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: OutcomeObservation - JSON Profile

Draft as of 2023-09-29

JSON representation of the OutcomeObservation logical model.

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    {
      "resourceType" : "StructureDefinition",
      "id" : "OutcomeObservation",
      "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-OutcomeObservation-definitions.html#Observation\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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 (1098-32782)\">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 href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">CDAR2.Observation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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-Observation.html\">@classCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">@moodCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">@negationInd</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">realmCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">typeId</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.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-Observation.html\">id</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">code</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">derivationExpr</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">text</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">statusCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">effectiveTime</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">priorityCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">repeatNumber</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">languageCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">value</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">interpretationCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">methodCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\" title=\"Drawn from concept domain ActSite\">targetSiteCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">subject</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">specimen</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">performer</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">author</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">informant</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">participant</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">entryRelationship</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">reference</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\">precondition</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Observation.html\" title=\"Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.\">referenceRange</a><br/><span style=\"opacity: 0.5\">Base for all types and resources</span><br/><span style=\"font-weight:bold\">1098-32782: </span>SHALL contain at least one [1..*] entryRelationships (CONF:1098-32782).</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-OutcomeObservation-definitions.html#Observation.classCode\">classCode</a><a name=\"Observation.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\">OBS</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-OutcomeObservation-definitions.html#Observation.moodCode\">moodCode</a><a name=\"Observation.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-OutcomeObservation-definitions.html#Observation.templateId\">Slices for templateId</a><a name=\"Observation.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</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-OutcomeObservation-definitions.html#Observation.templateId:primary\" title=\"Slice primary\">templateId:primary</a><a name=\"Observation.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\"/></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-OutcomeObservation-definitions.html#Observation.templateId:primary.root\">root</a><a name=\"Observation.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\">2.16.840.1.113883.10.20.22.4.144</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\"/> <span style=\"text-decoration:line-through\">extension</span><a name=\"Observation.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\"><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_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-OutcomeObservation-definitions.html#Observation.id\">id</a><a name=\"Observation.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_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-OutcomeObservation-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">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-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\"/></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-OutcomeObservation-definitions.html#Observation.value\">value</a><a name=\"Observation.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\"/><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>..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ANY.html\">ANY</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-BL.html\">BL</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ED.html\">ED</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ST.html\">ST</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html\">CD</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CV.html\">CV</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CE.html\">CE</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-SC.html\">SC</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html\">II</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-TEL.html\">TEL</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-AD.html\">AD</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-EN.html\">EN</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-INT.html\">INT</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-REAL.html\">REAL</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-PQ.html\">PQ</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-MO.html\">MO</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-TS.html\">TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-IVL-PQ.html\">IVL_PQ</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-IVL-TS.html\">IVL_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-PIVL-TS.html\">PIVL_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-EIVL-TS.html\">EIVL_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-SXPR-TS.html\">SXPR_TS</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-RTO-PQ-PQ.html\">RTO_PQ_PQ</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_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: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-OutcomeObservation-definitions.html#Observation.author\">author</a><a name=\"Observation.author\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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 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: white; 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: #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-OutcomeObservation-definitions.html#Observation.entryRelationship\">Slices for entryRelationship</a><a name=\"Observation.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\"><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-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\"><span style=\"font-style: italic\">Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry.</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:act, profile:observation</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_bck135.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_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-OutcomeObservation-definitions.html#Observation.entryRelationship:entryReference\" title=\"Slice entryReference\">entryRelationship:entryReference</a><a name=\"Observation.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\"><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 (1098-32461)\">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\">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-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\">The following entryRelationship represents the relationship between an Outcome Observation and a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry.<br/><span style=\"font-weight:bold\">1098-32461: </span>This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1098-32461).<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_bck1350.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_vline_slicer.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-OutcomeObservation-definitions.html#Observation.entryRelationship:entryReference.typeCode\">typeCode</a><a name=\"Observation.entryRelationship.typeCode\"> </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\">GEVL</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_bck1340.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_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-OutcomeObservation-definitions.html#Observation.entryRelationship:entryReference.act\">act</a><a name=\"Observation.entryRelationship.act\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-EntryReference.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Act\">EntryReference</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\">Base for all types and resources</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_bck135.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_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-OutcomeObservation-definitions.html#Observation.entryRelationship:progressTowardGoalObservation\" title=\"Slice progressTowardGoalObservation\">entryRelationship:progressTowardGoalObservation</a><a name=\"Observation.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..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-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\">The following entryRelationship represents the relationship between an Outcome Observation and a Progress Toward Goal Observation (Outcome Observation SUPPORTS Progress Toward Goal Observation). In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal.</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_bck1350.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_vline_slicer.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-OutcomeObservation-definitions.html#Observation.entryRelationship:progressTowardGoalObservation.typeCode\">typeCode</a><a name=\"Observation.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\">SPRT</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_bck1350.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_vline_slicer.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-OutcomeObservation-definitions.html#Observation.entryRelationship:progressTowardGoalObservation.inversionInd\">inversionInd</a><a name=\"Observation.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_bck1340.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_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-OutcomeObservation-definitions.html#Observation.entryRelationship:progressTowardGoalObservation.observation\">observation</a><a name=\"Observation.entryRelationship.observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-ProgressTowardGoalObservation.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Observation\">ProgressTowardGoalObservation</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\">Base for all types and resources</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-OutcomeObservation-definitions.html#Observation.entryRelationship:entryReference2\" title=\"Slice entryReference2\">entryRelationship:entryReference2</a><a name=\"Observation.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\"><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 (1098-32462)\">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\">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\"><span style=\"font-weight:bold\">1098-32462: </span>This entryReference template **SHALL** reference an instance of a Intervention Act template (CONF:1098-32462).<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-OutcomeObservation-definitions.html#Observation.entryRelationship:entryReference2.typeCode\">typeCode</a><a name=\"Observation.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\">RSON</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_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_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-OutcomeObservation-definitions.html#Observation.entryRelationship:entryReference2.act\">act</a><a name=\"Observation.entryRelationship.act\"> </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-EntryReference.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/Act\">EntryReference</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_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-OutcomeObservation-definitions.html#Observation.reference\">reference</a><a name=\"Observation.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\"><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-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\"/></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_bck010.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.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-OutcomeObservation-definitions.html#Observation.reference.typeCode\">typeCode</a><a name=\"Observation.reference.typeCode\"> </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\">REFR</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_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-OutcomeObservation-definitions.html#Observation.reference.externalDocument\">externalDocument</a><a name=\"Observation.reference.externalDocument\"> </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 href=\"StructureDefinition-ExternalDocumentReference.html\" title=\"http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument\">ExternalDocumentReference</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\">Base for all types and resources</span></td></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" : "observation"
        }
      ],
      "url" : "http://hl7.org/cda/us/ccda/StructureDefinition/OutcomeObservation",
      "identifier" : [
        {
          "value" : "urn:oid:2.16.840.1.113883.10.20.22.4.144"
        }
      ],
      "version" : "2.1",
      "name" : "OutcomeObservation",
      "title" : "Outcome Observation",
      "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" : "This template represents the outcome of care resulting from the interventions used to treat the patient. In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal.\n\nOften thought of as an \"actual outcome\", the Outcome Observation may be related to goals, progression toward goals, and the associated interventions. For example, an observation outcome of a blood oxygen saturation level of 95% is related to the goal of \"Maintain Pulse Ox greater than 92\", which in turn is related to the health concern of respiratory insufficiency and the problem of pneumonia. The template makes use of the Entry Reference (templateId:2.16.840.1.113883.10.20.22.4.122) to reference the interventions and goals defined elsewhere in the Care Plan CDA instance.",
      "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/Observation",
      "baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
      "derivation" : "constraint",
      "snapshot" : {
        "element" : [
          {
            "id" : "Observation",
            "path" : "Observation",
            "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"
              },
              {
                "key" : "1098-32782",
                "severity" : "error",
                "human" : "SHALL contain at least one [1..*] entryRelationships (CONF:1098-32782).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/OutcomeObservation"
              }
            ],
            "isModifier" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Observation.classCode",
            "path" : "Observation.classCode",
            "representation" : [
              "xmlAttr"
            ],
            "comment" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31219).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.classCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "fixedCode" : "OBS",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActClassObservation"
            }
          },
          {
            "id" : "Observation.moodCode",
            "path" : "Observation.moodCode",
            "representation" : [
              "xmlAttr"
            ],
            "comment" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31220).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.moodCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "fixedCode" : "EVN"
          },
          {
            "id" : "Observation.negationInd",
            "path" : "Observation.negationInd",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.negationInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
                ]
              }
            ]
          },
          {
            "id" : "Observation.realmCode",
            "path" : "Observation.realmCode",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.realmCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
              }
            ]
          },
          {
            "id" : "Observation.typeId",
            "path" : "Observation.typeId",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.typeId",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Observation.templateId",
            "path" : "Observation.templateId",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "root"
                }
              ],
              "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",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "Observation.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Observation.templateId:primary",
            "path" : "Observation.templateId",
            "sliceName" : "primary",
            "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:1098-31221) such that it, SHALL not contain [0..0] extension.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Observation.templateId:primary.nullFlavor",
            "path" : "Observation.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" : "Observation.templateId:primary.assigningAuthorityName",
            "path" : "Observation.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" : "Observation.templateId:primary.displayable",
            "path" : "Observation.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" : "Observation.templateId:primary.root",
            "path" : "Observation.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=\"2.16.840.1.113883.10.20.22.4.144\" (CONF:1098-31222).",
            "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" : "2.16.840.1.113883.10.20.22.4.144"
          },
          {
            "id" : "Observation.templateId:primary.extension",
            "path" : "Observation.templateId.extension",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Extension",
            "definition" : "A character string as a unique identifier within the scope of the identifier root.",
            "min" : 0,
            "max" : "0",
            "base" : {
              "path" : "II.extension",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
                ]
              }
            ]
          },
          {
            "id" : "Observation.id",
            "path" : "Observation.id",
            "comment" : "SHALL contain at least one [1..*] id (CONF:1098-31223).",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "Observation.id",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Observation.code",
            "path" : "Observation.code",
            "representation" : [
              "typeAttr"
            ],
            "comment" : "SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32746).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.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-ObservationType"
            }
          },
          {
            "id" : "Observation.derivationExpr",
            "path" : "Observation.derivationExpr",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.derivationExpr",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ST"
              }
            ]
          },
          {
            "id" : "Observation.text",
            "path" : "Observation.text",
            "representation" : [
              "typeAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
              }
            ]
          },
          {
            "id" : "Observation.statusCode",
            "path" : "Observation.statusCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.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" : "Observation.effectiveTime",
            "path" : "Observation.effectiveTime",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.effectiveTime",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
              }
            ]
          },
          {
            "id" : "Observation.priorityCode",
            "path" : "Observation.priorityCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.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" : "Observation.repeatNumber",
            "path" : "Observation.repeatNumber",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.repeatNumber",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT"
              }
            ]
          },
          {
            "id" : "Observation.languageCode",
            "path" : "Observation.languageCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.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" : "Observation.value",
            "path" : "Observation.value",
            "representation" : [
              "typeAttr"
            ],
            "comment" : "SHOULD contain zero or one [0..1] value (CONF:1098-32747).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.value",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ANY"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/BL"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ST"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CV"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/SC"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/AD"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EN"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/INT"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/REAL"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PQ"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/MO"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"
              },
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ"
              }
            ]
          },
          {
            "id" : "Observation.interpretationCode",
            "path" : "Observation.interpretationCode",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.interpretationCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"
            }
          },
          {
            "id" : "Observation.methodCode",
            "path" : "Observation.methodCode",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.methodCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ObservationMethod"
            }
          },
          {
            "id" : "Observation.targetSiteCode",
            "path" : "Observation.targetSiteCode",
            "definition" : "Drawn from concept domain ActSite",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.targetSiteCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
              }
            ]
          },
          {
            "id" : "Observation.subject",
            "path" : "Observation.subject",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.subject",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
              }
            ]
          },
          {
            "id" : "Observation.specimen",
            "path" : "Observation.specimen",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.specimen",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Specimen"
              }
            ]
          },
          {
            "id" : "Observation.performer",
            "path" : "Observation.performer",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.performer",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Performer2"
              }
            ]
          },
          {
            "id" : "Observation.author",
            "path" : "Observation.author",
            "short" : "Base for all types and resources",
            "definition" : "Base definition for all types defined in FHIR type system.",
            "comment" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31553).",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.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" : "Observation.informant",
            "path" : "Observation.informant",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.informant",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
              }
            ]
          },
          {
            "id" : "Observation.participant",
            "path" : "Observation.participant",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.participant",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship",
            "path" : "Observation.entryRelationship",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "profile",
                  "path" : "act"
                },
                {
                  "type" : "profile",
                  "path" : "observation"
                }
              ],
              "rules" : "open"
            },
            "short" : "Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.entryRelationship",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:entryReference",
            "path" : "Observation.entryRelationship",
            "sliceName" : "entryReference",
            "short" : "The following entryRelationship represents the relationship between an Outcome Observation and a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry.",
            "comment" : "SHOULD contain zero or more [0..*] entryRelationship (CONF:1098-31224) such that it",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.entryRelationship",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
              }
            ],
            "constraint" : [
              {
                "key" : "1098-32461",
                "severity" : "error",
                "human" : "This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1098-32461).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/OutcomeObservation"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:entryReference.nullFlavor",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.realmCode",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.typeId",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.templateId",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.typeCode",
            "path" : "Observation.entryRelationship.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "comment" : "SHALL contain exactly one [1..1] @typeCode=\"GEVL\" Evaluates goal (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31225).",
            "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" : "GEVL",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"
            }
          },
          {
            "id" : "Observation.entryRelationship:entryReference.inversionInd",
            "path" : "Observation.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.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.inversionInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
                ]
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:entryReference.contextConductionInd",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.negationInd",
            "path" : "Observation.entryRelationship.negationInd",
            "representation" : [
              "xmlAttr"
            ],
            "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" : "Observation.entryRelationship:entryReference.sequenceNumber",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.seperatableInd",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.act",
            "path" : "Observation.entryRelationship.act",
            "short" : "Base for all types and resources",
            "definition" : "Base definition for all types defined in FHIR type system.",
            "comment" : "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-32465).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.act",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Act",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference"
                ]
              }
            ],
            "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" : "Observation.entryRelationship:entryReference.encounter",
            "path" : "Observation.entryRelationship.encounter",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.encounter",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:entryReference.observation",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.observationMedia",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.organizer",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.procedure",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.regionOfInterest",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.substanceAdministration",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference.supply",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation",
            "path" : "Observation.entryRelationship",
            "sliceName" : "progressTowardGoalObservation",
            "short" : "The following entryRelationship represents the relationship between an Outcome Observation and a Progress Toward Goal Observation (Outcome Observation SUPPORTS Progress Toward Goal Observation). In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal.",
            "comment" : "SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-31427) such that it",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.entryRelationship",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:progressTowardGoalObservation.nullFlavor",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.realmCode",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.typeId",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.templateId",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.typeCode",
            "path" : "Observation.entryRelationship.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "comment" : "SHALL contain exactly one [1..1] @typeCode=\"SPRT\" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31428).",
            "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" : "SPRT",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"
            }
          },
          {
            "id" : "Observation.entryRelationship:progressTowardGoalObservation.inversionInd",
            "path" : "Observation.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:1098-31429).",
            "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" : "Observation.entryRelationship:progressTowardGoalObservation.contextConductionInd",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.negationInd",
            "path" : "Observation.entryRelationship.negationInd",
            "representation" : [
              "xmlAttr"
            ],
            "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" : "Observation.entryRelationship:progressTowardGoalObservation.sequenceNumber",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.seperatableInd",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.act",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.encounter",
            "path" : "Observation.entryRelationship.encounter",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.encounter",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:progressTowardGoalObservation.observation",
            "path" : "Observation.entryRelationship.observation",
            "short" : "Base for all types and resources",
            "definition" : "Base definition for all types defined in FHIR type system.",
            "comment" : "SHALL contain exactly one [1..1] Progress Toward Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.110) (CONF:1098-31430).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.observation",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/ProgressTowardGoalObservation"
                ]
              }
            ],
            "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" : "Observation.entryRelationship:progressTowardGoalObservation.observationMedia",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.organizer",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.procedure",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.regionOfInterest",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.substanceAdministration",
            "path" : "Observation.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" : "Observation.entryRelationship:progressTowardGoalObservation.supply",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2",
            "path" : "Observation.entryRelationship",
            "sliceName" : "entryReference2",
            "comment" : "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31688) such that it",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.entryRelationship",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
              }
            ],
            "constraint" : [
              {
                "key" : "1098-32462",
                "severity" : "error",
                "human" : "This entryReference template **SHALL** reference an instance of a Intervention Act template (CONF:1098-32462).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/OutcomeObservation"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:entryReference2.nullFlavor",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.realmCode",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.typeId",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.templateId",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.typeCode",
            "path" : "Observation.entryRelationship.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "comment" : "SHALL contain exactly one [1..1] @typeCode=\"RSON\" Has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31689).",
            "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" : "RSON",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"
            }
          },
          {
            "id" : "Observation.entryRelationship:entryReference2.inversionInd",
            "path" : "Observation.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.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.inversionInd",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
                ]
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:entryReference2.contextConductionInd",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.negationInd",
            "path" : "Observation.entryRelationship.negationInd",
            "representation" : [
              "xmlAttr"
            ],
            "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" : "Observation.entryRelationship:entryReference2.sequenceNumber",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.seperatableInd",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.act",
            "path" : "Observation.entryRelationship.act",
            "short" : "Base for all types and resources",
            "definition" : "Base definition for all types defined in FHIR type system.",
            "comment" : "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-31690).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.act",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Act",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference"
                ]
              }
            ],
            "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" : "Observation.entryRelationship:entryReference2.encounter",
            "path" : "Observation.entryRelationship.encounter",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "EntryRelationship.encounter",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:entryReference2.observation",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.observationMedia",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.organizer",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.procedure",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.regionOfInterest",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.substanceAdministration",
            "path" : "Observation.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" : "Observation.entryRelationship:entryReference2.supply",
            "path" : "Observation.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" : "Observation.reference",
            "path" : "Observation.reference",
            "comment" : "MAY contain zero or more [0..*] reference (CONF:1098-32763).",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.reference",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
              }
            ]
          },
          {
            "id" : "Observation.reference.nullFlavor",
            "path" : "Observation.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" : "Observation.reference.realmCode",
            "path" : "Observation.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" : "Observation.reference.typeId",
            "path" : "Observation.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" : "Observation.reference.templateId",
            "path" : "Observation.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" : "Observation.reference.typeCode",
            "path" : "Observation.reference.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "definition" : "Element Act.typeCode",
            "comment" : "The reference, if present, SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32764).",
            "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"
                ]
              }
            ],
            "fixedCode" : "REFR",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference"
            }
          },
          {
            "id" : "Observation.reference.seperatableInd",
            "path" : "Observation.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" : "Observation.reference.externalAct",
            "path" : "Observation.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" : "Observation.reference.externalObservation",
            "path" : "Observation.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" : "Observation.reference.externalProcedure",
            "path" : "Observation.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" : "Observation.reference.externalDocument",
            "path" : "Observation.reference.externalDocument",
            "short" : "Base for all types and resources",
            "definition" : "Base definition for all types defined in FHIR type system.",
            "comment" : "The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1098-32765).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Reference.externalDocument",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/ExternalDocumentReference"
                ]
              }
            ],
            "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" : "Observation.precondition",
            "path" : "Observation.precondition",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.precondition",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Precondition"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange",
            "path" : "Observation.referenceRange",
            "definition" : "Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Observation.referenceRange",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
              }
            ],
            "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"
              }
            ]
          },
          {
            "id" : "Observation.referenceRange.nullFlavor",
            "path" : "Observation.referenceRange.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" : "Observation.referenceRange.realmCode",
            "path" : "Observation.referenceRange.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" : "Observation.referenceRange.typeId",
            "path" : "Observation.referenceRange.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" : "Observation.referenceRange.templateId",
            "path" : "Observation.referenceRange.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" : "Observation.referenceRange.typeCode",
            "path" : "Observation.referenceRange.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Observation.referenceRange.typeCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code",
                "profile" : [
                  "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
                ]
              }
            ],
            "fixedCode" : "REFV",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActRelationshipPertains"
            }
          },
          {
            "id" : "Observation.referenceRange.observationRange",
            "path" : "Observation.referenceRange.observationRange",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Observation.referenceRange.observationRange",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange"
              }
            ]
          }
        ]
      },
      "differential" : {
        "element" : [
          {
            "id" : "Observation",
            "path" : "Observation",
            "constraint" : [
              {
                "key" : "1098-32782",
                "severity" : "error",
                "human" : "SHALL contain at least one [1..*] entryRelationships (CONF:1098-32782).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/OutcomeObservation"
              }
            ]
          },
          {
            "id" : "Observation.classCode",
            "path" : "Observation.classCode",
            "comment" : "SHALL contain exactly one [1..1] @classCode=\"OBS\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31219).",
            "fixedCode" : "OBS"
          },
          {
            "id" : "Observation.moodCode",
            "path" : "Observation.moodCode",
            "comment" : "SHALL contain exactly one [1..1] @moodCode=\"EVN\" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31220).",
            "fixedCode" : "EVN"
          },
          {
            "id" : "Observation.templateId",
            "path" : "Observation.templateId",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "root"
                }
              ],
              "rules" : "open"
            },
            "min" : 1
          },
          {
            "id" : "Observation.templateId:primary",
            "path" : "Observation.templateId",
            "sliceName" : "primary",
            "comment" : "SHALL contain exactly one [1..1] templateId (CONF:1098-31221) such that it, SHALL not contain [0..0] extension.",
            "min" : 1,
            "max" : "1"
          },
          {
            "id" : "Observation.templateId:primary.root",
            "path" : "Observation.templateId.root",
            "comment" : "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.144\" (CONF:1098-31222).",
            "min" : 1,
            "patternString" : "2.16.840.1.113883.10.20.22.4.144"
          },
          {
            "id" : "Observation.templateId:primary.extension",
            "path" : "Observation.templateId.extension",
            "max" : "0"
          },
          {
            "id" : "Observation.id",
            "path" : "Observation.id",
            "comment" : "SHALL contain at least one [1..*] id (CONF:1098-31223).",
            "min" : 1
          },
          {
            "id" : "Observation.code",
            "path" : "Observation.code",
            "comment" : "SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32746)."
          },
          {
            "id" : "Observation.value",
            "path" : "Observation.value",
            "comment" : "SHOULD contain zero or one [0..1] value (CONF:1098-32747).",
            "max" : "1"
          },
          {
            "id" : "Observation.author",
            "path" : "Observation.author",
            "comment" : "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31553).",
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Author",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation"
                ]
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship",
            "path" : "Observation.entryRelationship",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "profile",
                  "path" : "act"
                },
                {
                  "type" : "profile",
                  "path" : "observation"
                }
              ],
              "rules" : "open"
            },
            "short" : "Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry."
          },
          {
            "id" : "Observation.entryRelationship:entryReference",
            "path" : "Observation.entryRelationship",
            "sliceName" : "entryReference",
            "short" : "The following entryRelationship represents the relationship between an Outcome Observation and a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry.",
            "comment" : "SHOULD contain zero or more [0..*] entryRelationship (CONF:1098-31224) such that it",
            "min" : 0,
            "max" : "*",
            "constraint" : [
              {
                "key" : "1098-32461",
                "severity" : "error",
                "human" : "This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1098-32461).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/OutcomeObservation"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:entryReference.typeCode",
            "path" : "Observation.entryRelationship.typeCode",
            "comment" : "SHALL contain exactly one [1..1] @typeCode=\"GEVL\" Evaluates goal (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31225).",
            "fixedCode" : "GEVL"
          },
          {
            "id" : "Observation.entryRelationship:entryReference.act",
            "path" : "Observation.entryRelationship.act",
            "comment" : "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-32465).",
            "min" : 1,
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Act",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference"
                ]
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:progressTowardGoalObservation",
            "path" : "Observation.entryRelationship",
            "sliceName" : "progressTowardGoalObservation",
            "short" : "The following entryRelationship represents the relationship between an Outcome Observation and a Progress Toward Goal Observation (Outcome Observation SUPPORTS Progress Toward Goal Observation). In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal.",
            "comment" : "SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-31427) such that it",
            "min" : 0,
            "max" : "1"
          },
          {
            "id" : "Observation.entryRelationship:progressTowardGoalObservation.typeCode",
            "path" : "Observation.entryRelationship.typeCode",
            "comment" : "SHALL contain exactly one [1..1] @typeCode=\"SPRT\" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31428).",
            "fixedCode" : "SPRT"
          },
          {
            "id" : "Observation.entryRelationship:progressTowardGoalObservation.inversionInd",
            "path" : "Observation.entryRelationship.inversionInd",
            "comment" : "SHALL contain exactly one [1..1] @inversionInd=\"true\" (CONF:1098-31429).",
            "min" : 1,
            "fixedBoolean" : true
          },
          {
            "id" : "Observation.entryRelationship:progressTowardGoalObservation.observation",
            "path" : "Observation.entryRelationship.observation",
            "comment" : "SHALL contain exactly one [1..1] Progress Toward Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.110) (CONF:1098-31430).",
            "min" : 1,
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/ProgressTowardGoalObservation"
                ]
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:entryReference2",
            "path" : "Observation.entryRelationship",
            "sliceName" : "entryReference2",
            "comment" : "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31688) such that it",
            "min" : 0,
            "max" : "*",
            "constraint" : [
              {
                "key" : "1098-32462",
                "severity" : "error",
                "human" : "This entryReference template **SHALL** reference an instance of a Intervention Act template (CONF:1098-32462).",
                "source" : "http://hl7.org/cda/us/ccda/StructureDefinition/OutcomeObservation"
              }
            ]
          },
          {
            "id" : "Observation.entryRelationship:entryReference2.typeCode",
            "path" : "Observation.entryRelationship.typeCode",
            "comment" : "SHALL contain exactly one [1..1] @typeCode=\"RSON\" Has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31689).",
            "fixedCode" : "RSON"
          },
          {
            "id" : "Observation.entryRelationship:entryReference2.act",
            "path" : "Observation.entryRelationship.act",
            "comment" : "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-31690).",
            "min" : 1,
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Act",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference"
                ]
              }
            ]
          },
          {
            "id" : "Observation.reference",
            "path" : "Observation.reference",
            "comment" : "MAY contain zero or more [0..*] reference (CONF:1098-32763)."
          },
          {
            "id" : "Observation.reference.typeCode",
            "path" : "Observation.reference.typeCode",
            "comment" : "The reference, if present, SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32764).",
            "fixedCode" : "REFR"
          },
          {
            "id" : "Observation.reference.externalDocument",
            "path" : "Observation.reference.externalDocument",
            "comment" : "The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1098-32765).",
            "min" : 1,
            "type" : [
              {
                "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument",
                "profile" : [
                  "http://hl7.org/cda/us/ccda/StructureDefinition/ExternalDocumentReference"
                ]
              }
            ]
          }
        ]
      }
    }