250-16929).",
            "min" : 1,
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PN",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"
                ]
              }
            ]
          },
          {
            "id" : "Act.entryRelationship",
            "path" : "Act.entryRelationship",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "encounter"
                },
                {
                  "type" : "value",
                  "path" : "typeCode"
                },
                {
                  "type" : "value",
                  "path" : "inversionInd"
                }
              ],
              "rules" : "open"
            },
            "comment" : "SHOULD contain zero or more [0..*] entryRelationship (CONF:3250-16907) such that it"
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1",
            "path" : "Act.entryRelationship",
            "sliceName" : "entryRelationship1",
            "short" : "entryRelationship",
            "min" : 0,
            "max" : "*"
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.typeCode",
            "path" : "Act.entryRelationship.typeCode",
            "comment" : "SHALL contain exactly one [1..1] @typeCode=\"COMP\" (CONF:3250-16921).",
            "fixedCode" : "COMP"
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.inversionInd",
            "path" : "Act.entryRelationship.inversionInd",
            "comment" : "SHALL contain exactly one [1..1] @inversionInd=\"true\" (CONF:3250-16922).",
            "min" : 1,
            "fixedBoolean" : true
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.negationInd",
            "path" : "Act.entryRelationship.negationInd",
            "comment" : "MAY contain zero or one [0..1] @negationInd (CONF:3250-16931)."
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter",
            "path" : "Act.entryRelationship.encounter",
            "comment" : "SHALL contain exactly one [1..1] encounter (CONF:3250-16908).",
            "min" : 1
          },
          {
            "id" : "Act.entryRelationship:entryRelationship1.encounter.id",
            "path" : "Act.entryRelationship.encounter.id",
            "comment" : "This encounter SHALL contain at least one [1..*] id (CONF:3250-16909).",
            "min" : 1,
            "constraint" : [
              {
                "key" : "3250-16914",
                "severity" : "error",
                "human" : "If the id does not match an encounter/id from the Encounters Section or encompassingEncounter within the same document and the id does not contain @nullFlavor=\"NA\", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:3250-16914).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity"
              }
            ]
          },
          {
            "id" : "Act.reference",
            "path" : "Act.reference",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "externalDocument"
                }
              ],
              "rules" : "open"
            },
            "comment" : "MAY contain zero or more [0..*] reference (CONF:3250-16910) such that it"
          },
          {
            "id" : "Act.reference:reference1",
            "path" : "Act.reference",
            "sliceName" : "reference1",
            "short" : "reference",
            "min" : 0,
            "max" : "*"
          },
          {
            "id" : "Act.reference:reference1.externalDocument",
            "path" : "Act.reference.externalDocument",
            "comment" : "SHALL contain exactly one [1..1] externalDocument (CONF:3250-16911).",
            "min" : 1
          },
          {
            "id" : "Act.reference:reference1.externalDocument.id",
            "path" : "Act.reference.externalDocument.id",
            "comment" : "This externalDocument SHALL contain exactly one [1..1] id (CONF:3250-16915).",
            "min" : 1,
            "max" : "1"
          },
          {
            "id" : "Act.reference:reference1.externalDocument.code",
            "path" : "Act.reference.externalDocument.code",
            "comment" : "This externalDocument SHOULD contain zero or one [0..1] code (CONF:3250-16918)."
          }
        ]
      }
    }