Consolidated CDA Release 2.2
2.2 - CI Build

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

## Resource Profile: PhysicianReadingStudyPerformer - JSON Profile

Active as of 2022-05-13

JSON representation of the 2.16.840.1.113883.10.20.6.2.1 resource profile.

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    {
      "resourceType" : "StructureDefinition",
      "id" : "2.16.840.1.113883.10.20.6.2.1",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"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-2.16.840.1.113883.10.20.6.2.1-definitions.html#Performer1\">Performer1</a><a name=\"Performer1\"> </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-Performer1.html\">CDAR2.Performer1</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.6.2.1-definitions.html#Performer1.typeCode\">typeCode</a><a name=\"Performer1.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\">PRF</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-2.16.840.1.113883.10.20.6.2.1-definitions.html#Performer1.templateId\">templateId</a><a name=\"Performer1.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-2.16.840.1.113883.10.20.6.2.1-definitions.html#Performer1.templateId.root\">root</a><a name=\"Performer1.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\">2.16.840.1.113883.10.20.6.2.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.6.2.1-definitions.html#Performer1.templateId.extension\">extension</a><a name=\"Performer1.templateId.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2014-06-09</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.6.2.1-definitions.html#Performer1.time\">time</a><a name=\"Performer1.time\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-2.16.840.1.113883.10.20.22.5.3.html\" title=\"http://hl7.org/fhir/cda/StructureDefinition/IVL-TS\">USRealmDateandTimeDTUSFIELDED</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.6.2.1-definitions.html#Performer1.assignedEntity\">assignedEntity</a><a name=\"Performer1.assignedEntity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants (1098-8429, 1098-32135)\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-AssignedEntity.html\">AssignedEntity</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">1098-8429: </span>Every assignedEntity element **SHALL** contain at least one [1..*] assignedPerson or representedOrganization (CONF:1098-8429).<br/><span style=\"font-weight:bold\">1098-32135: </span>The id **SHOULD** include zero or one [0..1] *id* where id/@root=&quot;2.16.840.1.113883.4.6&quot; National Provider Identifier (CONF:1098-32135).</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.6.2.1-definitions.html#Performer1.assignedEntity.id\">id</a><a name=\"Performer1.assignedEntity.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>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-2.16.840.1.113883.10.20.6.2.1-definitions.html#Performer1.assignedEntity.code\">code</a><a name=\"Performer1.assignedEntity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants (1098-8428)\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">1098-8428: </span>**SHALL** contain a valid DICOM personal identification code sequence (@codeSystem is 1.2.840.10008.2.16.4) or an appropriate national health care provider coding system (e.g., NUCC in the U.S., where @codeSystem is 2.16.840.1.113883.6.101) (CONF:1098-8428).</td></tr>\r\n<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>"
      },
      "url" : "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.1",
      "identifier" : [
        {
          "value" : "urn:hl7ii:2.16.840.1.113883.10.20.6.2.1:2014-06-09"
        }
      ],
      "version" : "2.2",
      "name" : "PhysicianReadingStudyPerformer",
      "title" : "Physician Reading Study Performer",
      "status" : "active",
      "date" : "2022-05-13T15:50:12+00:00",
      "publisher" : "Health Level Seven",
      "contact" : [
        {
          "name" : "HL7 International - Structured Documents",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/structure"
            }
          ]
        }
      ],
      "description" : "This participant is the Physician Reading Study Performer defined in documentationOf/serviceEvent. It is usually different from the attending physician. The reading physician interprets the images and evidence of the study (DICOM Definition).",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US"
            }
          ]
        }
      ],
      "fhirVersion" : "4.0.1",
      "kind" : "resource",
      "abstract" : false,
      "type" : "Performer1",
      "baseDefinition" : "http://hl7.org/fhir/cda/StructureDefinition/Performer1",
      "derivation" : "constraint",
      "snapshot" : {
        "element" : [
          {
            "id" : "Performer1",
            "path" : "Performer1",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Base",
              "min" : 0,
              "max" : "*"
            },
            "isModifier" : false
          },
          {
            "id" : "Performer1.nullFlavor",
            "path" : "Performer1.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Performer1.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Performer1.typeCode",
            "path" : "Performer1.typeCode",
            "representation" : [
              "xmlAttr"
            ],
            "requirements" : "SHALL contain exactly one [1..1] @typeCode=\"PRF\" Performer (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8424).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Performer1.typeCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "fixedCode" : "DOC",
            "patternCode" : "PRF",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationType"
            }
          },
          {
            "id" : "Performer1.realmCode",
            "path" : "Performer1.realmCode",
            "definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Performer1.realmCode",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CS"
              }
            ]
          },
          {
            "id" : "Performer1.typeId",
            "path" : "Performer1.typeId",
            "definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Performer1.typeId",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Performer1.templateId",
            "path" : "Performer1.templateId",
            "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
            "requirements" : "SHALL contain exactly one [1..1] templateId (CONF:1098-30773).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Performer1.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Performer1.templateId.nullFlavor",
            "path" : "Performer1.templateId.nullFlavor",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Exceptional Value Detail",
            "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "ANY.nullFlavor",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
            }
          },
          {
            "id" : "Performer1.templateId.assigningAuthorityName",
            "path" : "Performer1.templateId.assigningAuthorityName",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Assigning Authority Name",
            "definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "II.assigningAuthorityName",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ]
          },
          {
            "id" : "Performer1.templateId.displayable",
            "path" : "Performer1.templateId.displayable",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Displayable",
            "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "II.displayable",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ]
          },
          {
            "id" : "Performer1.templateId.root",
            "path" : "Performer1.templateId.root",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Root",
            "definition" : "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
            "requirements" : "This templateId SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.6.2.1\" (CONF:1098-30774).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "II.root",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "patternString" : "2.16.840.1.113883.10.20.6.2.1"
          },
          {
            "id" : "Performer1.templateId.extension",
            "path" : "Performer1.templateId.extension",
            "representation" : [
              "xmlAttr"
            ],
            "label" : "Extension",
            "definition" : "A character string as a unique identifier within the scope of the identifier root.",
            "requirements" : "This templateId SHALL contain exactly one [1..1] @extension=\"2014-06-09\" (CONF:1098-32564).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "II.extension",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "patternString" : "2014-06-09"
          },
          {
            "id" : "Performer1.functionCode",
            "path" : "Performer1.functionCode",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Performer1.functionCode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
              }
            ]
          },
          {
            "id" : "Performer1.time",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat",
                "valueCode" : "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"
              }
            ],
            "path" : "Performer1.time",
            "definition" : "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.",
            "requirements" : "MAY contain zero or one [0..1] US Realm Date and Time (DT.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:1098-8425).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Performer1.time",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS",
                "profile" : [
                  "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.3"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "81-10078",
                "severity" : "error",
                "human" : "**SHALL** be precise to the day (CONF:81-10078).",
                "source" : "http://hl7.org/fhir/cda/StructureDefinition/Performer1"
              },
              {
                "key" : "81-10079",
                "severity" : "warning",
                "human" : "**SHOULD** be precise to the minute (CONF:81-10079).",
                "source" : "http://hl7.org/fhir/cda/StructureDefinition/Performer1"
              },
              {
                "key" : "81-10080",
                "severity" : "warning",
                "human" : "**MAY** be precise to the second (CONF:81-10080).",
                "source" : "http://hl7.org/fhir/cda/StructureDefinition/Performer1"
              },
              {
                "key" : "81-10081",
                "severity" : "warning",
                "human" : "If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081).",
                "source" : "http://hl7.org/fhir/cda/StructureDefinition/Performer1"
              }
            ],
            "isModifier" : false
          },
          {
            "id" : "Performer1.assignedEntity",
            "path" : "Performer1.assignedEntity",
            "requirements" : "SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8426).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Performer1.assignedEntity",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
              }
            ],
            "constraint" : [
              {
                "key" : "1098-8429",
                "severity" : "error",
                "human" : "Every assignedEntity element **SHALL** contain at least one [1..*] assignedPerson or representedOrganization (CONF:1098-8429)."
              },
              {
                "key" : "1098-32135",
                "severity" : "warning",
                "human" : "The id **SHOULD** include zero or one [0..1] *id* where id/@root=\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1098-32135)."
              }
            ]
          },
          {
            "id" : "Performer1.assignedEntity.classCode",
            "path" : "Performer1.assignedEntity.classCode",
            "representation" : [
              "xmlAttr"
            ],
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "AssignedEntity.classCode",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "defaultValueCode" : "ASSIGNED",
            "fixedCode" : "ASSIGNED",
            "binding" : {
              "strength" : "required",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity"
            }
          },
          {
            "id" : "Performer1.assignedEntity.templateId",
            "path" : "Performer1.assignedEntity.templateId",
            "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "AssignedEntity.templateId",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Performer1.assignedEntity.id",
            "path" : "Performer1.assignedEntity.id",
            "requirements" : "This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-10033).",
            "min" : 1,
            "max" : "*",
            "base" : {
              "path" : "AssignedEntity.id",
              "min" : 1,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
              }
            ]
          },
          {
            "id" : "Performer1.assignedEntity.sdtcIdentifiedBy",
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
                "valueUri" : "urn:hl7-org:sdtc"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
                "valueString" : "identifiedBy"
              }
            ],
            "path" : "Performer1.assignedEntity.sdtcIdentifiedBy",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "AssignedEntity.sdtcIdentifiedBy",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy"
              }
            ]
          },
          {
            "id" : "Performer1.assignedEntity.code",
            "path" : "Performer1.assignedEntity.code",
            "requirements" : "This assignedEntity SHALL contain exactly one [1..1] code (CONF:1098-8427).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "AssignedEntity.code",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
              }
            ],
            "constraint" : [
              {
                "key" : "1098-8428",
                "severity" : "error",
                "human" : "**SHALL** contain a valid DICOM personal identification code sequence (@codeSystem is 1.2.840.10008.2.16.4) or an appropriate national health care provider coding system (e.g., NUCC in the U.S., where @codeSystem is 2.16.840.1.113883.6.101) (CONF:1098-8428)."
              }
            ],
            "binding" : {
              "strength" : "extensible",
              "valueSet" : "http://terminology.hl7.org/ValueSet/v3-RoleCode"
            }
          },
          {
            "id" : "Performer1.assignedEntity.addr",
            "path" : "Performer1.assignedEntity.addr",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "AssignedEntity.addr",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/AD"
              }
            ]
          },
          {
            "id" : "Performer1.assignedEntity.telecom",
            "path" : "Performer1.assignedEntity.telecom",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "AssignedEntity.telecom",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/TEL"
              }
            ]
          },
          {
            "id" : "Performer1.assignedEntity.assignedPerson",
            "path" : "Performer1.assignedEntity.assignedPerson",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "AssignedEntity.assignedPerson",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Person"
              }
            ]
          },
          {
            "id" : "Performer1.assignedEntity.representedOrganization",
            "path" : "Performer1.assignedEntity.representedOrganization",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "AssignedEntity.representedOrganization",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/Organization"
              }
            ]
          }
        ]
      },
      "differential" : {
        "element" : [
          {
            "id" : "Performer1",
            "path" : "Performer1"
          },
          {
            "id" : "Performer1.typeCode",
            "path" : "Performer1.typeCode",
            "requirements" : "SHALL contain exactly one [1..1] @typeCode=\"PRF\" Performer (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8424).",
            "min" : 1,
            "max" : "1",
            "patternCode" : "PRF"
          },
          {
            "id" : "Performer1.templateId",
            "path" : "Performer1.templateId",
            "requirements" : "SHALL contain exactly one [1..1] templateId (CONF:1098-30773).",
            "min" : 1,
            "max" : "1"
          },
          {
            "id" : "Performer1.templateId.root",
            "path" : "Performer1.templateId.root",
            "requirements" : "This templateId SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.6.2.1\" (CONF:1098-30774).",
            "min" : 1,
            "max" : "1",
            "patternString" : "2.16.840.1.113883.10.20.6.2.1"
          },
          {
            "id" : "Performer1.templateId.extension",
            "path" : "Performer1.templateId.extension",
            "requirements" : "This templateId SHALL contain exactly one [1..1] @extension=\"2014-06-09\" (CONF:1098-32564).",
            "min" : 1,
            "max" : "1",
            "patternString" : "2014-06-09"
          },
          {
            "id" : "Performer1.time",
            "path" : "Performer1.time",
            "requirements" : "MAY contain zero or one [0..1] US Realm Date and Time (DT.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:1098-8425).",
            "min" : 0,
            "max" : "1",
            "type" : [
              {
                "code" : "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS",
                "profile" : [
                  "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.3"
                ]
              }
            ]
          },
          {
            "id" : "Performer1.assignedEntity",
            "path" : "Performer1.assignedEntity",
            "requirements" : "SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8426).",
            "min" : 1,
            "max" : "1",
            "constraint" : [
              {
                "key" : "1098-8429",
                "severity" : "error",
                "human" : "Every assignedEntity element **SHALL** contain at least one [1..*] assignedPerson or representedOrganization (CONF:1098-8429)."
              },
              {
                "key" : "1098-32135",
                "severity" : "warning",
                "human" : "The id **SHOULD** include zero or one [0..1] *id* where id/@root=\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1098-32135)."
              }
            ]
          },
          {
            "id" : "Performer1.assignedEntity.id",
            "path" : "Performer1.assignedEntity.id",
            "requirements" : "This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-10033).",
            "min" : 1,
            "max" : "*"
          },
          {
            "id" : "Performer1.assignedEntity.code",
            "path" : "Performer1.assignedEntity.code",
            "requirements" : "This assignedEntity SHALL contain exactly one [1..1] code (CONF:1098-8427).",
            "min" : 1,
            "max" : "1",
            "constraint" : [
              {
                "key" : "1098-8428",
                "severity" : "error",
                "human" : "**SHALL** contain a valid DICOM personal identification code sequence (@codeSystem is 1.2.840.10008.2.16.4) or an appropriate national health care provider coding system (e.g., NUCC in the U.S., where @codeSystem is 2.16.840.1.113883.6.101) (CONF:1098-8428)."
              }
            ]
          }
        ]
      }
    }