<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="2.16.840.1.113883.10.20.22.4.30"/>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act">Act</a><a name="Act"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><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-Act.html">CDAR2.Act</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.classCode">classCode</a><a name="Act.classCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">ACT</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.moodCode">moodCode</a><a name="Act.moodCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">EVN</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.templateId">Slices for templateId</a><a name="Act.templateId"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:extension, value:root</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.templateId:primary" title="Slice primary">templateId:primary</a><a name="Act.templateId"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.templateId:primary.root">root</a><a name="Act.templateId.root"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2.16.840.1.113883.10.20.22.4.30</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.templateId:primary.extension">extension</a><a name="Act.templateId.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2015-08-01</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.id">id</a><a name="Act.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..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.code">code</a><a name="Act.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.code.code">code</a><a name="Act.code.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">CONC</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.code.codeSystem">codeSystem</a><a name="Act.code.codeSystem"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2.16.840.1.113883.5.6</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.statusCode">statusCode</a><a name="Act.statusCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CS.html">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"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.statusCode.code">code</a><a name="Act.statusCode.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19">https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.effectiveTime">effectiveTime</a><a name="Act.effectiveTime"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (1198-10085, 1198-7504)">I</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..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-IVL-TS.html">IVL_TS</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">1198-10085: </span>If statusCode/@code=&quot;completed&quot; Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085).<br/><span style="font-weight:bold">1198-7504: </span>If statusCode/@code=&quot;active&quot; Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504).</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.author">author</a><a name="Act.author"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.119.html" title="http://hl7.org/fhir/cda/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"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.entryRelationship">Slices for entryRelationship</a><a name="Act.entryRelationship"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><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"><span style="opacity: 0.5; font-style: italic">Element</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by profile:observation</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.entryRelationship:allergyObs" title="Slice allergyObs">entryRelationship:allergyObs</a><a name="Act.entryRelationship"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</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">Element</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.entryRelationship:allergyObs.typeCode">typeCode</a><a name="Act.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">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">SUBJ</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.30-definitions.html#Act.entryRelationship:allergyObs.observation">observation</a><a name="Act.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..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.7.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">AllergyIntoleranceObservation</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.30"/>
  <identifier>
    <value value="urn:hl7ii:2.16.840.1.113883.10.20.22.4.30:2015-08-01"/>
  </identifier>
  <version value="2.2"/>
  <name value="AllergyConcernAct"/>
  <title value="Allergy Concern Act"/>
  <status value="active"/>
  <date value="2022-05-13T15:50:12+00:00"/>
  <publisher value="Health Level Seven"/>
  <contact>
    <name value="HL7 International - Structured Documents"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structure"/>
    </telecom>
  </contact>
  <description value="This template reflects an ongoing concern on behalf of the provider that placed the allergy on a patients allergy list. As long as the underlying condition is of concern to the provider (i.e., as long as the allergy, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is active. Only when the underlying allergy is no longer of concern is the statusCode set to completed. The effectiveTime reflects the time that the underlying allergy was felt to be a concern.&#xA;&#xA;The statusCode of the Allergy Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Allergy - Intolerance Observation is the definitive indication of whether or not the underlying allergy is resolved. &#xA;&#xA;The effectiveTime/low of the Allergy Concern Act asserts when the concern became active. This equates to the time the concern was authored in the patient's chart. The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition)."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Act"/>
  <baseDefinition value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Act">
      <path value="Act"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="Act.classCode">
      <path value="Act.classCode"/>
      <representation value="xmlAttr"/>
      <requirements value="SHALL contain exactly one [1..1] @classCode=&quot;ACT&quot; (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7469)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <patternCode value="ACT"/>
    </element>
    <element id="Act.moodCode">
      <path value="Act.moodCode"/>
      <representation value="xmlAttr"/>
      <requirements value="SHALL contain exactly one [1..1] @moodCode=&quot;EVN&quot; Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7470)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <patternCode value="EVN"/>
    </element>
    <element id="Act.realmCode">
      <path value="Act.realmCode"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="Act.typeId">
      <path value="Act.typeId"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Act.templateId">
      <path value="Act.templateId"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="extension"/>
        </discriminator>
        <discriminator>
          <type value="value"/>
          <path value="root"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <definition value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Act.templateId:primary">
      <path value="Act.templateId"/>
      <sliceName value="primary"/>
      <definition value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <requirements value="SHALL contain exactly one [1..1] templateId (CONF:1198-7471) such that it"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Act.templateId:primary.nullFlavor">
      <path value="Act.templateId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="Act.templateId:primary.assigningAuthorityName">
      <path value="Act.templateId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.templateId:primary.displayable">
      <path value="Act.templateId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Act.templateId:primary.root">
      <path value="Act.templateId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <requirements value="SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.10.20.22.4.30&quot; (CONF:1198-10489)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.10.20.22.4.30"/>
    </element>
    <element id="Act.templateId:primary.extension">
      <path value="Act.templateId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition value="A character string as a unique identifier within the scope of the identifier root."/>
      <requirements value="SHALL contain exactly one [1..1] @extension=&quot;2015-08-01&quot; (CONF:1198-32543)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2015-08-01"/>
    </element>
    <element id="Act.id">
      <path value="Act.id"/>
      <requirements value="SHALL contain at least one [1..*] id (CONF:1198-7472)."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Act.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Act.code">
      <path value="Act.code"/>
      <requirements value="SHALL contain exactly one [1..1] code (CONF:1198-7477)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/>
      </binding>
    </element>
    <element id="Act.code.nullFlavor">
      <path value="Act.code.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="Act.code.code">
      <path value="Act.code.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <requirements value="This code SHALL contain exactly one [1..1] @code=&quot;CONC&quot; Concern (CONF:1198-19158)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="CONC"/>
    </element>
    <element id="Act.code.codeSystem">
      <path value="Act.code.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <requirements value="This code SHALL contain exactly one [1..1] @codeSystem=&quot;2.16.840.1.113883.5.6&quot; (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32154)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.5.6"/>
    </element>
    <element id="Act.code.codeSystemName">
      <path value="Act.code.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.code.codeSystemVersion">
      <path value="Act.code.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.code.displayName">
      <path value="Act.code.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.code.sdtcValueSet">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path value="Act.code.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.code.sdtcValueSetVersion">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path value="Act.code.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition value="The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.code.originalText">
      <path value="Act.code.originalText"/>
      <label value="Original Text"/>
      <definition value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Act.code.qualifier">
      <path value="Act.code.qualifier"/>
      <label value="Qualifier"/>
      <definition value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="Act.code.translation">
      <path value="Act.code.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="Act.negationInd">
      <path value="Act.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Act.text">
      <path value="Act.text"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Act.statusCode">
      <path value="Act.statusCode"/>
      <requirements value="SHALL contain exactly one [1..1] statusCode (CONF:1198-7485)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.statusCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element id="Act.statusCode.nullFlavor">
      <path value="Act.statusCode.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="Act.statusCode.code">
      <path value="Act.statusCode.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <requirements value="This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-19086)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19"/>
      </binding>
    </element>
    <element id="Act.statusCode.codeSystem">
      <path value="Act.statusCode.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.statusCode.codeSystemName">
      <path value="Act.statusCode.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.statusCode.codeSystemVersion">
      <path value="Act.statusCode.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.statusCode.displayName">
      <path value="Act.statusCode.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.statusCode.sdtcValueSet">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path value="Act.statusCode.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.statusCode.sdtcValueSetVersion">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path value="Act.statusCode.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition value="The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Act.statusCode.originalText">
      <path value="Act.statusCode.originalText"/>
      <label value="Original Text"/>
      <definition value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Act.statusCode.qualifier">
      <path value="Act.statusCode.qualifier"/>
      <label value="Qualifier"/>
      <definition value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="Act.statusCode.translation">
      <path value="Act.statusCode.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="Act.effectiveTime">
      <path value="Act.effectiveTime"/>
      <requirements value="SHALL contain exactly one [1..1] effectiveTime (CONF:1198-7498)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.effectiveTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <constraint>
        <key value="1198-10085"/>
        <severity value="error"/>
        <human value="If statusCode/@code=&quot;completed&quot; Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085)."/>
      </constraint>
      <constraint>
        <key value="1198-7504"/>
        <severity value="error"/>
        <human value="If statusCode/@code=&quot;active&quot; Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504)."/>
      </constraint>
    </element>
    <element id="Act.priorityCode">
      <path value="Act.priorityCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.priorityCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
      </binding>
    </element>
    <element id="Act.languageCode">
      <path value="Act.languageCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.languageCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-HumanLanguage"/>
      </binding>
    </element>
    <element id="Act.subject">
      <path value="Act.subject"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="Act.subject.typeCode">
      <path value="Act.subject.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.subject.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="SBJ"/>
      <fixedCode value="SBJ"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"/>
      </binding>
    </element>
    <element id="Act.subject.contextControlCode">
      <path value="Act.subject.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.subject.contextControlCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="Act.subject.awarenessCode">
      <path value="Act.subject.awarenessCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.subject.awarenessCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"/>
      </binding>
    </element>
    <element id="Act.subject.relatedSubject">
      <path value="Act.subject.relatedSubject"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.subject.relatedSubject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"/>
      </type>
    </element>
    <element id="Act.specimen">
      <path value="Act.specimen"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.specimen"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Specimen"/>
      </type>
    </element>
    <element id="Act.performer">
      <path value="Act.performer"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Performer2"/>
      </type>
    </element>
    <element id="Act.author">
      <path value="Act.author"/>
      <requirements value="SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31145)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
        <profile value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="Act.informant">
      <path value="Act.informant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="Act.informant.typeCode">
      <path value="Act.informant.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.informant.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INF"/>
      <fixedCode value="INF"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"/>
      </binding>
    </element>
    <element id="Act.informant.contextControlCode">
      <path value="Act.informant.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.informant.contextControlCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="Act.informant.assignedEntity">
      <path value="Act.informant.assignedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.informant.assignedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element id="Act.informant.relatedEntity">
      <path value="Act.informant.relatedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.informant.relatedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
      </type>
    </element>
    <element id="Act.participant">
      <path value="Act.participant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Participant2"/>
      </type>
    </element>
    <element id="Act.entryRelationship">
      <path value="Act.entryRelationship"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="observation"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.entryRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
      <constraint>
        <key value="act-er-1"/>
        <severity value="error"/>
        <human value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
        <expression value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
        <source value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
      </constraint>
    </element>
    <element id="Act.entryRelationship.typeCode">
      <path value="Act.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="Act.entryRelationship.inversionInd">
      <path value="Act.entryRelationship.inversionInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.inversionInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Act.entryRelationship.contextConductionInd">
      <path value="Act.entryRelationship.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="Act.entryRelationship.sequenceNumber">
      <path value="Act.entryRelationship.sequenceNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.sequenceNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="Act.entryRelationship.negationInd">
      <path value="Act.entryRelationship.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Act.entryRelationship.seperatableInd">
      <path value="Act.entryRelationship.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="Act.entryRelationship.observation">
      <path value="Act.entryRelationship.observation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.observation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
      </type>
    </element>
    <element id="Act.entryRelationship.regionOfInterest">
      <path value="Act.entryRelationship.regionOfInterest"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.regionOfInterest"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
      </type>
    </element>
    <element id="Act.entryRelationship.observationMedia">
      <path value="Act.entryRelationship.observationMedia"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.observationMedia"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
      </type>
    </element>
    <element id="Act.entryRelationship.substanceAdministration">
      <path value="Act.entryRelationship.substanceAdministration"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.substanceAdministration"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
      </type>
    </element>
    <element id="Act.entryRelationship.supply">
      <path value="Act.entryRelationship.supply"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.supply"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
      </type>
    </element>
    <element id="Act.entryRelationship.procedure">
      <path value="Act.entryRelationship.procedure"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.procedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
      </type>
    </element>
    <element id="Act.entryRelationship.encounter">
      <path value="Act.entryRelationship.encounter"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element id="Act.entryRelationship.organizer">
      <path value="Act.entryRelationship.organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.organizer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
      </type>
    </element>
    <element id="Act.entryRelationship.act">
      <path value="Act.entryRelationship.act"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.act"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs">
      <path value="Act.entryRelationship"/>
      <sliceName value="allergyObs"/>
      <requirements value="SHALL contain at least one [1..*] entryRelationship (CONF:1198-7509) such that it"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Act.entryRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
      <constraint>
        <key value="act-er-1"/>
        <severity value="error"/>
        <human value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
        <expression value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
        <source value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
      </constraint>
    </element>
    <element id="Act.entryRelationship:allergyObs.typeCode">
      <path value="Act.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <requirements value="SHALL contain exactly one [1..1] @typeCode=&quot;SUBJ&quot; Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-7915)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <patternCode value="SUBJ"/>
    </element>
    <element id="Act.entryRelationship:allergyObs.inversionInd">
      <path value="Act.entryRelationship.inversionInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.inversionInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs.contextConductionInd">
      <path value="Act.entryRelationship.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="Act.entryRelationship:allergyObs.sequenceNumber">
      <path value="Act.entryRelationship.sequenceNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.sequenceNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs.negationInd">
      <path value="Act.entryRelationship.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs.seperatableInd">
      <path value="Act.entryRelationship.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs.observation">
      <path value="Act.entryRelationship.observation"/>
      <requirements value="SHALL contain exactly one [1..1] Allergy - Intolerance Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.7:2014-06-09) (CONF:1198-14925)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.entryRelationship.observation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
        <profile value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.7"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="Act.entryRelationship:allergyObs.regionOfInterest">
      <path value="Act.entryRelationship.regionOfInterest"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Act.entryRelationship.regionOfInterest"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs.observationMedia">
      <path value="Act.entryRelationship.observationMedia"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Act.entryRelationship.observationMedia"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs.substanceAdministration">
      <path value="Act.entryRelationship.substanceAdministration"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Act.entryRelationship.substanceAdministration"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs.supply">
      <path value="Act.entryRelationship.supply"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Act.entryRelationship.supply"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs.procedure">
      <path value="Act.entryRelationship.procedure"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Act.entryRelationship.procedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs.encounter">
      <path value="Act.entryRelationship.encounter"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Act.entryRelationship.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs.organizer">
      <path value="Act.entryRelationship.organizer"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Act.entryRelationship.organizer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
      </type>
    </element>
    <element id="Act.entryRelationship:allergyObs.act">
      <path value="Act.entryRelationship.act"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Act.entryRelationship.act"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
      </type>
    </element>
    <element id="Act.reference">
      <path value="Act.reference"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.reference"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="Act.reference.typeCode">
      <path value="Act.reference.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Act.reference.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="Act.reference.seperatableInd">
      <path value="Act.reference.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.reference.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="Act.reference.externalAct">
      <path value="Act.reference.externalAct"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.reference.externalAct"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"/>
      </type>
    </element>
    <element id="Act.reference.externalObservation">
      <path value="Act.reference.externalObservation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.reference.externalObservation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"/>
      </type>
    </element>
    <element id="Act.reference.externalProcedure">
      <path value="Act.reference.externalProcedure"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.reference.externalProcedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"/>
      </type>
    </element>
    <element id="Act.reference.externalDocument">
      <path value="Act.reference.externalDocument"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Act.reference.externalDocument"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"/>
      </type>
    </element>
    <element id="Act.precondition">
      <path value="Act.precondition"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Act.precondition"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Precondition"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="Act">
      <path value="Act"/>
    </element>
    <element id="Act.classCode">
      <path value="Act.classCode"/>
      <requirements value="SHALL contain exactly one [1..1] @classCode=&quot;ACT&quot; (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7469)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="ACT"/>
    </element>
    <element id="Act.moodCode">
      <path value="Act.moodCode"/>
      <requirements value="SHALL contain exactly one [1..1] @moodCode=&quot;EVN&quot; Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7470)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="EVN"/>
    </element>
    <element id="Act.templateId">
      <path value="Act.templateId"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="extension"/>
        </discriminator>
        <discriminator>
          <type value="value"/>
          <path value="root"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
    </element>
    <element id="Act.templateId:primary">
      <path value="Act.templateId"/>
      <sliceName value="primary"/>
      <requirements value="SHALL contain exactly one [1..1] templateId (CONF:1198-7471) such that it"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="Act.templateId:primary.root">
      <path value="Act.templateId.root"/>
      <requirements value="SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.10.20.22.4.30&quot; (CONF:1198-10489)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="2.16.840.1.113883.10.20.22.4.30"/>
    </element>
    <element id="Act.templateId:primary.extension">
      <path value="Act.templateId.extension"/>
      <requirements value="SHALL contain exactly one [1..1] @extension=&quot;2015-08-01&quot; (CONF:1198-32543)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="2015-08-01"/>
    </element>
    <element id="Act.id">
      <path value="Act.id"/>
      <requirements value="SHALL contain at least one [1..*] id (CONF:1198-7472)."/>
      <min value="1"/>
      <max value="*"/>
    </element>
    <element id="Act.code">
      <path value="Act.code"/>
      <requirements value="SHALL contain exactly one [1..1] code (CONF:1198-7477)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="Act.code.code">
      <path value="Act.code.code"/>
      <requirements value="This code SHALL contain exactly one [1..1] @code=&quot;CONC&quot; Concern (CONF:1198-19158)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="CONC"/>
    </element>
    <element id="Act.code.codeSystem">
      <path value="Act.code.codeSystem"/>
      <requirements value="This code SHALL contain exactly one [1..1] @codeSystem=&quot;2.16.840.1.113883.5.6&quot; (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32154)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="2.16.840.1.113883.5.6"/>
    </element>
    <element id="Act.statusCode">
      <path value="Act.statusCode"/>
      <requirements value="SHALL contain exactly one [1..1] statusCode (CONF:1198-7485)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="Act.statusCode.code">
      <path value="Act.statusCode.code"/>
      <requirements value="This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-19086)."/>
      <min value="1"/>
      <max value="1"/>
      <binding>
        <strength value="required"/>
        <valueSet value="https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19"/>
      </binding>
    </element>
    <element id="Act.effectiveTime">
      <path value="Act.effectiveTime"/>
      <requirements value="SHALL contain exactly one [1..1] effectiveTime (CONF:1198-7498)."/>
      <min value="1"/>
      <max value="1"/>
      <constraint>
        <key value="1198-10085"/>
        <severity value="error"/>
        <human value="If statusCode/@code=&quot;completed&quot; Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085)."/>
      </constraint>
      <constraint>
        <key value="1198-7504"/>
        <severity value="error"/>
        <human value="If statusCode/@code=&quot;active&quot; Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504)."/>
      </constraint>
    </element>
    <element id="Act.author">
      <path value="Act.author"/>
      <requirements value="SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31145)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
        <profile value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"/>
      </type>
    </element>
    <element id="Act.entryRelationship">
      <path value="Act.entryRelationship"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="observation"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
    </element>
    <element id="Act.entryRelationship:allergyObs">
      <path value="Act.entryRelationship"/>
      <sliceName value="allergyObs"/>
      <requirements value="SHALL contain at least one [1..*] entryRelationship (CONF:1198-7509) such that it"/>
      <min value="1"/>
      <max value="*"/>
    </element>
    <element id="Act.entryRelationship:allergyObs.typeCode">
      <path value="Act.entryRelationship.typeCode"/>
      <requirements value="SHALL contain exactly one [1..1] @typeCode=&quot;SUBJ&quot; Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-7915)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="SUBJ"/>
    </element>
    <element id="Act.entryRelationship:allergyObs.observation">
      <path value="Act.entryRelationship.observation"/>
      <requirements value="SHALL contain exactly one [1..1] Allergy - Intolerance Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.7:2014-06-09) (CONF:1198-14925)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
        <profile value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.7"/>
      </type>
    </element>
  </differential>
</StructureDefinition>